Department of Machine Engineering, National Taiwan University of Science and Technology, Taipei, 106, Taiwan.
Department of Neurological Surgery, Tri-Service General Hospital and National Defense Medical Center, Taipei, 114, Taiwan.
BMC Med Educ. 2024 Jun 6;24(1):632. doi: 10.1186/s12909-024-05621-w.
This study aims to investigate the benefits of employing a Physical Lifelike Brain (PLB) simulator for training medical students in performing craniotomy for glioblastoma removal and decompressive craniectomy.
This prospective study included 30 medical clerks (fifth and sixth years in medical school) at a medical university. Before participating in the innovative lesson, all students had completed a standard gross anatomy course as part of their curriculum. The innovative lesson involved PLB Simulator training, after which participants completed the Learning Satisfaction/Confidence Perception Questionnaire and some received qualitative interviews.
The average score of students' overall satisfaction with the innovative lesson was 4.71 out of a maximum of 5 (SD = 0.34). After the lesson, students' confidence perception level improved significantly (t = 9.38, p < 0.001, effect size = 1.48), and the average score improved from 2,15 (SD = 1.02) to 3.59 (SD = 0.93). 60% of the students thought that the innovative lesson extremely helped them understand the knowledge of surgical neuroanatomy more, 70% believed it extremely helped them improve their skills in burr hole, and 63% thought it was extremely helpful in improving the patient complications of craniotomy with the removal of glioblastoma and decompressive craniectomy after completing the gross anatomy course.
This innovative lesson with the PLB simulator successfully improved students' craniotomy knowledge and skills.
本研究旨在探讨使用物理逼真大脑（PLB）模拟器培训医学生进行胶质母细胞瘤切除和减压性颅骨切开术的益处。
这是一项前瞻性研究，纳入了一所医科大学的 30 名医学生（五年级和六年级）。在参与创新课程之前，所有学生都已完成了课程中标准的大体解剖学课程。创新课程包括 PLB 模拟器培训，之后参与者完成了学习满意度/信心感知问卷，一些人还接受了定性访谈。
学生对创新课程的总体满意度平均得分为 5 分制中的 4.71 分（SD=0.34）。课后，学生的信心感知水平显著提高（t=9.38，p<0.001，效应量=1.48），平均得分从 2.15（SD=1.02）提高到 3.59（SD=0.93）。60%的学生认为创新课程非常有助于他们更好地理解手术神经解剖学知识，70%的学生认为它非常有助于提高颅骨钻孔技能，63%的学生认为在完成大体解剖学课程后，它有助于提高胶质母细胞瘤切除和减压性颅骨切开术的颅骨切开术患者并发症的处理能力。
使用 PLB 模拟器的这种创新课程成功地提高了学生的颅骨切开术知识和技能。
