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在新冠疫情时代,我们如何培养外科住院医师?

How do we teach surgical residents in the COVID-19 era?

作者信息

Okland Tyler S, Pepper Jon-Paul, Valdez Tulio A

机构信息

Department of Otolaryngology, Head and Neck Surgery, Stanford University, Palo Alto, California.

Department of Otolaryngology, Head and Neck Surgery, Stanford University, Palo Alto, California; Lucile Packard Children's Hospital, Stanford, California.

出版信息

J Surg Educ. 2020 Sep-Oct;77(5):1005-1007. doi: 10.1016/j.jsurg.2020.05.030. Epub 2020 Jun 11.

DOI:10.1016/j.jsurg.2020.05.030
PMID:32773336
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7287485/
Abstract

OBJECTIVE

In response to ongoing concerns regarding transmission of the novel coronavirus (COVID-19), surgical practice has changed for the foreseeable future. Practice guidelines recommend only urgent or emergent surgical procedures be performed to minimize viral transmission. This effectively limits standard training and practice for surgical residents. The purpose of this article is to describe opportunities in surgical simulation, and highlights the challenges associated with training in the COVID-19 era.

DESIGN

This is a perspective summarizing the potential role of surgical simulation to target training gaps caused by decreased surgical caseloads.

CONCLUSIONS

This manuscript concisely discusses simulation options available to training programs, including the novel concept of "surgical kits." These kits include all instruments necessary to simulate a procedure at home, effectively pairing safety and utility.

摘要

目的

鉴于对新型冠状病毒(COVID-19)传播的持续担忧,在可预见的未来,外科手术实践已发生改变。实践指南建议仅进行紧急或急诊外科手术,以尽量减少病毒传播。这有效地限制了外科住院医师的标准培训和实践。本文的目的是描述外科模拟的机会,并强调COVID-19时代培训相关的挑战。

设计

这是一篇观点文章,总结了外科模拟在弥补因手术病例减少导致的培训差距方面的潜在作用。

结论

本文简要讨论了培训项目可用的模拟选项,包括“手术套件”这一新颖概念。这些套件包含在家中模拟手术所需的所有器械,有效地兼顾了安全性和实用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63de/7287485/61540bbe0e1e/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63de/7287485/bb13bc82569c/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63de/7287485/61540bbe0e1e/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63de/7287485/bb13bc82569c/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/63de/7287485/61540bbe0e1e/gr2_lrg.jpg

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Int J Pediatr Otorhinolaryngol. 2020 Jan;128:109730. doi: 10.1016/j.ijporl.2019.109730. Epub 2019 Oct 15.
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Gelatin Facial Skin Simulator for Cutaneous Reconstruction.用于皮肤重建的明胶面部皮肤模拟器
Otolaryngol Head Neck Surg. 2016 Feb;154(2):279-81. doi: 10.1177/0194599815618389. Epub 2015 Dec 8.
将模拟技术融入外科手术培训:一项关于国家项目的定性案例研究
Adv Simul (Lond). 2023 Aug 18;8(1):20. doi: 10.1186/s41077-023-00259-y.
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General Surgery Training and One Year of COVID-19. What Has Been the Impact on Residents' Operating Room Surgical Activity? A Report From an Italian Academic Hospital.普通外科培训与新冠疫情的一年。对住院医师手术室手术活动有何影响?来自一家意大利学术医院的报告。
J Med Educ Curric Dev. 2023 Apr 12;10:23821205231169361. doi: 10.1177/23821205231169361. eCollection 2023 Jan-Dec.
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"It's making me think outside the box at times": a qualitative study of dynamic capabilities in surgical training.“这有时让我跳出思维定式”:一项关于手术培训中动态能力的定性研究。
Adv Health Sci Educ Theory Pract. 2023 May;28(2):499-518. doi: 10.1007/s10459-022-10170-2. Epub 2022 Oct 26.
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