[Multimodal training concept for temporal bone surgery].
Multimodales Weiterbildungskonzept Schläfenbeinchirurgie.
Curriculum
Learning Curve
Mastoidectomy
Patient Safety
Simulation Training
Journal
HNO
ISSN: 1433-0458
Titre abrégé: HNO
Pays: Germany
ID NLM: 2985099R
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
pubmed:
5
9
2020
medline:
30
6
2021
entrez:
5
9
2020
Statut:
ppublish
Résumé
Surgical training is increasingly supported by the use of simulators. For temporal bone surgery, shown here by means of mastoidectomy, there are other training models besides cadaver specimens, such as artificial temporal bones or computer-based simulators. A structured training concept was created which integrates different training methods of mastoidectomy with regard to effectiveness and current learning theory in education. A selective literature research was conducted to compare learning-theoretical findings and the availability and effectiveness of currently existing training models. To acquire surgical skills, a stepwise approach is suggested. Depending on the progress with computer-based simulation, plastic or native temporal bones should be used. To achieve a plateau of the learning curve, approximately 25 semi-autonomous preparations are recommended. Different 'Objective Structured Assessments of Technical Skills' (OSATS) are implemented to assess the learning progress at different levels. Simulation-based training is recommended until an adequate learning curve plateau is achieved. This is reasonable for patient safety, based on limited accessibility of human cadaveric temporal bones but also by findings of the learning theory. The curriculum integrates different training models of mastoidectomy and OSATS into an overall concept. The training plan has to be continuously adapted to new findings and technical developments. HINTERGRUND: Die chirurgische Weiterbildung wird zunehmend durch Simulatoren ergänzt. Für die ohrchirurgische Weiterbildung, hier dargestellt anhand der Mastoidektomie, stehen neben nativen Schläfenbeinen weitere Trainingsmodelle, wie das Kunststoffschläfenbein oder Computersimulatoren zur Verfügung. ZIEL: Es soll ein strukturiertes Weiterbildungskonzept erstellt werden, welches die unterschiedlichen Trainingsmethoden der Mastoidektomie hinsichtlich Wirksamkeit und aktueller lerntheoretischer Erkenntnisse integriert. Mittels selektiver Literaturrecherche wurden lerntheoretische Erkenntnisse und die Verfügbarkeit sowie Wirksamkeit derzeit vorhandener Trainingsmodelle berücksichtigt. Zur Aneignung chirurgischer Fertigkeiten empfiehlt sich ein stufenweises Vorgehen. Je nach Fortschritt sollten Computersimulator, Kunststoff- oder natives Schläfenbein genutzt werden. Zum Erreichen eines Lernkurvenplateaus sind etwa 25 teilautonome Präparationen anzustreben. Qualitativ wird das Lernkurvenniveau stufenabhängig durch OSATS (Objektive Structured Assessments of Technical Skills) bewertet. Aus Gründen der Patientensicherheit und zunehmend eingeschränkt verfügbarer Humanpräparate empfiehlt sich die Einbeziehung eines simulationsbasierten Trainings. Dieses besteht aus verschiedenen Simulationsmodellen sowie Bewertungsinstrumenten und dient dem Erreichen eines adäquaten Lernkurvenplateaus. Das erstellte Curriculum integriert die verschiedenen Trainingsmodelle und OSATS der Mastoidektomie in ein Gesamtkonzept. Der erstellte Weiterbildungsplan ist neuen Erkenntnissen und technischen Weiterentwicklungen kontinuierlich anzupassen.
Sections du résumé
BACKGROUND
BACKGROUND
Surgical training is increasingly supported by the use of simulators. For temporal bone surgery, shown here by means of mastoidectomy, there are other training models besides cadaver specimens, such as artificial temporal bones or computer-based simulators.
OBJECTIVES
OBJECTIVE
A structured training concept was created which integrates different training methods of mastoidectomy with regard to effectiveness and current learning theory in education.
METHOD
METHODS
A selective literature research was conducted to compare learning-theoretical findings and the availability and effectiveness of currently existing training models.
RESULTS
RESULTS
To acquire surgical skills, a stepwise approach is suggested. Depending on the progress with computer-based simulation, plastic or native temporal bones should be used. To achieve a plateau of the learning curve, approximately 25 semi-autonomous preparations are recommended. Different 'Objective Structured Assessments of Technical Skills' (OSATS) are implemented to assess the learning progress at different levels.
DISCUSSION
CONCLUSIONS
Simulation-based training is recommended until an adequate learning curve plateau is achieved. This is reasonable for patient safety, based on limited accessibility of human cadaveric temporal bones but also by findings of the learning theory.
CONCLUSION
CONCLUSIONS
The curriculum integrates different training models of mastoidectomy and OSATS into an overall concept. The training plan has to be continuously adapted to new findings and technical developments.
ZUSAMMENFASSUNG
UNASSIGNED
HINTERGRUND: Die chirurgische Weiterbildung wird zunehmend durch Simulatoren ergänzt. Für die ohrchirurgische Weiterbildung, hier dargestellt anhand der Mastoidektomie, stehen neben nativen Schläfenbeinen weitere Trainingsmodelle, wie das Kunststoffschläfenbein oder Computersimulatoren zur Verfügung. ZIEL: Es soll ein strukturiertes Weiterbildungskonzept erstellt werden, welches die unterschiedlichen Trainingsmethoden der Mastoidektomie hinsichtlich Wirksamkeit und aktueller lerntheoretischer Erkenntnisse integriert.
METHODEN
METHODS
Mittels selektiver Literaturrecherche wurden lerntheoretische Erkenntnisse und die Verfügbarkeit sowie Wirksamkeit derzeit vorhandener Trainingsmodelle berücksichtigt.
ERGEBNISSE
UNASSIGNED
Zur Aneignung chirurgischer Fertigkeiten empfiehlt sich ein stufenweises Vorgehen. Je nach Fortschritt sollten Computersimulator, Kunststoff- oder natives Schläfenbein genutzt werden. Zum Erreichen eines Lernkurvenplateaus sind etwa 25 teilautonome Präparationen anzustreben. Qualitativ wird das Lernkurvenniveau stufenabhängig durch OSATS (Objektive Structured Assessments of Technical Skills) bewertet.
DISKUSSION
CONCLUSIONS
Aus Gründen der Patientensicherheit und zunehmend eingeschränkt verfügbarer Humanpräparate empfiehlt sich die Einbeziehung eines simulationsbasierten Trainings. Dieses besteht aus verschiedenen Simulationsmodellen sowie Bewertungsinstrumenten und dient dem Erreichen eines adäquaten Lernkurvenplateaus.
SCHLUSSFOLGERUNGEN
UNASSIGNED
Das erstellte Curriculum integriert die verschiedenen Trainingsmodelle und OSATS der Mastoidektomie in ein Gesamtkonzept. Der erstellte Weiterbildungsplan ist neuen Erkenntnissen und technischen Weiterentwicklungen kontinuierlich anzupassen.
Autres résumés
Type: Publisher
(ger)
HINTERGRUND: Die chirurgische Weiterbildung wird zunehmend durch Simulatoren ergänzt. Für die ohrchirurgische Weiterbildung, hier dargestellt anhand der Mastoidektomie, stehen neben nativen Schläfenbeinen weitere Trainingsmodelle, wie das Kunststoffschläfenbein oder Computersimulatoren zur Verfügung. ZIEL: Es soll ein strukturiertes Weiterbildungskonzept erstellt werden, welches die unterschiedlichen Trainingsmethoden der Mastoidektomie hinsichtlich Wirksamkeit und aktueller lerntheoretischer Erkenntnisse integriert.
Identifiants
pubmed: 32885307
doi: 10.1007/s00106-020-00924-y
pii: 10.1007/s00106-020-00924-y
doi:
Types de publication
Journal Article
Langues
ger
Sous-ensembles de citation
IM
Pagination
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