Division of Colon and Rectal Surgery, Department of Surgery, E-DA Hospital, I-Shou University, Kaohsiung, Taiwan.
Division of Colon and Rectal Surgery, Department of Surgery, E-DA Cancer Hospital, I-Shou University, Kaohsiung, Taiwan.
BMC Med Educ. 2024 Jul 3;24(1):721. doi: 10.1186/s12909-024-05708-4.
With its minimally invasive approach, laparoscopic surgery has transformed the medical landscape. As the demand for these procedures escalates, there is a pressing need for adept surgeons trained in laparoscopic techniques. However, current training often falls short of catering to medical school education. This study evaluates the impact of a custom-designed laparoscopic training workshop on medical students' surgical skills and career aspirations.
This prospective experimental study was conducted at the E-Da hospital in Kaohsiung City, Taiwan. Medical students from Taiwanese medical schools undergoing Clerk 5, Clerk 6, and Postgraduate Year 1 and 2 were invited to participate. Medical students (n = 44) underwent an endoscopic skill training workshop consisting of lectures, box training, and live tissue training. The trainees performed multiple tasks before and after training using our objective evaluation system. The primary outcome was assessed before and after training through a questionnaire assessing the influence of training on students' interest in surgery as a career. The secondary outcome measured improvement in skill acquisition, comparing the task completion time pre- and post-workshop. For the primary outcome, descriptive statistics were used to summarize the questionnaire responses, and paired t-tests were performed to determine significant changes in interest levels post-workshop. For the secondary outcome, paired t-tests were used to compare the time recorded pre- and post-training.
Post-training, participants exhibited significant proficiency gains, with task completion times reducing notably: 97 s (p = 0.0015) for Precision Beads Placement, 88.5 s (p < 0.0001) for Beads Transfer Exercise, 95 s (p < 0.0001) for Precision Balloon Cutting, and 137.8 s (p < 0.0001) for Intracorporeal Suture. The primary outcome showcased an increased mean score from 8.15 pre-workshop to 9.3 post-workshop, indicating a bolstered interest in surgery as a career. Additionally, post-training sentiment analysis underscored a predominant inclination toward surgery among 88% of participants.
The custom-designed laparoscopic workshop significantly improved technical skills and positively influenced students' career aspirations toward surgery. Such hands-on training workshops can play a crucial role in medical education, bridging the gap between theoretical knowledge and practical skills and potentially shaping the future of budding medical professionals.
腹腔镜手术以其微创方法改变了医学领域的格局。随着这些手术需求的增加,迫切需要接受过腹腔镜技术培训的熟练外科医生。然而,目前的培训往往无法满足医学院教育的需求。本研究评估了定制设计的腹腔镜培训研讨会对医学生手术技能和职业抱负的影响。
这项前瞻性实验研究在台湾高雄市的义大医院进行。邀请了来自台湾医学院的医学生参加,他们处于第五学年和第六学年以及研究生一年级和二年级。医学生(n=44)参加了一个内镜技能培训研讨会,包括讲座、箱式训练和活体组织训练。在培训前后,学员使用我们的客观评估系统进行了多项任务。主要结果通过问卷调查评估培训对学生对手术作为职业的兴趣的影响来评估,该问卷在培训前后进行。次要结果衡量技能获取的改善,通过比较工作坊前后任务完成时间来衡量。对于主要结果,使用描述性统计来总结问卷的回答,并进行配对 t 检验以确定培训后兴趣水平的显著变化。对于次要结果,使用配对 t 检验比较培训前后的时间记录。
培训后,参与者表现出显著的熟练程度提高,任务完成时间明显减少:精确放置珠子任务减少了 97 秒(p=0.0015),珠子转移练习减少了 88.5 秒(p<0.0001),精确气球切割减少了 95 秒(p<0.0001),体内缝合减少了 137.8 秒(p<0.0001)。主要结果显示,从培训前的 8.15 分增加到培训后的 9.3 分,表明对手术作为职业的兴趣增加。此外,培训后的情感分析强调,88%的参与者倾向于手术。
定制设计的腹腔镜研讨会显著提高了技术技能,并积极影响了学生对手术的职业抱负。这种实践培训研讨会可以在医学教育中发挥关键作用,弥合理论知识和实践技能之间的差距,并有可能塑造未来的医学专业人员。