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如何开展:向医学本科生教授外科技能。

How to do it: Teaching surgical skills to medical undergraduates.

作者信息

de Sá Victor Hugo Lara Cardoso, Pazin Giovanna Savoy, Elias Pablo Eduardo, Achar Eduardo, Pereira Filho Gerson Vilhena

机构信息

Plastic Surgery Department of ABC Medical School, University of São Caetano do Sul (USCS) Medical School, 50 Santo Antonio Street, São Caetano do Sul, SP, Brazil.

Surgical Abilities Module of USCS Medical School, University of São Caetano do Sul (USCS) Medical School, 50 Santo Antonio Street, São Caetano do Sul, SP, Brazil.

出版信息

Ann Med Surg (Lond). 2022 Sep 21;82:104617. doi: 10.1016/j.amsu.2022.104617. eCollection 2022 Oct.

DOI:10.1016/j.amsu.2022.104617
PMID:36268337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9577497/
Abstract

Medical students must be capable of performing clinical and surgical procedures in outpatient care and initial emergency care in all stages of the biological cycle. Here, we describe the surgical skills schedule with different animal models fulfilled at the Municipal University of São Caetano do Sul (USCS) Medical School, São Caetano do Sul, SP, Brazil, during the surgical abilities module. We retrospectively reviewed the surgical abilities module schedule provided at the USCS Medical School from 2015 until 2020; in this paper, we describe the use of different animal models. The activities were developed for two semesters during medical school and included an ox tongue, cylindrical Styrofoam, chicken leg and neck, live rabbits, and pigs. Practical surgical teaching starts with sutures using the ox tongue, after which students are taught to perform tenorrhaphy using cylindrical Styrofoam and chicken legs, followed by vascular anastomosis using the chicken trachea and esophagus. Rabbits are appropriate for training a variety of procedures such as cystostomy, gastrostomy, and appendectomy. Pigs allow for the simulation of several types of procedures such as chest drainage. Surgical training for medical undergraduates was demonstrated with an evolutionary intent, starting with simple sutures and ending up with basic emergency room surgical procedures.

摘要

医学生必须能够在生物周期的各个阶段进行门诊护理中的临床和外科手术以及初始急救护理。在此,我们描述了在巴西圣保罗州圣卡埃塔诺苏尔市立大学(USCS)医学院外科能力模块期间,使用不同动物模型完成的外科技能时间表。我们回顾性地审查了USCS医学院2015年至2020年提供的外科能力模块时间表;在本文中,我们描述了不同动物模型的使用情况。这些活动是在医学院的两个学期开展的,包括牛舌、圆柱形聚苯乙烯泡沫塑料、鸡腿和鸡脖、活兔以及猪。外科技能实践教学从使用牛舌进行缝合开始,之后教授学生使用圆柱形聚苯乙烯泡沫塑料和鸡腿进行肌腱缝合,接着是使用鸡气管和食管进行血管吻合。兔子适合用于多种手术训练,如膀胱造口术、胃造口术和阑尾切除术。猪可用于模拟多种手术,如胸腔引流。对医学本科生的外科训练展示出一种循序渐进的意图,从简单的缝合开始,最终进行基本的急诊室外科手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a72/9577497/e957976cef8d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a72/9577497/e957976cef8d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a72/9577497/e957976cef8d/gr1.jpg

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How does practice improve the skills of medical students during consecutive training courses?在连续的培训课程中,实践是如何提高医学生的技能的?
Acta Cir Bras. 2017 Jun;32(6):491-502. doi: 10.1590/s0102-865020170060000010.
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Basic skills for outpatient surgery in medical graduation.医学毕业时门诊手术的基本技能。
Rev Col Bras Cir. 2015 Sep-Oct;42(5):341-4. doi: 10.1590/0100-69912015005013.
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Training Models in Pediatric Minimally Invasive Surgery: Rabbit Model Versus Porcine Model: A Comparative Study.小儿微创手术训练模型:兔模型与猪模型的比较研究
J Laparoendosc Adv Surg Tech A. 2016 Jan;26(1):79-84. doi: 10.1089/lap.2015.0229. Epub 2015 Nov 30.
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Porcine Abdominal Wall Simulator for Laparotomy Incision and Closure.
Surg Innov. 2015 Aug;22(4):426-31. doi: 10.1177/1553350614556366. Epub 2014 Nov 5.
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Low-fidelity bench models for basic surgical skills training during undergraduate medical education.用于本科医学教育期间基本外科技能培训的低保真度模拟模型。
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