PDF(Pubmed)
Abstract：
BACKGROUND: With its minimally invasive approach, laparoscopic surgery has transformed the medical landscape. As the demand for these procedures escalates, there is a pressing need for adept surgeons trained in laparoscopic techniques. However, current training often falls short of catering to medical school education. This study evaluates the impact of a custom-designed laparoscopic training workshop on medical students\' surgical skills and career aspirations.
METHODS: This prospective experimental study was conducted at the E-Da hospital in Kaohsiung City, Taiwan. Medical students from Taiwanese medical schools undergoing Clerk 5, Clerk 6, and Postgraduate Year 1 and 2 were invited to participate. Medical students (n = 44) underwent an endoscopic skill training workshop consisting of lectures, box training, and live tissue training. The trainees performed multiple tasks before and after training using our objective evaluation system. The primary outcome was assessed before and after training through a questionnaire assessing the influence of training on students\' interest in surgery as a career. The secondary outcome measured improvement in skill acquisition, comparing the task completion time pre- and post-workshop. For the primary outcome, descriptive statistics were used to summarize the questionnaire responses, and paired t-tests were performed to determine significant changes in interest levels post-workshop. For the secondary outcome, paired t-tests were used to compare the time recorded pre- and post-training.
RESULTS: Post-training, participants exhibited significant proficiency gains, with task completion times reducing notably: 97 s (p = 0.0015) for Precision Beads Placement, 88.5 s (p < 0.0001) for Beads Transfer Exercise, 95 s (p < 0.0001) for Precision Balloon Cutting, and 137.8 s (p < 0.0001) for Intracorporeal Suture. The primary outcome showcased an increased mean score from 8.15 pre-workshop to 9.3 post-workshop, indicating a bolstered interest in surgery as a career. Additionally, post-training sentiment analysis underscored a predominant inclination toward surgery among 88% of participants.
CONCLUSIONS: The custom-designed laparoscopic workshop significantly improved technical skills and positively influenced students\' career aspirations toward surgery. Such hands-on training workshops can play a crucial role in medical education, bridging the gap between theoretical knowledge and practical skills and potentially shaping the future of budding medical professionals.
METHODS: This prospective experimental study was conducted at the E-Da hospital in Kaohsiung City, Taiwan. Medical students from Taiwanese medical schools undergoing Clerk 5, Clerk 6, and Postgraduate Year 1 and 2 were invited to participate. Medical students (n = 44) underwent an endoscopic skill training workshop consisting of lectures, box training, and live tissue training. The trainees performed multiple tasks before and after training using our objective evaluation system. The primary outcome was assessed before and after training through a questionnaire assessing the influence of training on students\' interest in surgery as a career. The secondary outcome measured improvement in skill acquisition, comparing the task completion time pre- and post-workshop. For the primary outcome, descriptive statistics were used to summarize the questionnaire responses, and paired t-tests were performed to determine significant changes in interest levels post-workshop. For the secondary outcome, paired t-tests were used to compare the time recorded pre- and post-training.
RESULTS: Post-training, participants exhibited significant proficiency gains, with task completion times reducing notably: 97 s (p = 0.0015) for Precision Beads Placement, 88.5 s (p < 0.0001) for Beads Transfer Exercise, 95 s (p < 0.0001) for Precision Balloon Cutting, and 137.8 s (p < 0.0001) for Intracorporeal Suture. The primary outcome showcased an increased mean score from 8.15 pre-workshop to 9.3 post-workshop, indicating a bolstered interest in surgery as a career. Additionally, post-training sentiment analysis underscored a predominant inclination toward surgery among 88% of participants.
CONCLUSIONS: The custom-designed laparoscopic workshop significantly improved technical skills and positively influenced students\' career aspirations toward surgery. Such hands-on training workshops can play a crucial role in medical education, bridging the gap between theoretical knowledge and practical skills and potentially shaping the future of budding medical professionals.
摘要：
背景：凭借其微创方法，腹腔镜手术改变了医学格局。随着对这些程序的需求升级，迫切需要接受腹腔镜技术培训的熟练外科医生。然而,目前的培训往往不足以满足医学院的教育。这项研究评估了定制设计的腹腔镜培训研讨会对医学生的手术技能和职业抱负的影响。
方法:这项前瞻性实验研究在高雄市E-Da医院进行,台湾。来自台湾医学院的医学生接受了5级文员，6级文员以及1级和2级研究生的邀请。医学生（n=44）接受了由讲座组成的内窥镜技能培训研讨会，盒子训练,和现场组织训练。受训者使用我们的客观评估系统在培训前后执行多项任务。通过问卷调查评估培训对学生对手术作为职业的兴趣的影响，评估培训前后的主要结果。次要结果衡量技能获得的提高，比较车间前和车间后的任务完成时间。对于主要结果，描述性统计被用来总结问卷的回答，并进行配对t检验以确定研讨会后兴趣水平的显著变化。对于次要结果，采用配对t检验比较训练前和训练后记录的时间.
结果：培训后，参与者表现出显著的熟练程度提高，任务完成时间显著减少：97s(p=0.0015)，用于精密磁珠放置，88.5s(p<0.0001)，用于珠子转移练习，95s(p<0.0001)用于精密球囊切割，和137.8s(p<0.0001)用于体内缝合。主要结果显示，研讨会前的平均得分从8.15增加到研讨会后的9.3，表明对手术作为职业的兴趣得到了加强。此外,训练后情绪分析强调88%的参与者倾向于手术.
结论：定制设计的腹腔镜工作坊显著提高了技术技能，并积极影响了学生对手术的职业抱负。这种动手培训讲习班可以在医学教育中发挥关键作用，弥合理论知识和实践技能之间的差距，并有可能塑造新兴医疗专业人员的未来。
方法:这项前瞻性实验研究在高雄市E-Da医院进行,台湾。来自台湾医学院的医学生接受了5级文员，6级文员以及1级和2级研究生的邀请。医学生（n=44）接受了由讲座组成的内窥镜技能培训研讨会，盒子训练,和现场组织训练。受训者使用我们的客观评估系统在培训前后执行多项任务。通过问卷调查评估培训对学生对手术作为职业的兴趣的影响，评估培训前后的主要结果。次要结果衡量技能获得的提高，比较车间前和车间后的任务完成时间。对于主要结果，描述性统计被用来总结问卷的回答，并进行配对t检验以确定研讨会后兴趣水平的显著变化。对于次要结果，采用配对t检验比较训练前和训练后记录的时间.
结果：培训后，参与者表现出显著的熟练程度提高，任务完成时间显著减少：97s(p=0.0015)，用于精密磁珠放置，88.5s(p<0.0001)，用于珠子转移练习，95s(p<0.0001)用于精密球囊切割，和137.8s(p<0.0001)用于体内缝合。主要结果显示，研讨会前的平均得分从8.15增加到研讨会后的9.3，表明对手术作为职业的兴趣得到了加强。此外,训练后情绪分析强调88%的参与者倾向于手术.
结论：定制设计的腹腔镜工作坊显著提高了技术技能，并积极影响了学生对手术的职业抱负。这种动手培训讲习班可以在医学教育中发挥关键作用，弥合理论知识和实践技能之间的差距，并有可能塑造新兴医疗专业人员的未来。
