兽医腹腔镜手术技能培训与习得的验证:综述
Validation of Training and Acquisition of Surgical Skills in Veterinary Laparoscopic Surgery: A Review.
作者信息
Oviedo-Peñata Carlos A, Tapia-Araya Angelo E, Lemos Juan D, Riaño-Benavides Carlos, Case J Brad, Maldonado-Estrada Juan G
机构信息
Tropical Animal Production Research Group, Faculty of Veterinary Medicine and Zootechny, University of Cordoba, Monteria, Colombia.
Surgery and Theriogenology Branch OHVRI-Group, College of Veterinary Medicine, University of Antioquia, Medellin, Colombia.
出版信息
Front Vet Sci. 2020 Jun 3;7:306. doi: 10.3389/fvets.2020.00306. eCollection 2020.
At present, veterinary laparoscopic surgery training is lacking in experiences that provide a controlled and safe environment where surgeons can practice specific techniques while receiving experts' feedback. Surgical skills acquired using simulators must be certified and transferable to the operating room. Most models for practicing laparoscopic skills in veterinary minimally invasive surgery are general task trainers and consist of boxes (simulators) designed for training human surgery. These simulators exhibit several limitations, including anatomic species and procedural differences, as well as general psychomotor training rather than skill recreation. In this paper, we review the existing methods of training, evaluation, and validation of technical skills in veterinary laparoscopic surgery. Content includes global and specific scales, and the conditions a structured curriculum should meet for improving the performance of novice surgeons during and after training. A focus on trainee-specific assessment and tailored-technical instruction should influence training programs. We provide a comprehensive analysis of current theories and concepts related to the evaluation and validation of simulators for training laparoscopic surgery in small animal surgery. We also highlight the need to develop new training models and complementary evaluation scales for the validation of training and acquisition of basic and advanced skills in veterinary laparoscopic surgery.
目前,兽医腹腔镜手术培训缺乏能提供可控且安全环境的经验,在这种环境下外科医生可以练习特定技术并获得专家反馈。使用模拟器获得的手术技能必须得到认证且能应用于手术室。兽医微创外科中大多数用于练习腹腔镜技能的模型都是通用任务训练器,由为人类手术训练设计的箱子(模拟器)组成。这些模拟器存在一些局限性,包括解剖学物种和手术程序差异,以及侧重于一般心理运动训练而非技能重现。在本文中,我们回顾了兽医腹腔镜手术中现有技术技能的培训、评估和验证方法。内容包括整体和特定量表,以及结构化课程为提高新手外科医生在培训期间及之后的表现应满足的条件。关注针对学员的评估和量身定制的技术指导应会影响培训项目。我们对当前与小动物外科腹腔镜手术培训模拟器的评估和验证相关的理论和概念进行了全面分析。我们还强调了开发新的培训模型和补充评估量表以验证兽医腹腔镜手术基础和高级技能培训及获取的必要性。
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