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在妇科急症单元进行经阴道超声检查的初始培训中使用模拟器的好处。

Benefits of using a simulator in the initial training for transvaginal ultrasound examination in gynecologic emergency unit.

机构信息

Department of Obstetrics and Gynecology, Hôpital Bicêtre, GHU Sud, AP-HP, F-94276, Le Kremlin Bicêtre, France; Faculty of Medicine, Univ Paris Sud, F-94276, Le Kremlin Bicêtre, France.

Department of Obstetrics and Gynecology, Hôpital Bicêtre, GHU Sud, AP-HP, F-94276, Le Kremlin Bicêtre, France.

出版信息

J Gynecol Obstet Hum Reprod. 2021 Feb;50(2):101938. doi: 10.1016/j.jogoh.2020.101938. Epub 2020 Oct 14.

Abstract

PURPOSE

Transvaginal ultrasound examination is decisive in Gynecologic emergency unit. This study's aim was to evaluate benefits of using a simulator for initial training of medical student for transvaginal ultrasound examination.

METHOD

A multicenter randomized trial was conducted. Medical student were randomized in two groups: in the intervention group, students took part in a simulation session in addition to the companionship-training while in the control group, they were only trained by companionship. To evaluate their progression, the quality of ultrasound pictures performed in real conditions before (pre-test) and after (post-test) the training by the students of both groups were evaluated and compared. Evaluation was performed according to predefined quality criterias for each ultrasound examination using a score of 20 points. Mean scores of students in both groups were compared for the pre and post-test.

RESULTS

Fifty six medical students were included. Mean scores of the 56 students were significantly better at the post-test than at the pre-test: 10,61/20 [9,62-11, 59] vs 6,35/20 [5,48-7,24], p < 0,001. Mean scores were significantly better at the post-test for students in the intervention group (n = 29) than in the control group (n = 27) 11,79/20 [7,72-10,94] vs 9,33/20 [7,72-10,94], p = 0,01. All the students in the intervention group were satisfied or highly satisfied to take part in this program.

CONCLUSIONS

Using a simulator for medical student was beneficial in the initial training of transvaginal ultrasound examination.

摘要

目的

经阴道超声检查在妇科急症中具有决定性作用。本研究旨在评估使用模拟器对医学生进行经阴道超声检查初始培训的益处。

方法

进行了一项多中心随机试验。将医学生随机分为两组:干预组学生除了同伴培训外,还参加了模拟课程;对照组学生仅接受同伴培训。为了评估他们的进展,评估了两组学生在培训前后(预测试和后测试)在真实条件下进行的超声图像质量,并进行了比较。根据每个超声检查的预定义质量标准,使用 20 分制对评估进行评分。比较两组学生在预测试和后测试的平均分数。

结果

共纳入 56 名医学生。56 名学生的平均分数在后测试中明显高于前测试:10.61/20 [9.62-11.59] 与 6.35/20 [5.48-7.24],p<0.001。干预组(n=29)学生的平均分数在后测试中明显高于对照组(n=27)11.79/20 [7.72-10.94] 与 9.33/20 [7.72-10.94],p=0.01。干预组的所有学生对参加该计划都感到满意或非常满意。

结论

使用模拟器对医学生进行经阴道超声检查的初始培训是有益的。

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