首页|VR技术在泌尿外科输尿管镜住院医师规范化培训中的应用

VR技术在泌尿外科输尿管镜住院医师规范化培训中的应用

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目的 探讨虚拟现实(virtual reality,VR)技术在泌尿外科住院医师规范化培训(简称住培)输尿管镜技能培训中的应用效果。方法 选择2023年1月至11月在重庆医科大学附属第一医院泌尿外科轮转的20名无输尿管镜手术基础的住培学员为研究对象,采用随机方式将其分为两组,每组10名。传统教学组采用传统理论与技能培训相结合的教学方式;VR教学组采用理论培训与VR辅助技能培训相结合的教学方式,利用VR头盔和手柄等设备,模拟输尿管镜手术过程。教学结束后,对比两组住培学员的技能考核成绩和满意度调查评价教学效果。采用SPSS 22。0进行t检验和卡方检验。结果 VR教学组与传统教学组比较,熟练操作所需例数更少[(3。40±1。00)例 vs。(7。70±1。00)例]、操作时间更短[(2。70±0。67)min vs。(3。90±1。37)min],两组比较差异有统计学意义(P<0。05)。VR教学组在进镜流畅程度[(2。30±0。82)分 vs。(1。40±0。70)分]、黏膜损伤程度[(2。20±0。92)分 vs。(1。40±0。70)分]及镜下操作熟练程度[(2。40±0。70)分 vs。(1。60±0。84)分]3个维度评分上优于传统教学组,差异有统计学意义(P<0。05);两组学员在操作熟练程度和视野稳定程度评分上差异无统计学意义(P>0。05)。VR教学组学员对教学模式满意度更高(80。00%vs。30。00%),且更有信心独立开展输尿管镜手术(70。00%vs。20。00%)。结论 经过VR辅助的模拟训练,住培学员缩短了输尿管镜的学习曲线,提高了教学满意度。
Application of VR technology in standardized residency training of ureteroscopy in the department of urinary surgery
Objective To explore the application effect of virtual reality(VR)technology in standardized residency training of ureteroscopy in the department of urinary surgery.Methods Twenty residents without ureteroscopy experience who rotated in Department of Urinary Surgery,The First Affiliated Hospital of Chongqing Medical University from January to November 2023 were randomly divided into two groups,with 10 residents in each group.The traditional teaching group adopted the theory teaching combining skill training.The VR group utilized theory teaching combining VR-assisted skill training,where the process of ureteroscopy was simulated using VR helmet and handles.A skill examination and satisfaction survey were conducted after training to evaluate the teaching effect.SPSS 22.0 was used for the t-test and chi-square test.Results Compared with the traditional teaching group,the VR group required fewer cases of skilled operation[(3.40±1.00)cases vs.(7.70±1.00)cases]and shorter operation time[(2.70±0.67)min vs.(3.90±1.37)min](P<0.05).The VR group was significantly better than the traditional teaching group in the following dimensions:fluency of scope insertion[(2.30±0.82)points vs.(1.40±0.70)points],degree of mucosal injury[(2.20±0.92)points vs.(1.40±0.70)points],and operational proficiency under the ureteroscope[(2.40±0.70)points vs.(1.60±0.84)points](P<0.05);there were no significant differences between the two groups in proficiency level and visual field stability scores(P>0.05).The VR group had higher satisfaction scores in training method(80%vs.30%)and more confidence to carry out ureteroscopy independently(70%vs.20%).Conclusions Through simulated training with VR technology,resident trainees can significantly shorten the learning curve of ureteroscopy and improve teaching satisfaction.

Virtual realityUrinary surgeryUreteroscopyStandardized residency training

邵岚、罗生军、唐伟

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重庆医科大学附属第一医院康复医学科,重庆 400016

重庆医科大学附属第一医院泌尿外科,重庆 400016

虚拟现实 泌尿外科 输尿管镜 住院医师规范化培训

重庆市科技局"博士直通车"项目

CSTB2022BSXM-JCX0040

2024

中华医学教育探索杂志
中华医学会

中华医学教育探索杂志

CSTPCD
影响因子:0.641
ISSN:2095-1485
年,卷(期):2024.23(8)