关键词: incision and drainage medical education peritonsillar abscess residency simulation

Mesh : Humans Peritonsillar Abscess / surgery Internship and Residency / methods Drainage / methods Clinical Competence Otolaryngology / education Simulation Training / methods Manikins Models, Anatomic Education, Medical, Graduate / methods

来  源:   DOI:10.1177/00034894241249611

Abstract:
UNASSIGNED: To describe the design and construction of a reproducible, low-cost, peritonsillar abscess (PTA) incision and drainage simulator and assess its impact on trainees\' confidence.
UNASSIGNED: The 2-part simulator we developed consisted of a manikin head with a fixed, partially open mouth and a modular PTA mold. The mold is created by injecting a lotion and water mixture into plastic bubbles, followed by silicone solidification. Neodymium magnets secure the silicone-abscess packet to the manikin\'s palate. The simulator was utilized during an academic otolaryngology residency training program Annual Otolaryngology Boot Camp. A self-assessment Likert scale questionnaire was used to evaluate participants\' confidence before and after simulator training. Fourth-year medical students and junior (first and second year) residents who participated in the boot camp and agreed to complete the evaluation were included.
UNASSIGNED: Three medical students, 17 PGY-1, and 10 PGY-2 residents agreed to complete the evaluation. All trainees agreed the model was useful for learning skills. The overall post-training confidence Likert scores of participants, and PGY-1 residents in particular, significantly improved compared to their pre-training scores (P < .001).
UNASSIGNED: Our model offers an affordable and efficient training opportunity for residents to enhance their competence in managing PTAs. This approach, with its simple yet effective design and low production cost, shows potential for scalability on a broader scale.
摘要:
为了描述可再现的设计和构造,低成本,扁桃体周围脓肿(PTA)切口和引流模拟器,并评估其对学员信心的影响。
我们开发的2部分模拟器由一个带有固定,部分开口和模块化PTA模具。模具是通过将乳液和水的混合物注入塑料气泡中创建的,其次是有机硅固化。钕磁铁将硅胶脓肿包固定在人体模型的上颚。该模拟器在年度耳鼻咽喉科新兵训练计划中使用。在模拟器训练前后,使用自我评估Likert量表问卷评估参与者的信心。包括参加新兵训练营并同意完成评估的四年级医学生和大三(一年级和二年级)居民。
三个医学生,17名PGY-1和10名PGY-2居民同意完成评估。所有受训者都同意该模型对学习技能有用。参与者的总体训练后信心李克特得分,特别是PGY-1居民,与他们训练前的得分相比显著提高(P<.001)。
我们的模式为居民提供了一个负担得起的高效培训机会,以提高他们管理PTA的能力。这种方法,其简单而有效的设计和低生产成本,显示了在更大范围内的可扩展性的潜力。
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