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在线平台(疝 U)在外科教育和患者管理中的影响。

The Influence of an Online Platform (Hernia U) in Surgical Education and Patient Management.

机构信息

Department of Surgery, Montefiore Medical Center, Bronx, NY, USA.

Pernambuco Health College, Recife, Brazil.

出版信息

JSLS. 2022 Jan-Mar;26(1). doi: 10.4293/JSLS.2021.00085.

Abstract

INTRODUCTION

Hernia U was created with the objective to expand the educational landscape of abdominal wall surgery. It is an online platform where surgeons can register with no cost and subscribe for different courses. The aim of this study is to evaluate the impact of the platform on patient management and surgical education.

METHODS

A questionnaire regarding the influence of Hernia U in surgical education and patient management was emailed to professionals who had previously participated in any course of the Hernia U. Variables were shown with absolute and relative frequencies. Pearson's χ and Fisher's exact test were performed to analyze relationships between variables as appropriate.

RESULTS

Nine hundred three participants responded to the questionnaire. Seven hundred fifty-two (83.3%) were men; 248 (27.4%) participants were older than 50 years old; 240 (26.6%) were between 41 and 50 years old. Two hundred seventy-four (30.4%) participants had been in practice for more than 20 years, 242 (26.8%) between 11 and 20 years, and 161(17.8%) between 5 and 10 years. When analyzing the impact of time spent on the platform, spending over an hour per week was significantly associated with self-reported change in practice patterns compared to spending less than an hour per week (p < 0.0003). More experienced surgeons (10 or more years of practice) were less likely to change their practice patterns when compared to less experienced surgeons.

CONCLUSION

Hernia U has allowed surgeons to change their daily practice and to boost their education. Surgeons spending more than one hour weekly in the platform are more likely to adopt changes.

摘要

简介

Hernia U 的创建旨在拓展腹壁外科的教育领域。这是一个在线平台,外科医生可以免费注册并订阅不同的课程。本研究旨在评估该平台对患者管理和外科教育的影响。

方法

向曾参加 Hernia U 任何课程的专业人员发送了一份关于 Hernia U 对外科教育和患者管理影响的调查问卷。变量以绝对和相对频率显示。适当情况下使用 Pearson χ 和 Fisher 精确检验分析变量之间的关系。

结果

903 名参与者回复了问卷。752 名(83.3%)为男性;248 名(27.4%)参与者年龄大于 50 岁;240 名(26.6%)参与者年龄在 41 至 50 岁之间。274 名(30.4%)参与者行医时间超过 20 年,242 名(26.8%)在 11 至 20 年之间,161 名(17.8%)在 5 至 10 年之间。分析在平台上花费的时间对实践模式的影响时,与每周花费不到 1 小时相比,每周花费超过 1 小时与自我报告的实践模式变化显著相关(p<0.0003)。与经验较少的外科医生相比,经验更丰富的外科医生(10 年以上行医经验)改变实践模式的可能性较小。

结论

Hernia U 使外科医生能够改变他们的日常实践并提高他们的教育水平。每周在平台上花费超过 1 小时的外科医生更有可能采取改变。

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