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改良的泰尔氏软防腐尸体作为康复医学住院医师肌肉骨骼超声和解剖学新型教学模型的评估

Evaluation of Modified Thiel Soft-embalmed Cadavers as a Novel Teaching Model for Musculoskeletal Ultrasound and Anatomy among Rehabilitation Medicine Residents.

作者信息

Constantino Christopher S, Bundoc Rafael C, Tecson Jose V, Rubio Donnel Alexis T

机构信息

Department of Anatomy, College of Medicine, University of the Philippines Manila.

Department of Rehabilitation Medicine, College of Medicine and Philippine General Hospital, University of the Philippines Manila.

出版信息

Acta Med Philipp. 2023 Oct 26;57(10):45-51. doi: 10.47895/amp.v57i10.7150. eCollection 2023.

Abstract

OBJECTIVE

This study aimed to determine the perceptions of rehabilitation medicine resident trainees on using modified Thiel soft-embalmed cadavers as a learning tool in acquiring knowledge on musculoskeletal ultrasound (MSK-UTZ) and anatomy.

METHODS

This descriptive cross-sectional study used total enumeration to recruit residents in training under the rehabilitation medicine department of a tertiary referral hospital. An online survey tool was self-administered to determine their perceptions on the use of MSK-UTZ on Thiel-embalmed cadavers. Pre- and post-test scores were compared to determine if their knowledge has improved.

RESULTS

Fifteen participants were recruited, who answered the pre- and post-test, and the online survey. The mean pre-test score of participants was 5.87 (±1.68), and the mean post-test score was 6.87 (±2.00). There was no statistically significant difference (P = 0.20) using a paired t-test. At an arbitrary passing rate of 70%, only 5/15 participants passed the pre-test while 10/15 passed the post-test. A chi-square test of independence showed that there was no significant association between the number of participants who passed or failed on the pre- and post-test, X (1, N = 15) = 3.3, p = .0.068. Most of the perceptions of the participants were positive in terms of the use of modified Thiel soft-embalmed cadavers as a learning tool, its relevance in the training of a rehabilitation medicine resident, and the overall experience on its use.

CONCLUSION

Thiel-embalmed cadavers as a learning tool was well-accepted, having generally positive perceptions from the participants mainly in terms of perceived enhancement of the understanding of the anatomical basis of musculoskeletal ultrasound, perceived improvement in skills in performing musculoskeletal ultrasound, and most even recommended that it be part of their training as rehabilitation medicine residents. In terms of acquiring knowledge on musculoskeletal ultrasound (MSK-UTZ) and anatomy, no significant improvement in knowledge was noted. Further studies with larger sample sizes are recommended to yield more statistically significant improvement in knowledge and to observe trends in the perceptions of participants.

摘要

目的

本研究旨在确定康复医学住院医师培训学员对于使用改良的蒂尔氏软防腐尸体作为获取肌肉骨骼超声(MSK-UTZ)和解剖学知识的学习工具的看法。

方法

这项描述性横断面研究采用全面普查的方式,招募了一家三级转诊医院康复医学科的住院医师培训学员。通过自行填写在线调查工具来确定他们对在蒂尔氏防腐尸体上使用MSK-UTZ的看法。比较测试前和测试后的分数,以确定他们的知识是否有所提高。

结果

招募了15名参与者,他们完成了测试前和测试后的答题以及在线调查。参与者的测试前平均分数为5.87(±1.68),测试后平均分数为6.87(±2.00)。使用配对t检验,差异无统计学意义(P = 0.20)。以任意设定的70%及格率计算,只有5/15的参与者在测试前及格,而10/15的参与者在测试后及格。独立性卡方检验表明,测试前和测试后及格或不及格的参与者人数之间没有显著关联,X(1,N = 15)= 3.3,p = 0.068。大多数参与者对于使用改良的蒂尔氏软防腐尸体作为学习工具、其在康复医学住院医师培训中的相关性以及使用它的总体体验持积极看法。

结论

蒂尔氏防腐尸体作为一种学习工具受到广泛认可,参与者普遍给予积极评价,主要体现在对肌肉骨骼超声解剖学基础理解的增强、肌肉骨骼超声操作技能的提高,甚至大多数人建议将其纳入康复医学住院医师培训的一部分。在获取肌肉骨骼超声(MSK-UTZ)和解剖学知识方面,未发现知识有显著提高。建议进行更大样本量的进一步研究,以在知识方面产生更具统计学意义的改善,并观察参与者看法的趋势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7a6/11522339/78e78bca58a0/AMP-57-10-7150-g001.jpg

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