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血管和腔内血管外科模拟培训:法国外科教育者和受训者的全国性调查。

Simulation Training in Vascular and Endovascular Surgery: A Nationwide Survey Among Surgeon Educators and Trainees in France.

机构信息

Bordeaux University Hospital, Department of Vascular Surgery, Bordeaux, France.

Department of Vascular Surgery, Hospital of Antibes Juan-les-Pins, Antibes Juan-les-Pins, France.

出版信息

Ann Vasc Surg. 2024 Dec;109:111-120. doi: 10.1016/j.avsg.2024.07.082. Epub 2024 Jul 14.

DOI:10.1016/j.avsg.2024.07.082
PMID:39013488
Abstract

BACKGROUND

Vascular surgical training is evolving towards simulation-based methods to enhance skill development, ensure patient safety, and adapt to changing regulations. This study aims to investigate the utilization of simulation training among vascular surgeons in France, amidst ongoing shifts in teaching approaches and educational reforms.

METHODS

A national survey assessed the experiences and perceptions of vascular surgery professionals regarding simulation training. Participation was open to self-reported health professionals specialized (or specializing) in vascular surgery, including interns or fellows. Participants were recruited through various channels, and data were collected via a questionnaire covering participant characteristics, simulation experiences, and perceptions.

RESULTS

Seventy-six participants, predominantly male (74%) took part in the survey. While 58% reported access to simulation laboratories, only 17% had organized simulation sessions 1-3 times a year, and 5% had sessions more than 10 times annually. High fidelity simulators were available in 57% of institutions, while low fidelity simulators were available in 50%. Regarding funding, 20% received financial assistance for training, predominantly from industry (18%). One-third of the participants experienced 9 or more sessions (34%), lasting between 1 and 2 hours (34%), 30% expressed satisfaction with access to simulation, while 33% were dissatisfied with communication of simulation training opportunities.

CONCLUSIONS

Despite recognizing the benefits of simulation training, its integration into vascular surgery education in France remains incomplete. Challenges such as limited access and communication barriers hinder widespread adoption. Collaborative efforts are needed to ensure uniformity and enhance the effectiveness of simulation training in vascular surgery education.

摘要

背景

血管外科学培训正在朝着基于模拟的方法发展,以提高技能发展、确保患者安全,并适应不断变化的法规。本研究旨在调查法国血管外科医生在模拟培训中的应用情况,因为教学方法和教育改革正在进行中。

方法

一项全国性调查评估了血管外科专业人员对模拟培训的经验和看法。参与调查的对象是自我报告的专门从事(或正在专门从事)血管外科的卫生专业人员,包括实习生或研究员。通过多种渠道招募参与者,并通过涵盖参与者特征、模拟经验和看法的问卷收集数据。

结果

共有 76 名参与者,主要为男性(74%)参与了调查。虽然 58%的人报告说可以使用模拟实验室,但只有 17%的人每年组织 1-3 次模拟培训,只有 5%的人每年组织 10 次以上。57%的机构配备了高保真模拟器,而 50%的机构配备了低保真模拟器。在资金方面,20%的人接受了培训的财政援助,主要来自行业(18%)。三分之一的参与者经历了 9 次或更多的培训(34%),每次持续 1-2 小时(34%),30%的人对获得模拟培训的机会表示满意,而 33%的人对模拟培训机会的沟通表示不满。

结论

尽管认识到模拟培训的好处,但法国的血管外科学教育中仍未完全整合。有限的机会和沟通障碍等挑战阻碍了其广泛应用。需要协作努力,以确保模拟培训在血管外科学教育中的统一性和有效性。

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