基础胃肠内镜检查培训的需求评估:印度尼西亚的一项定性研究

Needs assessment of basic gastrointestinal endoscopy training: A qualitative study in Indonesia.

作者信息

Maulahela Hasan, Annisa Nagita G, Simadibrata Marcellus, Syam Ari F, Findyartini Ardi, Indriatmi Wresti, Soetikno Roy

机构信息

Doctoral Program in Medicine Sciences Faculty of Medicine Universitas Indonesia, Division of Gastroenterology, Pancreatobilliary and Digestive Endoscopy, Cipto Mangunkusumo General Central Hospital Universitas Indonesia Jakarta Indonesia.

Faculty of Medicine Universitas Indonesia Dr Cipto Mangunkusumo General Central National Hospital Jakarta Indonesia.

出版信息

JGH Open. 2023 Nov 20;7(12):928-935. doi: 10.1002/jgh3.13004. eCollection 2023 Dec.

Abstract

BACKGROUND AND AIM

Gastointestinal endoscopy is a complex practical skill, and training and experience are required to ensure the accuracy and safety of the procedures. Therefore, proper endoscopy training is needed to provide highly skilled endoscopists. This study explores the learning experience and assesses the need for endoscopy training in Indonesia from an endoscopy trainee's point of view. Limitations from the current training model and the trainees' suggestions hopefully will become a foundation for the future endoscopy training model in Indonesia.

METHODS

A total of 132 current endoscopy trainees and graduates of endoscopy training from various centers in Indonesia completed an online qualitative survey regarding their endoscopy training experience, their satisfaction with the current training method, barriers to achieving competency, and their suggestions for future training. Data were subjected to descriptive and qualitative analysis using content analysis.

RESULTS

We found variations in the trainee's learning experience regarding the training supervision, feedback, and assessment methods. The most common endoscopy training methods were observation and direct practice with supervision. There was only a low proportion of simulator use (25%). The most found concept in barriers to achieving competency was "insufficient number of patients." Meanwhile, the most found concept in suggestions for future training methods was "increasing the variety of cases and procedures."

CONCLUSION

Our findings suggest that there are still variations in endoscopy training methods in Indonesia. Therefore, we propose to design a standardized endoscopy training program to ensure the competence of endoscopy trainees and better care for endoscopic patients. Simulators might be used to increase the trainees' competence in settings with low numbers of patients or cases.

摘要

背景与目的

胃肠内镜检查是一项复杂的实践技能,需要培训和经验来确保操作的准确性和安全性。因此,需要进行适当的内镜培训以培养高技能的内镜医师。本研究从内镜培训学员的角度探讨在印度尼西亚的学习经历并评估内镜培训的需求。当前培训模式的局限性以及学员的建议有望成为印度尼西亚未来内镜培训模式的基础。

方法

来自印度尼西亚各中心的132名现任内镜培训学员和内镜培训毕业生完成了一项关于他们内镜培训经历、对当前培训方法的满意度、获得能力的障碍以及对未来培训建议的在线定性调查。使用内容分析法对数据进行描述性和定性分析。

结果

我们发现学员在培训监督、反馈和评估方法的学习经历方面存在差异。最常见的内镜培训方法是观察和在监督下直接实践。模拟器的使用比例很低(25%)。在获得能力的障碍中最常发现的概念是“患者数量不足”。同时,在未来培训方法的建议中最常发现的概念是“增加病例和操作的多样性”。

结论

我们的研究结果表明,印度尼西亚的内镜培训方法仍存在差异。因此,我们建议设计一个标准化的内镜培训计划,以确保内镜培训学员的能力,并为内镜患者提供更好的护理。在患者或病例数量较少的情况下,模拟器可用于提高学员的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b31b/10757483/68f4947d3a1f/JGH3-7-928-g010.jpg

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