J. Contreras, R. Liendo, R. De Marinis, C. Calvo, F. Soza
{"title":"Fracturas diafisiarias transversas/oblicuas: un método para simular fracturas reales para la educación quirúrgica","authors":"J. Contreras, R. Liendo, R. De Marinis, C. Calvo, F. Soza","doi":"10.35366/107392","DOIUrl":"https://doi.org/10.35366/107392","url":null,"abstract":"","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"219 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128831210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natalie Thöne, Álvaro Cisternas, Valeria Sepúlveda, Antonia Lagos, B. Huidobro, José San Martín
{"title":"Diseño, implementación y evaluación de un curso de disección de hueso temporal para el aprendizaje de habilidades quirúrgicas dirigido a residentes de otorrinolaringología","authors":"Natalie Thöne, Álvaro Cisternas, Valeria Sepúlveda, Antonia Lagos, B. Huidobro, José San Martín","doi":"10.35366/110985","DOIUrl":"https://doi.org/10.35366/110985","url":null,"abstract":"","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129374143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D. Szyld, Alexander F. Arriaga, Esther León-Castelao
{"title":"El debriefing clínico, retos y oportunidades en el ámbito asistencial; aprendizaje en la reflexión colectiva para mejorar los sistemas sanitarios y la colaboración interprofesional","authors":"D. Szyld, Alexander F. Arriaga, Esther León-Castelao","doi":"10.35366/101430","DOIUrl":"https://doi.org/10.35366/101430","url":null,"abstract":"","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115385040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Victoria E Sotomayor-Contreras, Silver A Angulo-Fernández, Marisol Elena Salgado-López, María I Ríos-Teiller, Roberto A Winckler-Goñi
{"title":"Encuesta sobre la implementación de la simulación clínica en kinesiología: situación actual en Chile","authors":"Victoria E Sotomayor-Contreras, Silver A Angulo-Fernández, Marisol Elena Salgado-López, María I Ríos-Teiller, Roberto A Winckler-Goñi","doi":"10.35366/104952","DOIUrl":"https://doi.org/10.35366/104952","url":null,"abstract":"","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131409127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Entrenamiento en suturas para profesionales de la salud: experiencia inicial de un curso de formación continua","authors":"J. Varas, Pablo Achurra, Cristián Jarry, A. Navia, Rodrigo Tejos, P. Pozo, Martin Inzunza","doi":"10.35366/95229","DOIUrl":"https://doi.org/10.35366/95229","url":null,"abstract":"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.","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132241884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Olvera-Cortés, S. Morales-López, Samantha López-González, Rosa María Leal-Farfán
{"title":"Perspectiva de los egresados como facilitadores en simulación dentro del Centro de Enseñanza y Certificación de Aptitudes Médicas","authors":"H. Olvera-Cortés, S. Morales-López, Samantha López-González, Rosa María Leal-Farfán","doi":"10.35366/rsc192c","DOIUrl":"https://doi.org/10.35366/rsc192c","url":null,"abstract":"","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"165 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122558779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juan Manuel Fraga-Sastrías, Camila Fernanda Zamorano-Torres, H. Olvera-Cortés
{"title":"Encuesta sobre número de participantes en diferentes actividades simuladas en América Latina","authors":"Juan Manuel Fraga-Sastrías, Camila Fernanda Zamorano-Torres, H. Olvera-Cortés","doi":"10.35366/110986","DOIUrl":"https://doi.org/10.35366/110986","url":null,"abstract":"","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117168546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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。
{"title":"Modelo biológico ex vivo para entrenamiento de anastomosis hepático-yeyunal laparoscópica","authors":"Gustavo Rodríguez, Javier Chinelli","doi":"10.35366/92937","DOIUrl":"https://doi.org/10.35366/92937","url":null,"abstract":"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.","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127058420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Recomendaciones generales para elaborar un programa de entrenamiento basado en simulación para desarrollar competencias en pregrado y postgrado","authors":"Javier Vela, C. Contreras, Cristián Jarry, J. Varas, Marcia Corvetto","doi":"10.35366/92936","DOIUrl":"https://doi.org/10.35366/92936","url":null,"abstract":"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.","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115422608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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。
{"title":"Entrenamiento de habilidades de resucitación cardiopulmonar y soporte vital básico en laboratorio de simulación","authors":"Sabrina Costacurta, M. Moraes, S. B. Maagh, A. C. B. K. Moraes","doi":"10.35366/95228","DOIUrl":"https://doi.org/10.35366/95228","url":null,"abstract":"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.","PeriodicalId":179877,"journal":{"name":"Revista Latinoamericana de Simulación Clínica","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125741752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}