新型乳胶贴片模型实现了经济高效的血管外科实践教学

IF 1.4 Q3 SURGERY Surgery open science Pub Date : 2024-08-01 DOI:10.1016/j.sopen.2024.07.003
Maximilian Gaenzle MD , Antonia Geisler MD , Hannes Hering , Arsen Sabanov , Sabine Steiner MD, PhD , Daniela Branzan MD, PhD
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引用次数: 0

摘要

目的我们开发了一种用于血管外科技能实践教学的新型模拟器--莱比锡乳胶贴片模型(LPM)。本研究旨在量化学生对 LPM 的效果和接受程度的评价,以及经验丰富的血管外科医生对结果的评价。50 名五年级医学生被随机分为两组,首先在 LPM(研究组)或已建立的合成组织模型(对照组)上进行补片缝合,然后在猪主动脉上进行补片缝合。对第二次缝合进行录像,并由两名外科医生使用改良的客观结构化技术技能评估 (OSATS) 分值进行评分。我们测量了缝合所需的时间;参与者填写了调查问卷。结果参与者第二次缝合所需的时间明显少于第一次(中位数:LPM 30 分钟 vs. 对照组 28.5 分钟,p = 0.0026)。两组的缝合时间无明显差异(中位数:28 分钟对 30 分钟,p = 0.2958)。参加者的自信心从课程前的 28% 提高到课程后的 58%(p < 0.0001)。每位学员的材料费为 1.05 欧元(LPM)对 8.68 欧元(对照组)。LPM 组的 OSATS 分数与对照组没有显著差异(中位数:20.5 分 vs. 23.0 分,p = 0.2041)。我们的数据表明,通过 OSATS 分数评估,LPM 与传统模式相比效果相当。我们开发并验证了一种低成本、低门槛的血管缝合技能培训模式。我们开发并验证了低成本、低门槛的血管缝合技能培训模式,这将使医科学生和外科住院医师今后更容易获得实践培训。
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A novel latex patch model enables cost-effective hands-on teaching in vascular surgery

Objectives

We developed a new simulator for hands-on teaching of vascular surgical skills, the Leipzig Latex Patch Model (LPM). This study aimed to quantify the effectiveness and acceptance of the LPM evaluated by students, as well as evaluation of the results by experienced vascular surgeons.

Methods

A prospective, single-center, single-blinded, randomized study was conducted. Fifty 5th-year medical students were randomized into two groups, first performing a patch suture on the LPM (study group) or established synthetic tissue model (control), then on porcine aorta. The second suture was videotaped and scored by two surgeons using a modified Objective Structured Assessment of Technical Skill (OSATS) score. We measured the time required for suturing; the participants completed questionnaires.

Results

Participants required significantly less time for the second suture than the first (median: LPM 30 min vs. control 28.5 min, p = 0.0026). There was no significant difference in suture time between the groups (median: 28 min vs. 30 min, p = 0.2958). There was an increase in confidence from 28 % of participants before to 58 % after the course (p < 0.0001). The cost of materials per participant was 1.05€ (LPM) vs. 8.68€ (control). The OSATS-scores of the LPM group did not differ significantly from those of the control (median: 20.5 points vs. 23.0 points, p = 0.2041).

Conclusions

This pilot study demonstrated an increase in technical skills and confidence through simulator-based teaching. Our data suggests comparable results of the LPM compared to the conventional model, as assessed by the OSATS-score. This low-cost, low-threshold training model for vascular suturing skills should make hands-on training more accessible to students and surgical residents.

Key message

We developed and validated a low-cost, low-threshold training model for vascular suturing skills. This should make hands-on training more accessible to medical students and surgical residents in the future.

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来源期刊
CiteScore
1.30
自引率
0.00%
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0
审稿时长
66 days
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