■随着外科技术的发展,要求外科手术学员掌握越来越多的技能也是如此。随着血管内手术的兴起,学员在手术室练习开放血管技术的机会较少。模拟可以弥合这一差距。然而,现有的公开血管模拟课程是基本的或基于昂贵的模型。
■我们为二年级手术住院医师反复开发了开放式血管技能课程,包括六个2小时的课程。我们根据学习者和教师的反馈改进课程。课程需要熟练的主持人,血管仪器,和组织模型。我们通过一项调查评估了最新的迭代,并使用客观结构化技术技能评估(OSATS)表格评估了参与者的技术技能。
■在过去的10年里,101名居民参加了课程。参加最新课程迭代的13名居民中有9名完成了调查。所有受访者都将会议评为优秀,并强烈同意他们提高了与组织和假体进行吻合的能力。在最近一次迭代的第五和第六届会议中,主持人为居民填写了18份OSATS表格。居民总体得分很好,在35分的可能得分中,中位数为26.5(四分位距:24-29),在仪器知识方面得分最高。
■这种基于模拟的课程有助于手术住院医师获得开放式血管手术技能。该课程使居民能够获得关键的血管技能,这些技能在日益苛刻的手术环境中学习具有挑战性。
UNASSIGNED: As surgical technologies grow, so too do demands on surgical trainees to master increasing numbers of skill sets. With the rise of endovascular surgery, trainees have fewer opportunities to practice open vascular techniques in the operating room. Simulation can bridge this gap. However, existing published open vascular simulation curricula are basic or based on expensive models.
UNASSIGNED: We iteratively developed an open vascular skills curriculum for second-year surgery residents comprising six 2-hour sessions. We refined the curriculum based on feedback from learners and faculty. The curriculum required skilled facilitators, vascular instruments, and tissue models. We evaluated the latest iteration with a survey and by assessing participants\' technical skills using the Objective Structured Assessment of Technical Skills (OSATS) form.
UNASSIGNED: Over the past 10 years, 101 residents have participated in the curriculum. Nine of 13 residents who participated in the latest curricular iteration completed the survey. All respondents rated the sessions as excellent and strongly agreed that they had improved their abilities to perform anastomoses with tissue and prosthetic. Facilitators completed 18 OSATS forms for residents in the fifth and sixth sessions of the latest iteration. Residents scored well overall, with a median 26.5 (interquartile range: 24-29) out of a possible score of 35, with highest scores on knowledge of instruments.
UNASSIGNED: This simulation-based curriculum facilitates open vascular surgical skill acquisition among surgery residents. The curriculum allows residents to acquire critical vascular skills that are challenging to learn in an increasingly demanding operative setting.