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教授髋关节手术给骨科住院医师:有何新进展?

Teaching hip surgery to orthopaedic residents: what's new?

机构信息

Orthopaedics and Traumatology Department, ZNA Middelheim, Antwerp, Belgium.

出版信息

Hip Int. 2020 Sep;30(1_suppl):42-47. doi: 10.1177/1120700020916451.

Abstract

PURPOSE

The purpose of this study is to provide an overview of the published literature on the existing educational methods used to teach surgical skills, with a specific focus on hip surgery, to orthopaedic residents.

METHODS

A total of 31 articles were selected from a PubMed literature search on the topic of teaching surgical skills to orthopaedic residents, and 9 articles on hip surgery are included in this review.

RESULTS

Although several methods are included in the published literature to teach orthopaedic residents, only arthroscopy of the knee and shoulder joint is well described. Hip arthroscopy has a steeper learning curve and thus the use of simulation training as a complementary teaching method is even more important.

CONCLUSIONS

Currently, open surgery skills for joint arthroplasty are largely acquired by apprenticeship learning. Simulation training in the form of virtual reality could contribute to better performance of residents, decreasing operation time and improving patient safety.

摘要

目的

本研究旨在综述目前已发表的文献,介绍用于向骨科住院医师传授手术技能的现有教育方法,重点关注髋关节手术。

方法

在 PubMed 上对向骨科住院医师传授手术技能这一主题进行文献检索,共选取了 31 篇文章,其中有 9 篇是关于髋关节手术的。

结果

尽管文献中包含了几种教授骨科住院医师的方法,但只有膝关节和肩关节的关节镜检查描述得较为详细。髋关节镜检查的学习曲线更为陡峭,因此模拟训练作为一种补充教学方法更为重要。

结论

目前,关节置换术的开放性手术技能主要通过学徒式学习获得。虚拟现实形式的模拟训练可能有助于提高住院医师的表现,缩短手术时间,提高患者安全性。

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