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Fabrication and Validation of a Cost-Effective Upper Endoscopy Simulator

机译：经济高效的上内窥镜模拟器的制造和验证

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Purpose: Beginning with the graduating class of 2018, the American Board of Surgery (ABS) requires that residents complete the ABS Flexible Endoscopy Curriculum, Fundamentals of Endoscopic Surgery (FES). This curriculum includes both didactic and simulator training. In the ideal setting residents gain proficiency using simulation prior to performing endoscopies in the clinical setting. This new requirement creates an increased demand for endoscopic simulators in all General Surgery residency programs. Due to the cost prohibitive nature of virtual reality simulators an economic alternative is needed. Methods: A mechanical simulator was created from inexpensive items easily acquired at a hardware store and in the hospital. Total cost of the simulator was approximately $120 USD. To validate the simulator, experienced endoscopists completed a training session with the device. A seven-question Likert scale survey (1 - strongly disagree to 5 - strongly agree) was completed after the session evaluated the simulated experience versus live upper endoscopies and the device’s ability to meet the goals of the FES curriculum. Results: Eight proficient endoscopists completed the training session and survey and agreed that the device closely replicated live colonoscopies and would meet all training requirements in the FES curriculum. Mean responses to all seven survey questions ranged from 3.8–4.4. Conclusion: This device is a cost-effective method for simulating live upper endoscopies and is appropriate for use in FES training.
机译：目的：从2018年毕业班开始，美国手术委员会（ABS）要求居民完成ABS柔性内窥镜检查课程，内窥镜手术的基础（FES）。该课程包括教学和模拟器培训。在理想的环境中，在临床环境中进行内窥镜之前使用模拟获得熟练程度。这种新要求在所有一般外科居住计划中对内窥镜模拟器的需求增加了增加。由于虚拟现实模拟器的成本禁止性质，需要经济替代品。方法：机械模拟器由廉价的商品中创建，在五金店和医院内轻松获得。模拟器的总成本约为120美元。为了验证模拟器，经验丰富的内窥镜师与设备完成了培训课程。在会议评估模拟体验与实时上内窥镜和设备履行FES课程目标的能力后，七件李克特规模调查（1 - 强烈不同意5 - 强烈同意）已完成。结果：八位熟练的内窥镜师已完成培训课程和调查，并同意该设备紧密地复制活结的结肠镜检查，并将满足FES课程中的所有培训要求。对所有七项调查问题的均值响应范围从3.8-4.4。结论：该装置是一种经济高效的方法，用于模拟现场上端镜检查，适用于FES培训。

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