Department of Industrial and Manufacturing Engineering, Penn State, University Park, PA, 16802, USA.
Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA.
Am J Surg. 2022 Sep;224(3):903-907. doi: 10.1016/j.amjsurg.2021.12.006. Epub 2021 Dec 7.
This study compares surgical residents' knowledge acquisition of ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) between in-person and online procedural training cohorts before receiving independent in-person Dynamic Haptic Robotic Simulation training.
Three surgical residency procedural training cohorts, two in-person (N = 26) and one online (N = 14), were compared based on their performance on a 24-item US-IJCVC evaluation checklist completed by an expert physician completed after training. Pre- and post-training US-IJCVC knowledge was also compared for the online cohort.
No significant change in the pass rates on the US-IJCVC checklist was found between in-person and online cohorts (p = 0.208). There were differences in the Economy of Time and Motion between in-person and online cohorts (p < 0.005). The online cohort had significant increases in US-IJCVC knowledge pre-to post-training (p < 0.008).
Online training with independent simulation practice was as effective as in-person training for US-IJCVC.
本研究比较了在接受独立的动态触觉机器人模拟培训之前，接受过超声引导下颈内静脉中央导管置管术（US-IJCVC）的现场和在线程序培训的外科住院医师的知识获取情况。
根据专家医生在培训后完成的 24 项 US-IJCVC 评估检查表上的表现，比较了三个外科住院医师程序培训队列，两个现场队列（N=26）和一个在线队列（N=14）。还比较了在线队列的 US-IJCVC 知识的培训前后情况。
现场和在线队列在 US-IJCVC 检查表上的通过率没有显著差异（p=0.208）。在时间和动作的经济性方面，现场和在线队列之间存在差异（p<0.005）。在线队列在 US-IJCVC 知识方面的培训前后有显著增加（p<0.008）。
具有独立模拟实践的在线培训对于 US-IJCVC 与现场培训一样有效。
