首页> 外文期刊>World Journal of Surgery: Official Journal of the Societe Internationale de Chirurgie, Collegium Internationale Chirurgiae Digestivae, and of the International Association of Endocrine Surgeons >Utilization of a non-preserved cadaver to address deficiencies in technical skills during the third year of medical school: a cadaver model for teaching technical skills.
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Utilization of a non-preserved cadaver to address deficiencies in technical skills during the third year of medical school: a cadaver model for teaching technical skills.

机译:在医学院三年级时使用未保存的尸体来解决技术技能方面的缺陷:一种用于教授技术技能的尸体模型。

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Emergency technical procedures performed by medical students have decreased in the last decade. An Emergency Surgical Skills Laboratory (ESSL) using a non-preserved cadaver was developed in response to address this deficiency.A total of 232 students rotating through a 6-week surgery clerkship participated in the ESSL from 1 July 2008 to 1 July 2011. Two four-hour sessions using case-based trauma scenarios in the ESSL served as a model for procedural instruction. Skills taught included basic suturing, intubation, cricothyrotomy, chest tube placement, thoracentesis, venous access, central line, and radial arterial line placement.Students noted that technical proficiency in suturing was obtained during the ESSL sessions in comparison to the emergency department or operating room (p < 0.001) during the 6-week clerkship. During the 6-week rotation only 12 % of students participated in chest tube insertion, 5 % central venous line placement, and 14 % femoral vein blood draw. Finally, 90 % of respondents reported increased understanding and comfort in regard to trauma resuscitation following the ESSL.Technical procedural proficiency has become increasingly difficult to obtain in medical school due to multifactorial limitations. The ESSL provides an opportunity for developing technical skills needed for emergency situations not otherwise provided during the surgical clerkship.
机译:在过去的十年中,由医学生执行的紧急技术程序有所减少。为了解决这一缺陷,建立了一个使用未保存尸体的紧急手术技能实验室(ESSL)。从2008年7月1日至2011年7月1日,共有232名学生轮流参加为期6周的外科业务,参加了该活动。在ESSL中使用基于案例的创伤情景进行的长达四个小时的会议充当了程序教学的模型。教授的技能包括基本缝合,插管,环切开胸术,胸管放置,胸腔穿刺术,静脉通路,中心线和radial动脉线放置。 (p <0.001)在为期6周的职员培训期间。在为期6周的轮换期间,只有12%的学生参加了胸管插入术,5%的中心静脉线放置和14%的股静脉抽血。最后,有90%的受访者表示在进行ESSL后对创伤复苏的理解和舒适度有所提高。由于多因素限制,在医学院中越来越难以获得技术程序熟练程度。 ESSL为开发紧急情况所需的技术技能提供了机会,而在紧急情况下,外科秘书是不会提供这些技能的。

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