Department of Surgery, Mclaren Greater Lansing, Lansing, Michigan.
JSLS. 2020 Oct-Dec;24(4). doi: 10.4293/JSLS.2020.00034.
Beginning with the graduating class of 2018, the American Board of Surgery (ABS) requires that residents complete the ABS Flexible Endoscopy Curriculum, Fundamentals of Endoscopic Surgery (FES). This curriculum includes both didactic and simulator training. In the ideal setting residents gain proficiency using simulation prior to performing endoscopies in the clinical setting. This new requirement creates an increased demand for endoscopic simulators in all General Surgery residency programs. Due to the cost prohibitive nature of virtual reality simulators an economic alternative is needed.
A mechanical simulator was created from inexpensive items easily acquired at a hardware store and in the hospital. Total cost of the simulator was approximately $120 USD. To validate the simulator, experienced endoscopists completed a training session with the device. A seven-question Likert scale survey (1 - strongly disagree to 5 - strongly agree) was completed after the session evaluated the simulated experience versus live upper endoscopies and the device's ability to meet the goals of the FES curriculum.
Eight proficient endoscopists completed the training session and survey and agreed that the device closely replicated live colonoscopies and would meet all training requirements in the FES curriculum. Mean responses to all seven survey questions ranged from 3.8-4.4.
This device is a cost-effective method for simulating live upper endoscopies and is appropriate for use in FES training.
从 2018 届毕业生开始，美国外科学委员会（ABS）要求住院医师完成 ABS 灵活内镜课程，内镜手术基础（FES）。该课程包括理论和模拟培训。在理想的情况下，住院医师在临床环境中进行内镜检查之前，通过模拟获得熟练程度。这一新要求增加了所有普通外科住院医师培训计划对内镜模拟器的需求。由于虚拟现实模拟器成本过高，因此需要一种经济的替代方案。
我们使用在五金店和医院都很容易买到的廉价物品创建了一种机械模拟器。模拟器的总成本约为 120 美元。为了验证该模拟器，经验丰富的内镜医师使用该设备进行了培训课程。课程结束后，他们完成了一个七项李克特量表调查（1-强烈不同意到 5-强烈同意），评估了模拟体验与实际上消化道内镜检查的对比以及该设备满足 FES 课程目标的能力。
八位熟练的内镜医师完成了培训课程和调查，并一致认为该设备非常逼真地模拟了实际结肠镜检查，并且可以满足 FES 课程的所有培训要求。所有七个调查问题的平均回答从 3.8 到 4.4。
该设备是一种经济有效的模拟实际上消化道内镜检查的方法，适合用于 FES 培训。
