Zhang Wenbin, Qu Lijun, Zilundu Prince Last Mudenda, Xu Yuanyuan, Chen Meiying, Yu Guangyin, Zheng Xuefeng, Guo Guoqing, Zhang Jifeng
Department of Anatomy, Medical College, Jinan University, Guangdong, China.
Department of Surgery, The First Affiliated Hospital, Jinan University, Guangdong, China.
J Eval Clin Pract. 2025 Feb;31(1):e14225. doi: 10.1111/jep.14225.
To examine the medical students' awareness of laparoscopic surgery as well as assess the perceived importance of laparoscopic simulation training, and its impact on students' confidence, career aspirations, proficiency, spatial skills, and physical tolerance.
Descriptive and comparative study using pre- and post-training assessments.
Simulation training sessions centred on laparoscopic surgery techniques.
Medical students in year three (n = 49) participated in laparoscopic simulation training sessions.
Before the simulation training, 85.7% of students were unaware of laparoscopy, with females being less familiar than males (96.3% vs. 72.8%). 85.7% believed mastering laparoscopy was crucial before training, and 81.6% believed simulation training could enhance surgical skills. A disparity existed in this belief between the sexes, with 91% of males and 74.1% of females seeing the value in such training for skill improvement. Pretraining, males (54.5%) were more confident than females (26%) in mastering laparoscopy. Post-training, confidence increased for both groups, and the percentage of students wishing to pursue a surgical career also rose from 50% to 72.7%. Despite initial disparities in the time spent on training modules between males and females, both groups achieved similar proficiency levels by the end of the training. Although females initially lagged in spatial awareness and skills, post-training results showed significant improvement, matching their male counterparts. 26.5% of students experienced physical fatigue post-training, with a higher percentage of females (33.3%) reporting fatigue than males (18.2%). Regarding concentration during simulations, 81.8% of males could maintain focus compared to 48.2% of females.
Laparoscopic simulation training effectively improved the understanding, confidence, and surgical skills of medical students, with evident benefits in shaping their career aspirations. While both genders exhibited significant gains, female students faced challenges in terms of physical tolerance and initial spatial awareness. However, their post-training achievements mirrored those of their male peers, highlighting the effectiveness and importance of such simulation training programmes.
考察医学生对腹腔镜手术的认知，评估腹腔镜模拟训练的感知重要性，及其对学生信心、职业抱负、熟练程度、空间技能和身体耐受性的影响。
采用训练前和训练后评估的描述性和比较性研究。
以腹腔镜手术技术为中心的模拟训练课程。
三年级医学生（n = 49）参加了腹腔镜模拟训练课程。
在模拟训练前，85.7%的学生不了解腹腔镜检查，女性比男性更不熟悉（96.3%对72.8%）。85.7%的学生认为在训练前掌握腹腔镜检查至关重要，81.6%的学生认为模拟训练可以提高手术技能。在这一信念上存在性别差异，91%的男性和74.1%的女性认为这种训练对技能提升有价值。训练前，男性（54.5%）在掌握腹腔镜检查方面比女性（26%）更有信心。训练后，两组的信心都有所增强，希望从事外科职业的学生比例也从50%上升到了72.7%。尽管最初男性和女性在训练模块上花费的时间存在差异，但到训练结束时，两组的熟练程度相似。虽然女性最初在空间意识和技能方面落后，但训练后的结果显示有显著改善，与男性相当。26.5%的学生在训练后出现身体疲劳，报告疲劳的女性比例（33.3%）高于男性（18.2%）。关于模拟过程中的注意力集中情况，81.8%的男性能够保持专注，而女性为48.2%。
腹腔镜模拟训练有效地提高了医学生的理解、信心和手术技能，在塑造他们的职业抱负方面有明显益处。虽然两性都有显著进步，但女学生在身体耐受性和初始空间意识方面面临挑战。然而，她们训练后的成绩与男同学相当，突出了这种模拟训练计划的有效性和重要性。
