Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, OH 43205, United States; Children's Mercy Hospital- Kansas City, Pediatric Surgery- Comprehensive Colorectal Center, 2401 Gillham Road, Kansas City, MO 64108, United States.
Center for Colorectal and Pelvic Reconstruction, Nationwide Children's Hospital, Columbus, OH 43205, United States.
J Pediatr Surg. 2021 Dec;56(12):2270-2276. doi: 10.1016/j.jpedsurg.2021.02.005. Epub 2021 Feb 20.
Interactive courses play an important role in meeting the educational needs of pediatric surgical trainees. We investigated the impact of a multimodal pediatric colorectal and pelvic reconstruction course on pediatric surgery trainees.
A retrospective evaluation was performed of pre- and post-course surveys for an annual colorectal and pelvic reconstruction course over 3 consecutive years (2017-2019). The course included didactic and case-based content, interactive questions, video, and live case demonstration, and a hands-on lab. Pre- and post-course surveys were distributed to participants. Comfort with operative/case procedures was scored on a 5-point Likert scale (1 uncomfortable, 5 very comfortable). The primary outcome was improved confidence and content knowledge for pediatric colorectal surgical conditions.
165 pediatric surgical fellow participants with a 70 responses (42.4% response rate) comprised the cohort. Participants had limited advanced pediatric colorectal experience. At the time of the course, participants reported a median of 5 [3,10] Hirschsprung pull-throughs, 6 [3,10] anorectal malformation, and 1 [0,1] cloaca cases. Participants transitioned from discomfort to feeling comfortable with pediatric colorectal operative set-up and case management (pre-course 2 [2,3] and post-course 4 [4,5] p<0.001).
Pediatric surgery trainees report limited exposure to advanced pediatric colorectal and pelvic reconstruction cases and management during their pediatric surgical fellowship training but report improved content knowledge- and technical understanding of complex pediatric disorders upon completion of a dedicated course. The course is an important adjunct to the experience gained in pediatric surgery fellowship for achieving competency in managing patients with Hirschsprung disease, anorectal malformation, and cloacal reconstructions.
互动式课程在满足小儿外科受训者的教育需求方面发挥着重要作用。我们研究了多模式小儿结直肠和盆腔重建课程对小儿外科受训者的影响。
对连续 3 年（2017-2019 年）的年度结直肠和盆腔重建课程的课前和课后调查进行了回顾性评估。该课程包括理论和基于案例的内容、互动问题、视频以及现场手术演示和动手实验室。向参与者发放课前和课后调查。手术/病例操作的舒适度评分为 5 分制（1 分表示不舒服，5 分表示非常舒服）。主要结果是提高对小儿结直肠手术条件的信心和内容知识。
共有 165 名小儿外科研究员参加了该课程，其中有 70 人（42.4%的回复率）做出了回应。参与者在高级小儿结直肠方面的经验有限。在课程进行时，参与者报告中位数为 5 [3,10]例巨结肠根治术、6 [3,10]例肛门直肠畸形和 1 [0,1]例泄殖腔病例。参与者从对小儿结直肠手术准备和病例管理感到不舒服转变为感觉舒适（课前评分为 2 [2,3]，课后评分为 4 [4,5]，p<0.001）。
小儿外科研究员在小儿外科研究员培训期间报告对高级小儿结直肠和盆腔重建病例和管理的接触有限，但在完成专门课程后，报告对复杂小儿疾病的内容知识和技术理解有所提高。该课程是小儿外科研究员经验的重要补充，有助于在处理先天性巨结肠、肛门直肠畸形和泄殖腔重建患者方面实现能力。
