Hospital Universitari Quirón-Dexeus, ICATME-EQUILAE, Barcelona, España; Departamento de Cirugía Ortopédica y Traumatología, Consorci Sanitari de l'Anoia - Hospital d'Igualada, Igualada, Barcelona, España.
Departamento de Cirugía Ortopédica y Traumatología, Consorci Sanitari de l'Anoia - Hospital d'Igualada, Igualada, Barcelona, España.
Rev Esp Cir Ortop Traumatol (Engl Ed). 2021 Jan-Feb;65(1):41-46. doi: 10.1016/j.recot.2020.07.002. Epub 2020 Nov 20.
There currently is a considerable variability in the content of training programs and courses for orthopaedic surgeons in training. Besides this, there is still no consensus regarding which is the most effective methodology for improving learning of the technique or for its qualitative evaluation. A study was carried out to assess the influence of carrying out a cadaveric practical course on the acquisition of arthroscopic technical skills in fifth-year residents.
A knee arthroscopy cadaveric course was performed in which 48 students participated. Different technical aspects during a knee arthroscopy, as well as the residents skill and the execution time were evaluated before and after the course using a specific questionnaire.
There was a significant statistic improvement between the initial and final evaluation, increasing from 11,7 till 17,1 (maximum 20) points. Also, a significant improvement in all the parameters analysed was observed; the identification of anatomic structures (p = 0.001), the palpation of specific structures (p = 0.032), and the time necessary for the arthroscopic knee check (p = 0.015).
A knee arthroscopy cadaveric course improves significantly the technical skills of surgeons in training.
目前，骨科住院医师培训项目和课程的内容存在相当大的差异。此外，对于哪种方法最有利于提高技术学习效果或进行技术质量评估，仍未达成共识。本研究旨在评估进行尸体实操课程对五年级住院医师关节镜技术技能习得的影响。
开展了膝关节镜尸体实操课程，共有 48 名学生参加。使用特定问卷，在课程前后评估不同膝关节镜技术相关的技术方面、住院医师的技能以及执行时间。
初始评估和最终评估之间存在显著的统计学差异，分数从 11.7 提高到 17.1（满分 20）。此外，所有分析参数均有显著改善，包括解剖结构的识别（p=0.001）、特定结构的触诊（p=0.032）以及膝关节镜检查所需的时间（p=0.015）。
膝关节镜尸体实操课程可显著提高住院医师的技术技能。
