Jassim Shivan S, Varma Sundeep K, Ramachandran Manoj, Akhtar Kashif S N
Department of Trauma and Orthopaedics, Royal London Hospital, London, UK.
Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital NHS Trust, Stanmore, UK.
BMJ Simul Technol Enhanc Learn. 2020 Aug 11;7(3):154-158. doi: 10.1136/bmjstel-2020-000677. eCollection 2021.
Simulation training in surgery is widespread and allows surgeons to practise novel operative techniques and acquaint themselves with unfamiliar surgical procedures. The use of box or virtual reality simulators in many surgical specialities is established; however, its use within trauma and orthopaedics (T&O) in the UK and the attitudes of trainee towards it are not known. The aim of this study is to explore the experiences and opinions of T&O trainees towards simulation training.
An electronic survey consisting of 11 questions on the experiences of simulation training and attitudes towards it was sent to all T&O speciality trainees in London.
Fewer than 10% of the responders had used or had ready access to simulators to prepare for unfamiliar operations, with almost 90% preferring to read about them in a journal or watch them on an online video site. Over half had only seen simulators on courses or been aware of them. Over 75% of the responders believed that simulators should be available for trainees, but most did not feel that they should be used as part of formal assessments.
Methods for preparing for new operations have expanded over the past 20 years, yet the use of simulator machines is not widespread. Many trainees believe current machines are not widely available nor realistic enough to be useful, with most preferring online videos and operative technique books for preparing for an unfamiliar operation.
外科模拟训练应用广泛，能让外科医生练习新的手术技巧，并熟悉不熟悉的手术操作。在许多外科专科中，箱式或虚拟现实模拟器的使用已得到确立；然而，其在英国创伤与骨科（T&O）领域的使用情况以及实习医生对它的态度尚不清楚。本研究的目的是探讨创伤与骨科实习医生对模拟训练的体验和看法。
向伦敦所有创伤与骨科专科实习医生发送了一份包含11个关于模拟训练体验及态度问题的电子调查问卷。
不到10%的受访者使用过模拟器或能随时使用模拟器来为不熟悉的手术做准备，近90%的人更倾向于在期刊上阅读相关内容或在在线视频网站上观看。超过一半的人仅在课程中见过模拟器或只是听说过。超过75%的受访者认为应向实习医生提供模拟器，但大多数人觉得不应将其用作正式评估的一部分。
在过去20年里，为新手术做准备的方法有所增加，但模拟器的使用并不广泛。许多实习医生认为目前的模拟器不易获得且不够逼真，实用性不强，大多数人更倾向于通过在线视频和手术技术书籍来为不熟悉的手术做准备。
