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外科模拟软件在医学研究生教育中的效用评估。

Evaluation of the utility of surgical simulation software in medical postgraduate education.

作者信息

Aizezi Bilali, Zhong Cheng, Wang Xuanwei, Diao Weiyi, Wang Quan, Shen Miaoda

机构信息

Department of Orthopedics, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.

出版信息

Heliyon. 2024 Sep 23;10(19):e38278. doi: 10.1016/j.heliyon.2024.e38278. eCollection 2024 Oct 15.

Abstract

BACKGROUND

The use of medical simulation software in medical institutions is growing to address teaching challenges. The study aims to assess the effectiveness of the Touch Surgery app, a free medical simulation software, as a supplement to the teaching methodology of unified surgery for medical students.

METHODS

Twenty-three postgraduate students, divided into three groups based on residency training years, and five senior orthopedic surgeons took part in the study. Each participant completed three modules within the Large External Fixators module using the Touch Surgery app. The results achieved by orthopedic specialists and postgraduates in the test module were recorded separately. The orthopedic specialists' first test module scores were used as a baseline. A Likert survey assessed the usefulness and content accuracy of the app. Statistical analysis included analysis of variance and 2-tailed -test.

RESULTS

The first and second scores achieved by the postgraduates in the three groups were significantly different from the baseline of the orthopedic specialists, but the mean scores of all postgraduate's groups increased with simulator usage for learning and by the third attempt they were at the same level as the orthopedic specialists. However, no significant performance differences were observed between postgraduates with different training years. Postgraduates expressed a positive opinion of the usefulness and content of Touch Surgery in the questionnaire and their intention to continue using it in their future studies.

CONCLUSIONS

This study shows that the use of Touch Surgery improves postgraduates' performance and ultimately enables them to reach the level of orthopedic specialists in simulated surgery, and received positive ratings for the software's experience and content. Touch Surgery can be a valuable complement to traditional surgical teaching methods, bridging the gap between theoretical learning from textbooks and guided rehearsals of surgical steps and skills.

摘要

背景

医疗机构中医疗模拟软件的使用日益增加,以应对教学挑战。本研究旨在评估免费医疗模拟软件Touch Surgery应用程序作为医学生统一外科教学方法补充的有效性。

方法

23名研究生根据住院医师培训年限分为三组,5名资深骨科外科医生参与了该研究。每位参与者使用Touch Surgery应用程序完成了大外固定器模块中的三个模块。分别记录骨科专家和研究生在测试模块中取得的成绩。将骨科专家的第一次测试模块成绩用作基线。通过李克特调查评估该应用程序的实用性和内容准确性。统计分析包括方差分析和双尾检验。

结果

三组研究生的第一次和第二次成绩与骨科专家的基线有显著差异,但所有研究生组的平均成绩随着使用模拟器学习而提高,到第三次尝试时,他们与骨科专家处于同一水平。然而,不同培训年限的研究生之间未观察到显著的表现差异。研究生在问卷中对Touch Surgery的实用性和内容表达了积极的看法,并表示打算在未来的学习中继续使用它。

结论

本研究表明,使用Touch Surgery可提高研究生的表现,并最终使他们在模拟手术中达到骨科专家的水平,且该软件的体验和内容获得了积极评价。Touch Surgery可以成为传统外科教学方法的宝贵补充,弥合从教科书进行理论学习与对外科步骤和技能进行指导性演练之间的差距。

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