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Effectiveness of cadaver‐based educational seminar for trauma surgery: skills retention after half‐year follow‐up

机译:基于尸体的创伤外科教育研讨会的有效性:半年随访后的技能保留

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Aim In Japan, trauma surgery training remains insufficient, and on‐the‐job training has become increasingly difficult because of the decreasing number of severe trauma patients and the development of non‐operative management. Therefore, we assessed whether a 1‐day cadaver‐based seminar is effective for trauma surgery training. Methods Data were collected from 11 seminars carried out from January 2013 to March 2014, including a 10‐point self‐assessment of confidence levels ( SACL ) for 21 surgical skills and an evaluation of the contents before, just after, and a half‐year after the seminar. Statistical analysis was undertaken using the paired t ‐test at P 0.0167. Results A total of 135 participants were divided into three groups based on experience and clinical careers. The SACL improved in all skills between before and just after the seminar, however, they decreased between just after and a half‐year after the seminar. The SACL did not change significantly in all skills between just after and a half‐year after the seminar in highly experienced and experienced group members belonging to an emergency center. Conclusions A cadaver‐based seminar provided more self‐confidence just after the seminar for participants at all experience levels. This effect was not maintained after a half‐year, except in participants who can practice the skills at an emergency center. Practicing and participating in the seminar repeatedly is suggested to be effective for skills retention in trauma surgery.
机译:目的在日本,创伤外科手术培训仍然不足,并且由于严重创伤患者的数量减少和非手术管理的发展,在职培训变得越来越困难。因此,我们评估了为期1天的基于尸体的研讨会对创伤外科手术培训是否有效。方法从2013年1月至2014年3月举行的11个研讨会上收集数据,包括对21种手术技能的10点自信心水平评估(SACL)以及对评估前后半年和半年的内容的评估研讨会结束后。使用配对的t检验在 P <0.0167进行统计分析。结果共有135名参与者根据经验和临床职业分为三组。在研讨会之前和之后,SACL的所有技能都有所提高,但是在研讨会之后和半年之间,SACL却有所下降。研讨会结束后半年到半年之间,SACL并未在所有经验丰富的经验丰富且经验丰富的应急小组成员中改变所有技能。结论基于尸体的研讨会在研讨会之后为所有经验水平的参与者提供了更多的自信心。半年后这种效果没有得到维持,除了可以在急救中心练习技能的参与者。建议反复练习和参加研讨会对保持创伤手术中的技能有效。

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