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Revista Latinoamericana de Simulación Clínica最新文献

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Fracturas diafisiarias transversas/oblicuas: un método para simular fracturas reales para la educación quirúrgica 横向/斜向骨折:外科教育模拟真实骨折的方法
Pub Date : 1900-01-01 DOI: 10.35366/107392
J. Contreras, R. Liendo, R. De Marinis, C. Calvo, F. Soza
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引用次数: 0
Diseño, implementación y evaluación de un curso de disección de hueso temporal para el aprendizaje de habilidades quirúrgicas dirigido a residentes de otorrinolaringología 为耳鼻喉科住院医师设计、实施和评估颞骨解剖课程,以学习外科技能
Pub Date : 1900-01-01 DOI: 10.35366/110985
Natalie Thöne, Álvaro Cisternas, Valeria Sepúlveda, Antonia Lagos, B. Huidobro, José San Martín
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引用次数: 0
El debriefing clínico, retos y oportunidades en el ámbito asistencial; aprendizaje en la reflexión colectiva para mejorar los sistemas sanitarios y la colaboración interprofesional 医疗保健领域的临床汇报、挑战和机遇;在集体反思中学习,以改善卫生系统和跨专业协作
Pub Date : 1900-01-01 DOI: 10.35366/101430
D. Szyld, Alexander F. Arriaga, Esther León-Castelao
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引用次数: 0
Encuesta sobre la implementación de la simulación clínica en kinesiología: situación actual en Chile 临床模拟在运动机能学中的实施调查:智利的现状
Pub Date : 1900-01-01 DOI: 10.35366/104952
Victoria E Sotomayor-Contreras, Silver A Angulo-Fernández, Marisol Elena Salgado-López, María I Ríos-Teiller, Roberto A Winckler-Goñi
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引用次数: 0
Entrenamiento en suturas para profesionales de la salud: experiencia inicial de un curso de formación continua 卫生专业人员缝合线培训:持续培训课程的初步经验
Pub Date : 1900-01-01 DOI: 10.35366/95229
J. Varas, Pablo Achurra, Cristián Jarry, A. Navia, Rodrigo Tejos, P. Pozo, Martin Inzunza
Introduction: Simulation has been shown to be an effective alternative for teaching and training procedures. In the literature, the current methodology usually involves the permanent presence of clinical tutors for the delivery of effective feedback, also are focused on medical students. Objectives: To assess the acquisition of skills in suture techniques through a training program for health professionals, with a mixed methodology using video-tutorials and effective feedback by experts. Material and methods: A course was designed with four training sessions and deliberate home-practice with videotutorials between each session. Initial and final blind evaluations were performed for four specific suturing techniques, applying OSATS scale and execution Time. A cutoff score of 20 was set. Initial and final evaluations were compared, and subgroup analyzes were performed according to the profession, using non-parametric statistics. Results: 100% of the participants reached a final score ≥ 20 in each technique, also all of them significantly improved their baseline skills and decreased their times. The subgroup analysis by profession did not find statistically significant differences at the end of the course. Conclusion: The suture training program for health professionals, with a mixed methodology through video-tutorials and feedback by experts, was effective for the acquisition of the proposed competencies.
简介:模拟已被证明是一种有效的替代教学和培训程序。在文献中,目前的方法通常涉及临床导师的永久存在,以提供有效的反馈,也集中在医学生。目的:通过对卫生专业人员的培训计划,采用视频教程和专家有效反馈的混合方法,评估缝合技术技能的获得。材料和方法:课程设计为四个训练阶段,每个阶段之间有视频辅导。采用OSATS量表和执行时间对四种特定缝合技术进行初步和最终盲评价。分界点为20分。初始和最终评估进行比较,并根据专业进行亚组分析,使用非参数统计。结果:100%的受试者各项技术最终得分≥20分,且均显著提高了基线技能,缩短了时间。按专业分组的亚组分析在课程结束时没有发现统计学上的显著差异。结论:采用视频教学和专家反馈相结合的方法,为卫生专业人员提供缝合培训方案,对获得所提出的能力是有效的。
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引用次数: 1
Perspectiva de los egresados como facilitadores en simulación dentro del Centro de Enseñanza y Certificación de Aptitudes Médicas 毕业生作为医疗技能教学和认证中心模拟促进者的观点
Pub Date : 1900-01-01 DOI: 10.35366/rsc192c
H. Olvera-Cortés, S. Morales-López, Samantha López-González, Rosa María Leal-Farfán
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引用次数: 0
Encuesta sobre número de participantes en diferentes actividades simuladas en América Latina 拉丁美洲不同模拟活动的参与者人数调查
Pub Date : 1900-01-01 DOI: 10.35366/110986
Juan Manuel Fraga-Sastrías, Camila Fernanda Zamorano-Torres, H. Olvera-Cortés
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引用次数: 0
Modelo biológico ex vivo para entrenamiento de anastomosis hepático-yeyunal laparoscópica 腹腔镜肝-肠吻合训练的体外生物学模型
Pub Date : 1900-01-01 DOI: 10.35366/92937
Gustavo Rodríguez, Javier Chinelli
laparoscópica, siendo de gran importancia en el dominio de técnicas avanzadas como la anastomosis hepático-yeyunal. Esto cobra aún mayor jerar-quía en centros de cirugía de bajo volumen como el nuestro. Conclusiones: El modelo descrito es fácilmente aplicable y resulta atractivo por su bajo costo y sencillez. ABSTRACT Introduction: The hepatic-jejunostomy is a technique that may be indicated in multiple pathologies of the hepatobiliary sphere, whose realization by laparoscopy is a technical challenge. Objective: To describe a model of laparoscopic hepatic-jejunal anastomosis training using ex vivo biological tissues. Material and methods: A model of box trainer training using bovine renal artery and small intestine is described. The technique consists of performing an anastomosis with double continuous 5-0 silk suture. Results: A survey conducted to a group of surgeons with different levels of experience demonstrated the face validity of the proposed model. Discussion: The simulated training allows to improve the skills in laparoscopic surgery, being of great importance in the domain of advanced techniques such as hepatic-jejunal anastomosis. This becomes even more important in low volume surgery centers like ours. Conclusions: The model described is easily applicable and attractive because of its low cost and simplicity. Palabras clave: Hepático-yeyunostomía, anastomosis, simulación.
Laparoscópica, siendo de grantancianci.com/, siendo de grantanci.com/, siendo de grandanci.com/, siendo de camo la吻合hepático-yeyunal。Esto cobra aún mayor jerar-quía en centrros de cirugía de bajo voluumen como el nuestro。结论:El模型描述了fácilmente适用于具有吸引力的实验结果,并对实验结果进行了分析。摘要简介:肝-空肠吻合术是一项可能适用于肝胆球多种病理的技术,其在腹腔镜下实现是一项技术挑战。目的:建立一种体外生物组织腹腔镜肝空肠吻合训练模型。材料和方法:介绍了一种用牛肾动脉和小肠进行箱子训练的模型。该技术包括采用双连续5-0丝线进行吻合。结果:对一组具有不同经验水平的外科医生进行的调查证明了所提出模型的面部有效性。讨论:模拟训练可以提高腹腔镜手术技能,在肝空肠吻合术等先进技术领域具有重要意义。这在像我们这样的小容量手术中心变得更加重要。结论:该模型成本低,操作简单,易于应用,具有一定的吸引力。裂肢:Hepático-yeyunostomía,吻合,simulación。
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引用次数: 0
Recomendaciones generales para elaborar un programa de entrenamiento basado en simulación para desarrollar competencias en pregrado y postgrado 为本科生和研究生开发基于模拟的培训计划的一般建议
Pub Date : 1900-01-01 DOI: 10.35366/92936
Javier Vela, C. Contreras, Cristián Jarry, J. Varas, Marcia Corvetto
Simulation is defined as a technique that emulates real-life events in a controlled manner for educational, evaluation or research purposes. It has become increasingly common in health sciences, being used in teaching-learning processes or for evaluation or certification of health professionals. Nonetheless, design and data report quality vary greatly among simulation programs, making it difficult to establish comparisons and collect scientific evidence. This article reflects on the main aspects to consider when creating a simulation program, in the hope of helping to improve the quality of the evidence and education by means of clinical simulation. Palabras clave: Simulación, modelo, entrenamiento, validez, transferencia, programa.
模拟被定义为一种技术,以一种可控的方式模拟现实生活中的事件,用于教育、评估或研究目的。它在卫生科学中越来越普遍,被用于教学过程或卫生专业人员的评价或认证。尽管如此,模拟程序的设计和数据报告质量差异很大,这使得建立比较和收集科学证据变得困难。本文就创建临床模拟课程应考虑的主要方面进行了思考,希望能对临床模拟教学提高循证质量和教学质量有所帮助。Palabras clave: Simulación, modelo, entrenamiento, validz, transferencia, programa。
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引用次数: 10
Entrenamiento de habilidades de resucitación cardiopulmonar y soporte vital básico en laboratorio de simulación 在模拟实验室进行心肺复苏技能和基本生命支持培训
Pub Date : 1900-01-01 DOI: 10.35366/95228
Sabrina Costacurta, M. Moraes, S. B. Maagh, A. C. B. K. Moraes
Conclusión: Estudios previos han demostrado que cuanto más relevante es la materia para el ABSTRACT Introduction: The process of teaching and learning basic life support and cardiopulmonary resuscitation maneuvers is related to the development of a set of skills (cognitive, motor and behavioral) that make it complex and require repeated training to achieve the necessary skills. Material and methods: This is a descriptive and observational study, conducted in the simulation laboratory of the Catholic University of Pelotas. The initial sample encompassed 120 students attending the first year, second semester, of medical school, of whom 77 participated in this analysis. Basic life support training corresponded to the first three links of the Chain of Survival in cardiorespiratory arrest and in initial treatment for airway release and ventilation. The evaluation consisted of observing the skills developed by the students during their care to cardiorespiratory arrest in different settings, and this evaluation had formative characteristics. Results: The evaluation was carried out by two teachers trained for the activity. When correlating the exposure and the result of cardiac compressions and its effectiveness, the hand position exposure and the effective compression result variables showed significance with p = 0.019, RR 3.08. Furthermore, when we correlated the hand position with the effective compression frequency (result), we obtained an important relationship, with p = 0.007, RR 2.45. Regarding the hand position and the correct depth of the compressions (result), it also showed a relationship with p = 0.01, RR 2.32. In the thorax return analysis concerning the frequency, the relationship was pretty significant p = 0.0000, RR 3.08. The activity evaluation analysis, defined as the student satisfaction survey, showed that the applicability item for the topic covered was 72.73%, and the curricular interaction with the course was 76.62%. Conclusion: Previous studies have shown that the more relevant the subject La actividad y la evaluación realizadas permitieron verificar que los estudiantes confirmaron esta importancia para su vida académica. A partir de esto, tendremos la oportunidad de implementar esta práctica para las clases iniciales de la Facultad de Medicina en el currículo académico. that relationship for their academic life. From this, we will have the opportunity to implement this practice for the initial classes of the medical school in the academic curriculum.
Conclusión: Estudios preos han demostrado que cuanto más相关材料para摘要简介:基本生命支持和心肺复苏动作的教学过程与一套技能(认知、运动和行为)的发展有关,这使得它变得复杂,需要反复训练才能获得必要的技能。材料和方法:这是一项描述性和观察性研究,在佩洛塔斯天主教大学的模拟实验室进行。最初的样本包括120名医学院一年级第二学期的学生,其中77人参加了这次分析。基本生命支持训练对应于心肺骤停和气道释放通气初始治疗中生存链的前三个环节。评估包括观察学生在不同环境下对心肺骤停的护理过程中所发展的技能,该评估具有形成性特征。结果:由两名接受活动培训的教师进行评估。当暴露与心脏按压结果及其有效性相关时,手位暴露与有效按压结果变量具有显著性,p = 0.019, RR为3.08。此外,当我们将手的位置与有效压缩频率(结果)相关联时,我们得到了一个重要的关系,p = 0.007, RR 2.45。对于手的位置和正确的按压深度(结果),p = 0.01, RR为2.32。在关于频率的胸返分析中,p = 0.0000, RR = 3.08,相关性非常显著。活动评价分析定义为学生满意度调查,对所涵盖主题的适用性项目为72.73%,课程与课程的互动度为76.62%。结论:以往的研究表明,越相关的主题La活动通过La evaluación实现了对学生的许可验证,从而证实了其重要性。1 .当事各方同意,提供实施机会práctica在医学院和currículo学院任职期间提供实施机会。这种关系影响了他们的学术生活。由此,我们将有机会在医学院校的学术课程中实施这一实践。
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Revista Latinoamericana de Simulación Clínica
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