Seil Romain, Hoeltgen Claude, Thomazeau Hervé, Anetzberger Hermann, Becker Roland
Sports Clinic, Centre Hospitalier de Luxembourg - Clinique d'Eich, 8 rue d'Eich, 1460, Luxembourg, Luxembourg.
Luxembourg Institute of Research in Orthopaedics, Sports Medicine and Science, Luxembourg, Luxembourg.
J Exp Orthop. 2022 Feb 28;9(1):22. doi: 10.1186/s40634-022-00455-1.
Ethical concerns and increasing economic constraints of hospitals have caused a reduction in proper training and education. It has been hypothesized that due to the lack of a one-to-one apprenticeship throughout the residency, surgical simulation training is essential.
Between June 2020 and June 2021, residents from teaching hospitals in Switzerland, France, Germany, and Luxembourg were surveyed to learn about their experience with and thoughts on surgical simulation training. Survey responses were analysed using descriptive statistics.
Of the 596 residents surveyed, 557 residents (51% female, 49% male) from Switzerland (270), France (214), Germany (52) and Luxembourg (21) agreed to anonymous data analysis. Among those giving consent, 100% considered that simulation training was important for their practical education and 84% thought that simulation training should become a mandatory part of their curriculum, with an average estimated training time of 42 ± 51 h per year, based on the survey.
This study suggests that surgical simulation training is well accepted and even demanded among surgical residents as an alternative training solution able to address some of the limitations and challenges of the current one-to-one apprenticeship model. There is a wide variation among the residents regarding the number of training hours required, underscoring the need for structured performance-based simulator training.
伦理问题以及医院日益增加的经济限制导致了适当培训和教育的减少。据推测，由于在整个住院医师培训期间缺乏一对一的学徒制，手术模拟培训至关重要。
在2020年6月至2021年6月期间，对来自瑞士、法国、德国和卢森堡教学医院的住院医师进行了调查，以了解他们在手术模拟培训方面的经验和想法。使用描述性统计分析调查回复。
在接受调查的596名住院医师中，来自瑞士（270名）、法国（214名）、德国（52名）和卢森堡（21名）的557名住院医师（51%为女性，49%为男性）同意进行匿名数据分析。在那些给予同意的人中，100%认为模拟培训对他们的实践教育很重要，84%认为模拟培训应该成为他们课程的必修部分，根据调查，每年平均估计培训时间为42±51小时。
本研究表明，手术模拟培训作为一种能够解决当前一对一学徒制模型的一些局限性和挑战的替代培训解决方案，在外科住院医师中得到了很好的接受甚至需求。住院医师在所需培训时间的数量上存在很大差异，这突出了基于结构化表现的模拟器培训的必要性。
