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Training gastroenterology fellows to perform gastric polypectomy using a novel ex vivo model

Training gastroenterology fellows to perform gastric polypectomy using a novel ex vivo model

作     者:Ming-Jen Chen Ching-Chung Lin Chia-Yuan Liu Chih-Jen Chen Chen-Wang Chang Ching-Wei Chang Chien-Wei Lee Shou-Chuan Shih Horng-Yuan Wang 

作者机构:Division of GastroenterologyDepartment of Internal MedicineMackay Memorial Hospital Mackay MedicineNursing and Management College Clinical Skills Training CenterDepartment of Medical EducationMackay Memorial Hospital Mackay Medical College 

出 版 物:《World Journal of Gastroenterology》 (世界胃肠病学杂志(英文版))

年 卷 期:2011年第17卷第41期

页      面:4619-4624页

核心收录:

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主  题:胃肠病学 体外模拟 技能培训 研究员  模型 评估方法 模拟器 

摘      要:AIM:To evaluate the effect of hands-on training of gastroenterology fellows in gastric polypectomy using an ex vivo ***:Eight gastroenterology fellows at Mackay Memorial Hospital,Taipei were evaluated in gastricpolypectomy techniques using a pig stomach with artificial polyps created by a rubber band ligation *** performance of four second year(year-2)fellows who had undergone one year of clinical training was compared with that of four f irst year(year-1)fellows both before and after a 4-h workshop using the ex vivo *** workshop allowed for hands-on train-ing in the removal of multiple artif icial polyps and the placement of hemoclips at the excision *** included observation of technical skills,procedure time,and the fellows conf idence ***:One week after the workshop,the year-1 fellows were re-evaluated and had significantly im-proved mean performance scores(from 17.9 ± 1.8 to 22.5 ± 0.7),conf idence scale(from 4.5 ± 1.0 to 7.8 ± 0.5)and procedure time(from 615.0 ± 57.4 s to 357.5 ± 85.0 s)compared with their baseline *** 4 h of training using the ex vivo simulator,the skills of the year-1 fellows were statistically similar to those of the year-2 ***:Use of this ex vivo simulator significantly improved the endoscopic gastric polypectomy skills of gastroenterology fellows who had not had previous clinical training in gastric polypectomy.

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