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评估3D打印模型在妇科盆腔检查实践培训中的价值。

Evaluating the value of a 3D printed model for hands-on training of gynecological pelvic examination.

作者信息

Kiesel Matthias, Beyers Inga, Kalisz Adam, Wöckel Achim, Quenzer Anne, Schlaiß Tanja, Wulff Christine, Diessner Joachim

机构信息

University Hospital Würzburg department of Gynecology, Josef-Schneider-Str. 4, 97080, Würzburg, Germany.

Institute of Electric Power Systems (IfES), Leibniz Universität Hannover, Appelstraße 9A, 30167, Hannover, Germany.

出版信息

3D Print Med. 2022 Jul 6;8(1):20. doi: 10.1186/s41205-022-00149-5.

Abstract

BACKGROUND

Simulation in the field of gynecological pelvic examination with educational purposes holds great potential. In the current manuscript we evaluate a 3D printed model of the female pelvis, which improves practical teaching of the gynecological pelvic examination for medical staff.

METHODS

We evaluated the benefit of a 3D printed model of the female pelvis (Pelvisio®) as part of a seminar ("skills training") for teaching gynecological examination to medical students. Each student was randomly assigned to Group A or B by picking a ticket from a box. Group A underwent the skills training without the 3D printed model. Group B experienced the same seminar with integration of the model. Both groups evaluated the seminar by answering five questions on Likert scales (1-10, 1 = "very little" or "very poor", 10 equals "very much" or "very good"). Additionally, both groups answered three multiple-choice questions concerning pelvic anatomy (Question 6 to 8). Finally, Group B evaluated the 3D printed model with ten questions (Question 9 to 18, Likert scales, 1-10).

RESULTS

Two of five questions concerning the students' satisfaction with the seminar and their gained knowledge showed statistically significant better ratings in Group B (6.7 vs. 8.2 points and 8.1 vs. 8.9 points (p < 0.001 and p < 0.009). The other three questions showed no statistically significant differences between the traditional teaching setting vs. the 3D printed model (p < 0.411, p < 0.344 and p < 0.215, respectively). The overall mean score of Question 1 to 5 showed 8.4 points for Group B and 7.8 points for Group A (p < 0.001). All three multiple-choice questions, asking about female pelvic anatomy, were answered more often correctly by Group B (p < 0.001, p < 0.008 and p < 0.001, respectively). The mean score from the answers to Questions 9 to 18, only answered by Group B, showed a mean of 8.6 points, indicating, that the students approved of the model.

CONCLUSION

The presented 3D printed model Pelvisio® improves the education of female pelvic anatomy and examination for medical students. Hence, training this pivotal examination can be supported by a custom designed anatomical model tailored for interactive and explorative learning.

摘要

背景

用于教育目的的妇科盆腔检查领域模拟具有巨大潜力。在当前的论文中,我们评估了女性骨盆的3D打印模型,该模型改善了医务人员妇科盆腔检查的实践教学。

方法

我们评估了女性骨盆的3D打印模型(Pelvisio®)作为向医学生教授妇科检查的研讨会(“技能培训”)一部分的益处。每个学生通过从盒子中抽取一张票被随机分配到A组或B组。A组在没有3D打印模型的情况下进行技能培训。B组在研讨会中使用该模型。两组通过回答五个李克特量表问题(1 - 10分,1 = “非常少”或“非常差”,10分等于“非常多”或“非常好”)来评估研讨会。此外,两组回答了三个关于盆腔解剖的多项选择题(问题6至8)。最后,B组用十个问题(问题9至18,李克特量表,1 - 10)评估3D打印模型。

结果

关于学生对研讨会的满意度及其所获知识的五个问题中的两个,B组在统计学上显示出显著更高的评分(6.7分对8.2分以及8.1分对8.9分(p < 0.001和p < 0.009)。其他三个问题在传统教学环境与3D打印模型之间没有显示出统计学上的显著差异(分别为p < 0.411、p < 0.344和p < 0.215)。问题1至5的总体平均得分显示,B组为8.4分,A组为7.8分(p < 0.001)。询问女性盆腔解剖的所有三个多项选择题,B组回答正确的频率更高(分别为p < 0.001、p < 0.008和p < 0.001)。仅由B组回答的问题9至18的答案平均得分为8.6分,表明学生认可该模型。

结论

所展示的3D打印模型Pelvisio®改善了医学生女性盆腔解剖和检查的教育。因此,为交互式和探索性学习量身定制的定制解剖模型可以支持这一关键检查的培训。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca17/9261074/b988d4a2d0f4/41205_2022_149_Fig1_HTML.jpg

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