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术中“备用部件”:一种面向学员的新型高保真缝合模型。

Intraoperative "Spare Parts": A Novel High-fidelity Suturing Model for Trainees.

作者信息

Pardell Noah, Dumestre Danielle

机构信息

Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Alberta, Canada.

Department of Plastic Surgery, University of Alberta, Edmonton, Alberta, Canada.

出版信息

Plast Reconstr Surg Glob Open. 2022 Nov 1;10(11):e4628. doi: 10.1097/GOX.0000000000004628. eCollection 2022 Nov.

DOI:10.1097/GOX.0000000000004628
PMID:36337433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9624586/
Abstract

Many models exist to help the medical student learn how to suture at a competency level required to progress to suturing on patients. However, these models do not readily simulate the qualities of live human tissue. We propose a simple intraoperative high-fidelity model that places the excised autologous patient tissue (eg, panniculectomy and breast reduction) on a sterile side table to allow the trainee to practice their skills alongside the staff surgeon on comparable tissue for the remainder of the case. We believe that the adoption of this practice allows a unique opportunity for medical students to advance their suturing techniques in a low-stress environment with staff surgeon guidance, further preparing them to perform high-quality closures on live patients.

摘要

有许多模型可帮助医学生学习如何以达到为患者进行缝合所需的能力水平进行缝合。然而,这些模型并不能轻易模拟活体人体组织的特性。我们提出一种简单的术中高保真模型,即将切除的自体患者组织(如腹壁成形术和乳房缩小术切除的组织)放置在无菌侧台上,以便实习生在该病例的剩余过程中,在与主刀医生所处理的类似组织上练习他们的技能。我们认为,采用这种做法为医学生提供了一个独特的机会,使其能够在低压力环境下,在主刀医生的指导下提升他们的缝合技术,从而进一步为在活体患者身上进行高质量缝合做好准备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4868/9624586/cf5a0df0cc9f/gox-10-e4628-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4868/9624586/bcffa8b027d5/gox-10-e4628-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4868/9624586/cf5a0df0cc9f/gox-10-e4628-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4868/9624586/bcffa8b027d5/gox-10-e4628-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4868/9624586/cf5a0df0cc9f/gox-10-e4628-g002.jpg

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本文引用的文献

1
Comparison of suturing models: the effect on perception of basic surgical skills.缝合模型的比较:对基本外科技能认知的影响
BMC Med Educ. 2021 May 1;21(1):250. doi: 10.1186/s12909-021-02692-x.
2
Suturing Skills for Medical Students: A Systematic Review.医学生缝合技术:系统评价。
In Vivo. 2021 Jan-Feb;35(1):1-12. doi: 10.21873/invivo.12226.
3
Does Realism Matter? A Randomized Controlled Trial Comparing Models for Medical Student Suture Education.现实主义重要吗?一项比较医学生缝合教育模型的随机对照试验。
Plast Reconstr Surg Glob Open. 2020 Apr 22;8(4):e2738. doi: 10.1097/GOX.0000000000002738. eCollection 2020 Apr.
4
Frozen-thawed Abdominal Flap Remnant as an education material for a Medium Group Surgical Skills Education Workshop.冻融腹部皮瓣残端作为中级组外科技能教育工作坊的教学材料。
Ann Surg Treat Res. 2019 Feb;96(2):53-57. doi: 10.4174/astr.2019.96.2.53. Epub 2018 Jan 30.
5
High-fidelity is not superior to low-fidelity simulation but leads to overconfidence in medical students.高保真度模拟并不优于低保真度模拟,但会导致医学生过度自信。
BMC Med Educ. 2019 Jan 21;19(1):29. doi: 10.1186/s12909-019-1464-7.
6
Does bench model fidelity interfere in the acquisition of suture skills by novice medical students?实验台模型的逼真度会干扰医学新手学生缝合技能的习得吗?
Rev Assoc Med Bras (1992). 2012 Sep-Oct;58(5):600-6.
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Teaching surgical skills: what kind of practice makes perfect?: a randomized, controlled trial.外科手术技能教学:何种练习能臻于完美?一项随机对照试验。
Ann Surg. 2006 Sep;244(3):400-9. doi: 10.1097/01.sla.0000234808.85789.6a.
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The educational impact of bench model fidelity on the acquisition of technical skill: the use of clinically relevant outcome measures.实验台模型逼真度对技术技能习得的教育影响:使用临床相关结局指标
Ann Surg. 2004 Aug;240(2):374-81. doi: 10.1097/01.sla.0000133346.07434.30.