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首页> 外文期刊>British journal of neurosurgery >Development of a modelled anatomical replica for training young neurosurgeons
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Development of a modelled anatomical replica for training young neurosurgeons

机译：开发用于训练年轻神经外科医师的模型解剖副本

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Introduction. The Modelled Anatomical Replica for Training Young Neurosurgeons (MARTYN) is a novel simulation model developed by the Royal College of Surgeons England (RCSEng). This study describes the development of the model and aims to determine its feasibility as a potential future training tool. Methods and materials. Traditional model-making methods were used to develop a prototype. Initial procedural trials tested the feasibility of the model. Eighteen participants, grouped by experience (nine novices, four intermediates and five experienced), completed two tasks: a craniotomy and a burr hole followed by insertion of an external ventricular drain (EVD). Subjective data on confidence, usefulness, realism and preference to other training modalities were collected via a standardised questionnaire and a 5-point Likert scale. Results. Preliminary trials of the model prototype demonstrated feasibility. The novice group had the greatest self-reported benefit from MARTYN training, with significant increases in self-rated confidence in both the craniotomy (p < 0.01) and EVD insertion (p < 0.05) procedures. MARTYN was reported to having good visual and tactile realism overall with the bone component being considered highly realistic. The model was reported to be a useful training tool. When asked to rank preferred training modalities, operative experience was chosen first with cadaveric training and MARTYN consistently scoring a second choice. Conclusions. MARTYN was developed with the intention to fill the current niche for an inexpensive synthetic model head. This study shows that the use of MARTYN for training is both feasible and realistic. We demonstrate a preliminary face and construct validity of the model in this pilot study. With the reduction in working hours, we believe this model will be a suitable supplement to the current ST 1-3 level cadaveric training and will have a positive impact on patient safety.
机译：介绍。用于训练年轻神经外科医生的模型解剖副本（MARTYN）是由英国皇家外科医生学院（RCSEng）开发的新型仿真模型。这项研究描述了模型的发展，旨在确定其作为潜在的未来培训工具的可行性。方法和材料。传统的模型制作方法用于开发原型。最初的程序试验验证了该模型的可行性。 18名参与者按经验分组（9名新手，4名中级人员和5名经验丰富的人员），完成了两项任务：开颅手术和打孔，然后插入外部心室引流管（EVD）。通过标准化问卷和5点Likert量表收集有关信心，有用性，现实性和对其他培训方式的偏好的主观数据。结果。模型原型的初步试验证明了可行性。新手组从MARTYN培训中获得最大的自我报告收益，在开颅手术（p <0.01）和EVD插入术（p <0.05）方面自我评价的信心显着提高。据报道，MARTYN具有良好的视觉和触觉真实感，并且骨骼成分被认为具有很高的真实感。据报告该模型是有用的训练工具。当被要求对首选的训练方式进行排名时，首先选择尸体训练作为手术经验，而MARTYN则始终作为第二选择。结论MARTYN的开发旨在填补当前的利基市场，以提供廉价的合成模型头。这项研究表明，使用MARTYN进行培训既可行又现实。我们展示了初步的面孔，并在该初步研究中构建了模型的有效性。随着工作时间的减少，我们相信该模型将是当前ST 1-3级尸体训练的合适补充，并将对患者安全产生积极影响。

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