Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Division of General Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
J Otolaryngol Head Neck Surg. 2022 Jun 4;51(1):23. doi: 10.1186/s40463-022-00583-9.
OBJECTIVE: Surgical boot camps are becoming increasingly popular in Otolaryngology-Head and Neck Surgery (OHNS) residency programs. Despite pioneering virtual reality and simulation-based surgical education, these boot camps have lacked critical appraisal. The objective of this article was to examine the adoption and utility of surgical boot camps in OHNS residency training programs around the world. DATA SOURCES: Ovid Medline and PubMed databases were systematically searched in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for scoping reviews. Additionally, a grey literature search was performed. REVIEW METHODS: Inclusion criteria were peer-reviewed publications and grey literature sources that reported on OHNS boot camps for the novice learner. The search was restricted to human studies published in English. Studies were excluded if they were not examining junior trainees. RESULTS: A total of 551 articles were identified. Following removal of duplicates, screening, and full text review, 16 articles were included for analysis. Seven major boot camps were identified across various academic sites in the world. Most boot camps were one-day intensive camps incorporating a mixture of didactic, skill specific, and simulation sessions using an array of task trainers and high-fidelity simulators focusing on OHNS emergencies. Studies measuring trainee outcomes demonstrated improvement in trainee confidence, immediate knowledge, and skill acquisition. CONCLUSION: Surgical boot camps appear to be an effective tool for short term knowledge and skill acquisition. Further studies should examine retention of skill and maintenance of confidence over longer intervals, as little is known about these lasting effects.
目的:外科学-bootcamp(训练营)在耳鼻喉头颈外科学(otolaryngology-head and neck surgery,ohns)住院医师培训项目中越来越受欢迎。尽管虚拟实境和基于模拟的外科教育处于前沿地位,但这些训练营缺乏批判性评估。本文的目的是研究 ohns 住院医师培训项目中外科训练营的采用情况和实用性。
资料来源:根据系统评价和荟萃分析(prisma)指南的范围综述,对ovid medline 和 pubmed 数据库进行了系统搜索。此外,还进行了灰色文献搜索。
审查方法:纳入标准为同行评审出版物和灰色文献来源,这些出版物和灰色文献来源报告了针对新手学习者的 ohns 训练营。该搜索仅限于以英语发表的人类研究。如果研究未检查初级受训者,则将其排除在外。
结果:共确定了 551 篇文章。经过删除重复项、筛选和全文审查,纳入了 16 篇文章进行分析。在世界上的各个学术地点,确定了 7 个主要的训练营。大多数训练营都是为期一天的强化训练营,结合了理论、特定技能和模拟课程,使用各种任务训练器和高保真模拟器,重点是耳鼻喉头颈外科学急症。衡量学员学习成果的研究表明,学员的信心、即时知识和技能获得均有所提高。
结论:外科训练营似乎是短期获取知识和技能的有效工具。需要进一步研究以检验技能的保留和信心的维持情况,因为人们对这些持久影响知之甚少。
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