From the Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, Tennessee.
Am J Phys Med Rehabil. 2022 Mar 1;101(3):e39-e41. doi: 10.1097/PHM.0000000000001884.
There is no standardized curriculum for teaching interventional spine procedures during residency. The objective of this protocol was to share a curriculum using a cadaver laboratory for teaching Physical Medicine and Rehabilitation residents interventional spine procedures, which can be an effective and safe medium to train residents. This protocol provides a checklist that can guide the residents while they are in the cadaver laboratory with a focus on some of the most common lumbar procedures. Twelve physical medicine and rehabilitation resident's confidence in their ability to maneuver the x-ray image intensifier (C-arm), identify spine anatomy under fluoroscopy, and drive the needle improved after the training curriculum (P < 0.005). Although the cadaver laboratory curriculum is not a replacement for the required Accreditation Council for Graduate Medical Education training, it may serve as a tool to improve resident preparedness for spine procedures.
在住院医师培训期间，没有教授介入脊柱手术的标准化课程。本方案的目的是分享一个使用尸体实验室来教授物理医学与康复住院医师介入脊柱手术的课程，尸体实验室是培训住院医师的有效且安全的媒介。本方案提供了一份清单，可以指导住院医师在尸体实验室中的操作，重点是一些最常见的腰椎手术。经过培训课程，12 名物理医学与康复住院医师在操作 X 射线影像增强器（C 臂）、在透视下识别脊柱解剖结构以及驱动针的能力方面的信心得到了提高（P<0.005）。尽管尸体实验室课程不能替代研究生医学教育认证委员会规定的培训，但它可以作为一种工具，提高住院医师对脊柱手术的准备程度。
