泌尿外科模拟训练营：非英国代表的视角
Urology simulation boot camp: A perspective from non-UK delegates.
作者信息
Sundelin M O, Silva J D C, Daele A V, Savopoulos V, Pirola G M, Ranasinghe S, Cleynenbreugel B V, Biyani C S, Kailavasan M
机构信息
Departamento de Urología, Hospital Universitario de Aarhus, Aarhus, Dinamarca.
Hospital Universitario de Motol, Praga, República Checa.
出版信息
Actas Urol Esp (Engl Ed). 2021 Jan-Feb;45(1):49-56. doi: 10.1016/j.acuro.2020.03.013. Epub 2020 Sep 14.
BACKGROUND
Medical simulation has become an integral part of modern-day surgical training. Despite its benefits, it is still not widely incorporated in the curriculum of trainees. The Urology Boot Camp (USBC) is an innovative 5-day course aimed at trainees entering the UK training scheme. Since its implementation, there's been increasing interest by non-UK trainees.
OBJECTIVE
To assess the experiences of non-UK trainees in the USBC, both quantitatively and qualitatively, including skills progression analysis.
DESIGN, SETTING AND PARTICIPANTS: This double-group cohort retrospective study included 20 delegates from non-UK countries and 76 trainees from UK who attended the USBC in 2017 and 2018. Trainees undertook pre- and post-course MCQs, pre-course operative experience questionnaires and a 12-month post-course survey on the usefulness of the skills acquired.
OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS
Differences in mean MCQ scores between UK and non-UK delegates at baseline and after the course were assessed by the independent T-test. Each core urology procedural skill was evaluated by an expert and graded according to a Likert scale (1-5). The Kruskal-Wallis test was used to assess the differences in the scores between both groups on endourological techniques. A Likert scale (1-5) was used to grade the participants' answers to the post-course 12-month survey.
RESULTS AND LIMITATIONS
Trainees from UK scored significantly higher in the pre-course MCQ assessment, however after completion of the boot camp, no significant difference was noted. There were no differences between the groups at e-BLUS completion times, and both groups significantly improved their results. A 12-month post-course survey on the utility of training during the boot camp and qualitative evaluation of the course by overseas delegates was very positive.
CONCLUSIONS
The USBC is a valuable learning experience that leads to improvement of technical and soft skills of UK and non-UK trainees alike.
背景
医学模拟已成为现代外科培训不可或缺的一部分。尽管其益处显著，但在实习医生的课程中仍未得到广泛应用。泌尿外科新兵训练营（USBC）是一个为期5天的创新课程，面向进入英国培训计划的实习医生。自实施以来，非英国实习医生对其兴趣日益浓厚。
目的
从定量和定性两方面评估非英国实习医生在美国泌尿外科新兵训练营的经历，包括技能进展分析。
设计、背景与参与者：这项双组队列回顾性研究纳入了20名来自非英国国家的代表以及76名来自英国的实习医生，他们于2017年和2018年参加了美国泌尿外科新兵训练营。实习医生在课程前后进行了多项选择题测试、课前手术经验问卷调查，并在课程结束12个月后就所学技能的实用性进行了调查。
结果测量与统计分析
通过独立样本t检验评估英国和非英国代表在基线和课程结束后多项选择题平均得分的差异。每项核心泌尿外科手术技能由一名专家进行评估，并根据李克特量表（1 - 5）进行评分。采用Kruskal - Wallis检验评估两组在内窥镜技术得分上的差异。使用李克特量表（1 - 5）对参与者在课程结束12个月后的调查问卷答案进行评分。
结果与局限性
英国实习医生在课前多项选择题评估中的得分显著更高，但在新兵训练营结束后，未发现显著差异。两组在电子膀胱镜检查（e - BLUS）完成时间上没有差异，且两组的结果均有显著改善。一项关于新兵训练营期间培训实用性的课程结束12个月后的调查以及海外代表对该课程的定性评价非常积极。
结论
美国泌尿外科新兵训练营是一次宝贵的学习经历，可以提高英国和非英国实习医生的技术和软技能。
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