在本科医学学习者中使用低保真度3d打印模型进行男性导管插入模拟

C. Gillis, David Harvey, Nicole Bishop, G. Walsh, A. Dubrowski
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引用次数: 3

摘要

导尿管插入是在临床环境中最广泛执行的程序之一。没有经验的置管在医院尿道创伤中占很大比例,高达75%的合并症与不准确的插入有关。模拟训练可以帮助学习者感到更自信,缩短学习曲线,并为新手提供一个安全的学习环境,让他们从错误中学习。三维(3D)打印的仿真模型是有效的,为新手学习者的市售模型,并具有便宜的好处,解剖正确,便携,可以很容易地修改,并根据需要快速生产。由MUNMed 3D设计的3D打印男性导尿管插入仿真模型,作为实习前程序培训的一部分,提供给纪念大学医科学生。为14名学生提供了手术清单和3d打印的导尿管插入模拟器,在模拟之后,他们被要求完成关于他们经历的5点李克特调查。在使用模型之前,平均自我报告的技能为1.29(满分5分),增加到3.21(满分5分)。所有14名受访者在以下四个调查项目中选择“同意”或“非常同意”:模拟是准确的解剖表征,他们更愿意在执行该过程之前学习该模拟模型,他们会向其他学习者推荐该模型,他们发现该模型总体上是有益的。使用3d打印导尿管插入模拟器进行模拟训练,使学员有机会在对真正的患者进行操作之前变得自信并熟悉程序。
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Male catheter insertion simulation using a low-fidelity 3D-printed model in undergraduate medical learners
Urinary catheter insertion is one of the most widely performed procedures in a clinical setting. Inexperienced cath- eterizations constitute a high percentage of urethral trauma in hospital settings, with as high as 75% of comorbidities related to inaccurate insertion. Simulation training can help learners feel more confident, shorten the learning curve, and provide a safe learning environment for novices to make, and learn from, mistakes. Three dimensional (3D)- printed simulation models are as effective as commercially available models for novice learners, and have the benefits of being inexpensive, anatomically correct, portable and can be easily modified and rapidly produced as needed. A 3D-printed male urinary catheter insertion simulation model, designed by MUNMed 3D, was offered to Memorial University medical students as part of pre-clerkship procedural training. Fourteen students were provided with a checklist for the procedure and the 3D-printed urinary catheter insertion simulator, and following the simulation, were asked to complete a 5-point Likert survey on their experience.The average self-reported skill before using the model was 1.29 (out of 5), which increased to 3.21 (out of 5). All 14 respondents selected either “agree” or “strongly agree” for the following four survey items: the simulation was an accurate anatomical representation, they would prefer learning on this simulation model before performing this procedure, they would recommend the model to other learners, and they found this model beneficial overall. Simulation training with a 3D-printed urinary catheter insertion simulator allows trainees the opportunity to become confident and familiarize themselves with the procedure before performing it on a real patient.
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