- 作者：M. Blair Marshall ; M.D.&lowast ; ; mbm5@gunet.georgetown.edu ; Brette M. Wilson ; R.N. ; M.S.&dagger ; ; Yvonne M. Carter ; M.D.&lowast ;
- 关键词：chest wall ; tumor ; resection ; reconstruction ; simulation ; skill ; proficiency
- 刊名：Journal of Surgical Research
- 出版年：2012
- 期刊代码：299_00224804
- 类别：med
- 出版时间：15 May, 2012
- 卷：174
- 期：2
- 页码：250-256
- 文件大小：478 K
Objectives
Inclusion of specialized simulation into surgery training may enhance the educational experience of residents. We set out to develop a simulated chest wall tumor model to teach the specifics skills needed for chest wall tumor resection with prosthetic reconstruction.Methods
The model was constructed from porcine rib blocs and additional materials (A and B). Thirteen general surgery residents were asked to perform
Results
Scores on the knowledge-based examination suggested no association with resident training year. More time was needed by junior level residents to complete the simulated operative task, even though the average time improved with repetitive practice. Average task-specific scores were comparable amongst the resident groups. The mid-level residents demonstrated the greatest improvement in skill proficiency; however, scores were consistently highest amongst the PGY-5s
Conclusions
Our data suggest simulation is an effective teaching tool and training module for skill development needed for rarely performed procedures. The incorporation of this and similar simulation trainers is likely to improve surgical education and patient safety.