软防腐尸体的缝合教育:比其他的好

Maxwell C. Braasch, Heather M. Minchew, Justin Riffel, German Berbel
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引用次数: 2

摘要

引言对三年级医学生的外科技能课程的效果进行了评估,重点是在软防腐尸体上进行缝合训练,与传统保存的尸体或外科练习垫相比,软防腐尸体更有效地模拟自然组织进行外科手术。方法一项回顾性队列研究比较了一家一流的、经认可的、全国排名的学术医疗中心的调查前后结果。研究参与者是三年级的医学生,他们完成了所需的外科书记员轮换,在开始手术室体验之前,他们参加了合成缝合练习垫和软防腐尸体的缝合课程。结果共有40名参与者,其中男性参与者略多。大多数参与者(52%)对从事非手术职业感兴趣。在参加临床解剖学指导计划(CAMP)后,参与者对自己在手术室缝合的能力更有信心(中位数4[3-4]对2[1-3],p<0.001);他们对基本缝合用品和器械的了解(中位数4[4-4]对3[2-3],p<0.001);以及他们确定不同缝合技术在手术室何时合适的能力(中位数3[3-4]与1[1-2],p<0.001)。与缝合练习垫相比,参与者在经历了在柔软防腐尸体上缝合的经历后,对自己在手术室缝合的能力更有信心(中位数5[4-5]与4[4-4],p=0.002)在软防腐尸体上进行缝合训练后,对缝合技能和缝合实践重要特征的认识的信心显著提高。
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Suture Education with Soft-Embalmed Cadavers: A Cut Above the Rest
Introduction The efficacy of a surgical skills curriculum was assessed for third-year medical students focused on suturing training on soft embalmed cadavers, which simulate natural tissue more effectively for surgical procedures than traditionally preserved cadavers or surgical practice pads. Methods A retrospective cohort study compared pre- and post-survey results at a premier, accredited, nationally ranked academic medical center. Study participants were third-year medical students completing their required surgical clerkship rotation who participated in suturing sessions on both synthetic suture practice pads and soft-embalmed cadavers prior to beginning their operating room experience. Results A total of 40 participants were included, with slightly more male participants. The majority of participants (52%) were interested in pursuing a non-surgical career. After participating in Clinical Anatomy Mentorship Program (CAMP), participants felt significantly more confident in their ability to suture in the operating room (median 4 [3–4] vs. 2 [1–3], p < 0.001); in their knowledge of basic suturing supplies and instruments (median 4 [4-4] vs. 3 [2–3], p < 0.001); and in their ability to determine when different suture techniques are appropriate in the operating room (median 3 [3–4] vs. 1 [1–2], p < 0.001). Participants felt more confident in their ability to suture in the operating room after their experience suturing on soft-embalmed cadavers compared to suture practice pads (median 5 [4–5] vs. 4 [4-4], p = 0.002). Conclusions Medical students’ confidence in suturing skills and in the knowledge of important characteristics of suturing practice was improved significantly after a suture training session on soft-embalmed cadavers.
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