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首页> 外文期刊>Surgical Endoscopy >Laparoscopic simulation training: does timing impact the quality of skills acquisition?
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Laparoscopic simulation training: does timing impact the quality of skills acquisition?

机译：腹腔镜模拟训练：时间安排会影响技能获取的质量吗？

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Current surgical training involves integration of educational interventions together with service requirements during regular working hours. Studies have shown that voluntary training has a low acceptance among surgical trainees and obligatory simulation training during the regular working week leads to better skill acquisition and retention. We examined the difference in training effectiveness depending on the time of day.Surgical novices underwent a curriculum consisting of nine basic laparoscopic tasks. The subjects were permitted to choose a training session between during regular working hours (8:00-16:00) or after hours (16:00-20:00). Each subject underwent baseline and post-training evaluation after completion of two 4-h sessions. Task completion was measured in time (s), with penalties for inaccurate performance. Statistical analysis included matched-pairs analysis (sex, age, and previous operative experience) with χ(2) und Mann-Whitney U test for between groups and Wilcoxon signed-rank test for testing within one group.There were no differences in demographic characteristics between the groups. Comparison of the individual baseline and post-training performance scores showed a significant (P < 0.05) improvement for all subjects in all exercises. No significant differences between groups were observed.All subjects improved in skill significantly throughout the week regardless of the timing of the training intervention. Simulation training can be offered outside of regular working hours with acceptable effectiveness.
机译：当前的外科培训涉及在常规工作时间内将教育干预措施与服务要求相结合。研究表明，自愿培训对外科手术学员的接受度较低，而在常规工作周内进行强制性模拟培训可以更好地掌握和保留技能。我们根据一天中的不同时间检查了培训效果的差异。外科新手接受了由九项基本腹腔镜检查任务组成的课程。允许受试者在正常工作时间（8：00-16：00）或下班时间（16：00-20：00）之间选择培训课程。在完成两个4小时的课程后，每个受试者都要接受基线和训练后评估。衡量任务完成的时间（以秒为单位），并对性能不正确处以罚款。统计分析包括配对配对分析（性别，年龄和以前的手术经验），两组之间采用χ（2）和Mann-Whitney U检验，一组内进行Wilcoxon秩和检验，无统计学差异。组之间。个体基线和训练后表现得分的比较表明，所有运动中所有受试者的显着改善（P <0.05）。两组之间没有观察到显着差异。无论训练干预的时机如何，所有受试者在一周内的技能均有显着提高。可以在正常工作时间以外提供可接受的有效性的模拟培训。

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