Department of Neurosurgery, Spine Center of Eastern, Kantonsspital St. Gallen & Medical School of St. Gallen, Rorschacher Str. 95, St. Gallen, CH-9007, Switzerland.
Instituto Clavel, Madrid, Spain.
Acta Neurochir (Wien). 2024 Nov 15;166(1):458. doi: 10.1007/s00701-024-06359-6.
Unilateral biportal endoscopy (UBE) is a minimally invasive surgical (MIS) technique utilized for lumbar decompression, which has recently gained popularity in Europe. We aimed to explore the value of sequential adaptive e-learning, followed by simulator-based hands-on training modules for UBE at the occasion of the 2024 EANS Young Neurosurgeons meeting.
An adaptive e-learning was designed by learning engineers (Area 9 Lyceum), based on theoretical content provided by two endoscopic spine surgeons. A two-module simulator training, consisting of an insight-the-box model (basic tasks for eye-hand coordination), followed by a realistic lumbar spine model (execution of an endoscopic decompression) was developed. Course participants completed the e-learning before the hands-on training course. Course experience was evaluated through a standardized self-assessment questionnaire containing a 5-point Likert scale and a 10-point numeric rating scale.
Eleven of eighteen (61%) participants with different levels of professional education (62.5% residents in 1 -6 year of training, 37.5% board-certified) completed both trainings. Thirteen participants (72%) had no prior experience with UBE. The perception of knowledge after the e-learning module increased from 2.5 (SD 2) to 6.5 (SD 1.8; p = 0.039). The usefulness, enjoyment, and efficiency of the courses averaged a score of 8.0 (SD 1.8). Regarding the hands-on training, participants estimated an average increase in their skills from 2.9 (SD 1.8) to 6.8 (SD 2, p = 0.028). The overall rating of the two-module course was 7.9 (SD 2.2).
Sequential e-learning and simulator training appear to be an effective educational adjunct to establish novel, MIS-techniques such as UBE.
单侧双通道内镜技术（UBE）是一种用于腰椎减压的微创外科（MIS）技术，最近在欧洲广受欢迎。我们旨在探讨在 2024 年 EANS 青年神经外科医师会议上，采用顺序适应性电子学习，然后进行基于模拟器的实践培训模块，对 UBE 的价值。
学习工程师（Area 9 Lyceum）根据两位内镜脊柱外科医生提供的理论内容设计了适应性电子学习。开发了一个由两个模块组成的模拟器培训，包括一个透视箱模型（眼手协调的基本任务），然后是一个逼真的腰椎模型（执行内镜减压）。课程参与者在实践培训课程之前完成电子学习。通过标准化的自我评估问卷评估课程经验，该问卷包含 5 分李克特量表和 10 分数字评分量表。
18 名参与者中的 11 名（61%）具有不同水平的专业教育（62.5%为 1-6 年培训的住院医师，37.5%为认证的）完成了这两个培训。13 名参与者（72%）以前没有 UBE 经验。电子学习模块后的知识感知从 2.5（SD 2）增加到 6.5（SD 1.8；p = 0.039）。课程的有用性、趣味性和效率平均评分为 8.0（SD 1.8）。关于实践培训，参与者估计他们的技能平均从 2.9（SD 1.8）提高到 6.8（SD 2，p = 0.028）。两模块课程的总体评分为 7.9（SD 2.2）。
顺序电子学习和模拟器培训似乎是一种有效的教育辅助手段，可用于建立新的 MIS 技术，如 UBE。
