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首页> 外文期刊>Surgical Endoscopy >Endoscopic simulator curriculum improves colonoscopy performance in novice surgical interns as demonstrated in a swine model
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Endoscopic simulator curriculum improves colonoscopy performance in novice surgical interns as demonstrated in a swine model

机译：如猪模型所示，内窥镜模拟器课程可提高新手外科实习生的结肠镜检查性能

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Introduction: The purpose of this study was to determine whether independent virtual endoscopic training accelerates the acquisition of endoscopic skill by novice surgical interns. Methods: Nine novice surgical interns participated in a prospective study comparing colonoscopy performance in a swine model before and after an independent simulator curriculum. An independent observer evaluated each intern for the ability to reach the cecum within 20 min and technical ability as determined by Global Assessment of Gastrointestinal Endoscopic Skills - Colonoscopy (GAGES-C) score and performance compared. In addition, at the conclusion of training, a post test of two basic simulated colonoscopy modules was completed and metrics evaluated. As a control, three attending physicians who routinely perform colonoscopy also completed colonoscopy in the swine model. Results: Prior to endoscopic training, one (11 %) intern successfully intubated the cecum in 19.56 min. Following training, six (67 %) interns reached the cecum with mean time of 9.2 min (p < 0.05). Statistically significant improvement was demonstrated in four out of five GAGES-C criteria. All three experts reached the cecum, with a mean time of 4.40 min. Comparison of expert and post-curriculum intern times demonstrated the experts to be significantly faster (p < 0.05). Comparison of interns who were and were not able to reach the cecum following the simulator curriculum demonstrated significantly improved GI Mentor? performance in the efficiency (79 vs. 67.1 %, p = 0.05) and time to cecum (3.37 vs. 5.59 min, p = 0.01) metrics. No other significant difference was demonstrated in GAGES-C categories or other simulator parameter. Conclusion: Simulator training on the GI Mentor? alone significantly improved endoscopic skills in novice surgical interns as demonstrated in a swine model. This study also identified parameters on the GI Mentor? that could indicate 'clinical readiness'. This study supports the role for endoscopic simulator training in surgical resident education as an adjunct to clinical experience.
机译：简介：这项研究的目的是确定独立的虚拟内窥镜培训是否可以促进新手外科实习生对内窥镜技能的掌握。方法：9名新手外科实习生参加了一项前瞻性研究，比较了独立模拟器课程前后猪模型中结肠镜检查的表现。一个独立的观察员评估了每个实习生在20分钟内达到盲肠的能力以及根据胃肠道内窥镜检查技能-结肠镜检查（GAGES-C）总体评估所确定的技术能力，并比较了其表现。此外，在培训结束时，完成了两个基本模拟结肠镜检查模块的后期测试，并评估了指标。作为对照，三名常规行结肠镜检查的主治医师也完成了猪模型中的结肠镜检查。结果：在进行内窥镜训练之前，一名实习生（11％）在19.56分钟内成功将盲肠插入了盲肠。训练后，六名（67％）实习生到达盲肠，平均时间为9.2分钟（p <0.05）。在五项GAGES-C标准中，有四项具有统计学上的显着改善。所有三位专家均达到盲肠，平均时间为4.40分钟。专家和课程后实习时间的比较表明，专家的速度明显更快（p <0.05）。比较在模拟器课程后能够到达盲肠和不能到达盲肠的实习生，这表明GI Mentor有显着改善。效率（79 vs. 67.1％，p = 0.05）和盲肠时间（3.37 vs. 5.59 min，p = 0.01）指标。在GAGES-C类别或其他模拟器参数上未显示其他显着差异。结论：在GI导师上进行模拟器培训？如猪模型中所示，单独使用它可以显着提高新手外科实习生的内窥镜检查技能。这项研究还确定了GI Mentor的参数？这可能表明“临床准备就绪”。这项研究支持内窥镜模拟器训练在外科住院医师教育中的作用，作为临床经验的辅助手段。

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