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Ability to Perform Laparoscopic Intra- and Extracorporeal Suture Ligations in a Live Canine Ovariectomy Model after Simulation Training.模拟训练后在活体犬卵巢切除术模型中进行腹腔镜体内和体外缝合结扎的能力。
J Vet Med Educ. 2022 May 25:e20210143. doi: 10.3138/jvme-2021-0143.
2
The development of laparoscopic skills using virtual reality simulations: A systematic review.虚拟现实模拟在腹腔镜技能发展中的应用:系统评价。
PLoS One. 2021 Jun 17;16(6):e0252609. doi: 10.1371/journal.pone.0252609. eCollection 2021.
3
Clinical and videofluoroscopic outcomes of laparoscopic treatment for sliding hiatal hernia and associated gastroesophageal reflux in brachycephalic dogs.腹腔镜治疗短头犬滑动型食管裂孔疝和相关胃食管反流的临床和荧光透视结果。
Vet Surg. 2021 Jul;50 Suppl 1:O67-O77. doi: 10.1111/vsu.13622. Epub 2021 Mar 9.
4
Implementation of the ACS/ APDS Resident Skills Curriculum reveals a need for rater training: An analysis using generalizability theory.ACS/APDS 住院医师技能课程的实施表明需要进行评分员培训:使用概化理论进行的分析。
Am J Surg. 2021 Sep;222(3):541-548. doi: 10.1016/j.amjsurg.2021.01.018. Epub 2021 Jan 19.
5
Transferability of Simulation-Based Training in Laparoscopic Surgeries: A Systematic Review.基于模拟的腹腔镜手术培训的可转移性:一项系统评价。
Minim Invasive Surg. 2020 Aug 25;2020:5879485. doi: 10.1155/2020/5879485. eCollection 2020.
6
Virtual reality training compared with apprenticeship training in laparoscopic surgery: a meta-analysis.虚拟现实训练与腹腔镜手术学徒训练的比较:一项荟萃分析。
Ann R Coll Surg Engl. 2020 Nov;102(9):672-684. doi: 10.1308/rcsann.2020.0178. Epub 2020 Aug 21.
7
Perceptions and experience of veterinary surgery residents with minimally invasive surgery simulation training.兽医外科住院医师对微创手术模拟训练的认知与体验
Vet Surg. 2020 Jun;49 Suppl 1:O21-O27. doi: 10.1111/vsu.13295. Epub 2019 Aug 6.
8
Changing the way we train surgeons in the 21th century: A narrative comparative review focused on box trainers and virtual reality simulators.改变21世纪外科医生的培训方式:一项聚焦于箱式训练器和虚拟现实模拟器的叙述性比较综述
Eur J Obstet Gynecol Reprod Biol. 2019 Apr;235:13-18. doi: 10.1016/j.ejogrb.2019.01.016. Epub 2019 Jan 22.
9
Simulation and Training of Gynaecological Skills.妇科技能的模拟与培训
Facts Views Vis Obgyn. 2018 Mar;10(1):21-27.
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Short-term outcome of laparoscopic cholecystectomy for benign gall bladder diseases in 76 dogs.76只犬良性胆囊疾病行腹腔镜胆囊切除术的短期结果
J Vet Med Sci. 2018 Nov 23;80(11):1747-1753. doi: 10.1292/jvms.18-0266. Epub 2018 Sep 20.

培训住院医师进行微创手术:确认能力还是寄望于最好的结果?

Training residents in minimally invasive surgery; confirming competence or hoping for the best?

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, Washington, USA.

出版信息

Vet Surg. 2022 Jul;51 Suppl 1(Suppl 1):O5-O11. doi: 10.1111/vsu.13850.

DOI:10.1111/vsu.13850
PMID:35906954
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9546116/
Abstract

BACKGROUND

Veterinary minimally invasive surgery (MIS) is rapidly developing, and most surgeons are performing MIS in their clinical practice. The technical skills of presented surgical techniques are increasingly complex. Required training of American College of Veterinary Surgeons (ACVS) surgical residents in soft tissue MIS (laparoscopy/thoracoscopy) are limited to traditional apprentice training. Unfortunately, such training has been found insufficient to create competent MIS surgeons.

AIM OF THE REVIEW

This review discusses development of MIS training for Doctor of Medicine (M.D.) residents in context of veterinary applicability and investigates comparative evidence for how to best train veterinary residents in soft tissue MIS.

CONCLUSIONS

A structured curriculum, with validated tasks and clear training goals have been found imperative for training success. Such a curriculum includes both didactic sessions and manual skills training, with video tutorials and reading material to inform and motivate the residents.

IMPLICATIONS OF KEY FINDINGS

ACVS residents and diplomates may benefit if a MIS curriculum was developed and made available to all training programs.

摘要

背景

兽医微创手术(MIS)正在迅速发展,大多数外科医生在临床实践中都在进行 MIS。所呈现的手术技术的技术技能越来越复杂。美国兽医外科学院(ACVS)外科住院医师在软组织 MIS(腹腔镜/胸腔镜)方面的培训仅限于传统的学徒培训。不幸的是,这种培训被发现不足以培养出合格的 MIS 外科医生。

本次审查的目的

讨论医学博士(M.D.)住院医师 MIS 培训的发展情况,以及兽医应用的情况,并研究如何最好地培训兽医住院医师进行软组织 MIS 的比较证据。

结论

已发现,结构化课程、经过验证的任务和明确的培训目标对于培训成功至关重要。这样的课程包括理论课程和手动技能培训,以及视频教程和阅读材料,以告知和激励住院医师。

关键发现的影响

如果制定了 MIS 课程并提供给所有培训计划,那么 ACVS 住院医师和专科医师可能会受益。