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Surgical simulation: Current practices and future perspectives for technical skills training

机译:外科仿真:技术技能培训的当前做法和未来的视角

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摘要

Simulation-based training (SBT) has become a standard component of modern surgical education, yet successful implementation of evidence-based training programs remains challenging. In this narrative review, we use Kern's framework for curriculum development to describe where we are now and what lies ahead for SBT within surgery with a focus on technical skills in operative procedures. Despite principles for optimal SBT (proficiency-based, distributed, and deliberate practice) having been identified, massed training with fixed time intervals or a fixed number of repetitions is still being extensively used, and simulators are generally underutilized. SBT should be part of surgical training curricula, including theoretical, technical, and non-technical skills, and be based on relevant needs assessments. Furthermore, training should follow evidence-based theoretical principles for optimal training, and the effect of training needs to be evaluated using relevant outcomes. There is a larger, still unrealized potential of surgical SBT, which may be realized in the near future as simulator technologies evolve, more evidence-based training programs are implemented, and cost-effectiveness and impact on patient safety is clearly demonstrated.
机译:基于仿真的培训(SBT)已成为现代外科教育的标准组成部分,但依据基于证据的培训计划的成功实施仍然具有挑战性。在这一叙述审查中,我们使用Kern的课程开发框架来描述我们现在所在的位置以及在手术中的SBT提前,专注于操作程序中的技术技能。尽管已经确定了最佳SBT(基于熟练程度,分布式和刻意实践)的原则,但仍然广泛使用具有固定时间间隔或固定次数的大规模训练,并且通常未冷冻模拟器。 SBT应该是外科培训课程的一部分,包括理论,技术和非技术技能,并以相关需求评估为基础。此外,培训应遵循基于证据的理论原则以获得最佳培训,并且需要使用相关结果进行培训的影响。外科SBT有一个更大,仍然是未实现的潜力,这可能在不久的将来实现,因为模拟器技术的发展,更有循证的培训计划,并明确证明了对患者安全的成本效益和影响。

著录项

  • 来源
    《Medical teacher》 |2018年第7期|共8页
  • 作者单位

    Herlev Gentofte Hosp Dept Surg Herlev Denmark;

    Univ Copenhagen Copenhagen Acad Med Educ &

    Simulat Sect 5404 Blegdamsvej 9 DK-2100 Copenhagen O;

    Univ Copenhagen Copenhagen Acad Med Educ &

    Simulat Sect 5404 Blegdamsvej 9 DK-2100 Copenhagen O;

    Univ Copenhagen Copenhagen Acad Med Educ &

    Simulat Sect 5404 Blegdamsvej 9 DK-2100 Copenhagen O;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 医药、卫生;
  • 关键词

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