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首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >Psychomotor skills training in pediatric airway endoscopy simulation.
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Psychomotor skills training in pediatric airway endoscopy simulation.

机译：小儿气道内窥镜模拟中的心理运动技能训练。

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OBJECTIVE: To develop a robust psychomotor skills curriculum to teach pediatric airway foreign body retrieval and to assess the effect of this curriculum on residents' confidence in and ability to perform the complete task in an infant airway mannequin. STUDY DESIGN: Instructional course. Objective Structured Assessment of Technical Skills (OSATS). SETTING: Surgical simulation laboratory. SUBJECTS AND METHODS: A half-day simulation-based course was developed to train otolaryngology residents in bronchoscopic foreign body retrieval. This complex psychomotor skill was deconstructed into subtasks. The following curricular learning objectives were presented and assessed: understanding of tracheobronchial anatomy, ability to adequately visualize the larynx with laryngoscopy, proficiency in rigid bronchoscopy, and familiarity with foreign body instrumentation. Residents were objectively evaluated on their ability to perform the complete task on a simulator before and after the course using an OSATS grading system. Confidence in successfully assembling the instruments and completing the task was assessed at these time periods. RESULTS: Seventeen otolaryngology residents completed the study. Confidence in assembling the instruments and in performing the complete task increased on average by 81% and 43%, respectively (P < .001). Using a 15-point OSATS grading system, the average score for the precourse was 7 and for the postcourse was 11.3 (P < .001). CONCLUSION: Simulation-based subtask training shows promise as an effective and reproducible method to teach the complex psychomotor task of airway foreign body retrieval. Completion of the curriculum led to a significant improvement in residents' confidence in and ability to perform bronchoscopic foreign body retrieval in an infant airway mannequin.
机译：目的：开发强大的心理运动技能课程，教小儿气道异物修复，并评估该课程对居民对婴儿气道人体模型的信心和执行完整任务的能力的影响。研究设计：教学课程。客观的技术技能结构评估（OSATS）。地点：手术模拟实验室。研究对象和方法：开发了一个半天的基于模拟的课程，以训练耳鼻喉科居民进行支气管镜异物取回。这种复杂的心理运动技能被分解为子任务。提出并评估了以下课程学习目标：了解气管支气管解剖结构，使用喉镜充分可视化喉头的能力，精通硬性支气管镜检查以及熟悉异物器械。在使用OSATS评分系统进行课程之前和之后，客观地评估了居民在模拟器上执行完整任务的能力。在这些时间段评估了成功组装仪器和完成任务的信心。结果：17位耳鼻喉科住院医师完成了研究。组装仪器和执行完整任务的信心分别平均增加了81％和43％（P <.001）。使用15分OSATS评分系统，平均学分为前课程为7，而后课程为11.3（P <.001）。结论：基于仿真的子任务训练表明，promise是一种有效且可重现的方法，用于教授气道异物修复的复杂心理运动任务。课程的完成极大地提高了居民对婴儿气道人体模型中支气管镜异物取回的信心和能力。

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