Research on primary and advanced levels of laparoscopic simulation training on improving laparoscopic skills of gynecologic residents with different seniority
Research on primary and advanced levels of laparoscopic simulation training on improving laparoscopic skills of gynecologic residents with different seniority[J]. 2019,18(2).
Research on primary and advanced levels of laparoscopic simulation training on improving laparoscopic skills of gynecologic residents with different seniority[J]. 2019,18(2).DOI:
目的 探讨初级和高级腹腔镜模拟操作培训对不同年资住院医师腹腔镜技能水平提高的价值。方法 将2016至2017年在北医三院妇产科轮转的77名第1~4年住院医师根据年资分为第1~2年住院医师与第3~4年住院医师两组,分别进行初级和高级腹腔镜模拟操作培训及考核,评定培训效果。考核数据采用SPSS 22.0进行t检验。结果 初级和高级腹腔镜模拟培训总体合格率分别为85.7%和57.1%。第1~2年住院医师与第3~4年住院医师相比,初级培训合格率(80.4% vs. 100.0%,P=0.028)和高级培训合格率(12.5% vs. 57.14%,P=0.000),差异具有统计学意义。所有住院医师经培训后,模拟腔镜操作技能水平均显著提高;第1~2年住院医师初级培训成绩提高更明显,第3~4年住院医师高级培训后成绩提高更明显。结论 针对不同年资住院医师采取不同级别的模拟培训更有助于其腹腔镜操作技能水平的提高
Abstract
Objective To explore the value of primary and Advanced levels of laparoscopic simulating training in different seniority of gynecologic residents. Methods 77 residents in their first to forth training-year were divided into two groups: 1-2 year resident and 3-4 year resident
trained with different levels of simulating training plans respectively and then assessed in the Department of Obstetrics and Gynecology in Peking University Third Hospital. Results The qualified rate of primary and advanced simulation training was 85.7% and 57.1% respectively. The qualified rate of primary training (80.4% vs. 100.0%
P=0.028) and advanced training (12.5% vs. 57.14%
P=0.000) were significantly different between 1-2 year residents and 3-4 year residents. The operative skills improved significantly in all the residents. In the 1-2 year residents
the scores of the primary training increased more obviously
while in the 3-4 year residents
the scores of the advanced training increased significantly. Conclusion It might be more effective for residents with different seniority to receive different levels of simulating training accordingly
so as to improve their laparoscopic operative skills more effectively.
关键词
腹腔镜 模拟培训 住院医师 妇科
Keywords
Laparoscopy Simulation training Resident Department of gynecology