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“向专家学习”——妇科肿瘤(GO)细胞减灭术的一门新型高级尸体解剖课程。

"Learning from the experts" - a novel advanced cadaveric course for Gynaecological Oncology (GO) Cytoreductive Surgery.

作者信息

Sideris M, Elshaer A M, Johnson R L, Kotwal S, Mehta S, Quyn A, Saunders R, Tiernan J, Upasani V, Theophilou G

出版信息

Facts Views Vis Obgyn. 2022 Sep;14(3):265-273. doi: 10.52054/FVVO.14.3.036.

Abstract

BACKGROUND

Ovarian cancer cytoreductive surgery necessitates the use of advanced Simulation-Based Learning (SBL) to optimise skill-based teaching and achieve technical proficiency.

OBJECTIVE

We describe and appraise the role of a novel postgraduate cadaveric course for cytoreductive surgery for advanced ovarian/fallopian tube or primary peritoneal cancer.

MATERIALS AND METHODS

Several consultant-level surgeons with expertise in upper gastrointestinal, colorectal, hepatobiliary and urological surgery, were invited to teach their counterpart gynaecological oncology (GO) surgeons. The 2-day course curriculum involved advanced dissections on thiel-embalmed cadavers. All dissections included applicable steps required during GO cytoreductive surgeries.

OUTCOME MEASURES

We used a feedback questionnaire and structured interviews to capture trainers and delegates views respectively.

RESULTS

All delegates reported a positive educational experience and improvement of knowledge in all course components. There was no difference in the perception of feedback across junior versus senior consultants. Trainers perceived this opportunity as a "2-way learning" whether they got to explore in depth the GO perspective in how and which of their skills are applicable during cytoreductive surgery.

CONCLUSIONS

Collaborating with other surgical specialities promotes a "learning from the experts" concept and has potential to meet the rapidly increased demand for multi-viscera surgical excellence in GO surgery.

WHAT’S NEW?: The concept of involving experts from other surgical disciplines in advanced cadaveric courses for cytoreductive surgery in ovarian cancer, will solidify the effort to achieve excellence in the GO training. Such courses can be essential educational adjunct for most GO fellowships.

摘要

背景

卵巢癌细胞减灭术需要运用先进的基于模拟的学习(SBL)来优化基于技能的教学并实现技术熟练掌握。

目的

我们描述并评估了一门针对晚期卵巢癌/输卵管癌或原发性腹膜癌细胞减灭术的新型研究生尸体课程的作用。

材料与方法

邀请了几位在上消化道、结直肠、肝胆和泌尿外科手术方面具有专业知识的顾问级外科医生,为其对应的妇科肿瘤学(GO)外科医生授课。为期两天的课程内容包括对经蒂尔氏防腐处理的尸体进行高级解剖。所有解剖均涵盖了GO细胞减灭术中所需的适用步骤。

结果指标

我们分别使用反馈问卷和结构化访谈来收集培训师和学员的意见。

结果

所有学员都报告了积极的学习体验以及在课程所有组成部分中知识的提升。初级顾问与高级顾问对反馈的认知没有差异。培训师将此机会视为一种“双向学习”,因为他们能够深入探究GO视角下自身技能在细胞减灭术中的应用方式及适用情况。

结论

与其他外科专业合作促进了“向专家学习”的理念,并且有潜力满足GO手术中对多脏器手术卓越性迅速增长的需求。

新进展

让其他外科领域的专家参与卵巢癌细胞减灭术的高级尸体课程这一概念,将巩固在GO培训中追求卓越的努力。此类课程对于大多数GO奖学金项目而言可能是至关重要的教育辅助手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e22/10350952/344fff6ec9e0/FVVinObGyn-14-265-g001.jpg

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