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外科师生对机器人手术教学的态度、兴趣、优势和挑战的调研

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目的 旨在调研北京协和医院泌尿外科学员(住院医师)和教师(主治及以上医师,简称为上级医师)对于机器人手术教学的看法.方法 在教师和学员中开展了包含 36 个问题的调查问卷,覆盖机器人手术教学的挑战和益处、培训方法、学员的学习准备情况等,比较教师和学员对上述调查问题的问卷结果.结果 共有20名住院医师和15名上级医师参与调研.2组医师在实习期间、低年资住院医师培训期间、高年资住院医师培训期间、科室组织的教学课程期间进行机器人手术学习的人数占比差异均有统计学意义(P<0.05).在6个优劣势比较中,2组医师均认为机器人手术优于腹腔镜手术.在7个优劣势比较中,2组医师均认为机器人手术优于开放手术.更多的住院医师比上级医师倾向于通过机器人模拟平台完成机器人手术教学,差异有统计学意义(95.00%vs 60.00%,P<0.05).住院医师和上级医师对于机器人手术的术中教学的赞同人数比例分别为90.00%和100%.更多的上级医师比住院医师倾向学员先学习在手术台旁协助,然后学习在控制台操作(93.33%vs 45.00%),差异有统计学意义(P<0.05).结论 上级医师和住院医师对于如何学习机器人手术有不同看法,了解师生对于机器人手术教学的态度有助于优化机器人手术术中教学方案.
A Study on Surgical Faculty and Students'Attitudes,Interests,Strengths and Challenges in Teaching Robotic Surgery
Objective In order to better understand the unique challenges and advantages of robot surgery teaching,this study aimed to investigate the views of urology residents(students)and senior physicians(teachers)at Peking Union Medical College Hospital on robot surgery teaching.Methods The researchers conducted a survey questionnaire containing 36 questions among senior physicians and residents,covering the challenges and benefits of robot surgery teaching,training methods,and students'learning preparation,teachers'and students'questionnaire results for the aforementioned survey questions were compared.Results A total of 20 residents and 15 senior physicians participated in the survey.During the internship period,residents training period,senior physicians training period,and the teaching courses organized by the department,the proportions of the two groups of physicians learning robotic surgery were all statistically significantly different(P<0.05).In 6 comparisons of advantages and disadvantages,both groups of physicians considered robotic surgery to be superior to laparoscopic surgery.In 7 comparisons of advantages and disadvantages,both groups of physicians thought that robotic surgery was superior to open surgery.More residents than senior physicians preferred teaching robotic surgery to be accomplished through a robotic simulation platform,with a statistically significant difference(95.00%vs 60.00%,P<0.05).The proportions of residents and senior physicians who agreed with the number of residents and senior physicians for intraoperative teaching of robotic surgery were 90.00%and 100%,respectively.More senior physicians than residents preferred that residents first learn to assist at the operating tableand then learn to operate at the console(93.33%vs 45.00%),with a statistically significant difference(P<0.05).Conclusion Senior physicians and residents have different views on how to learn robotic surgery,and understanding senior physicians and residents attitudes toward teaching robotic surgery can help optimize intraoperative teaching protocols for robotic surgery.

surgical educationsurgeryrobotic surgerymedical educationSurgical educationurology

赵欣、吕晓虹、张玉石

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中国医学科学院/北京协和医院泌尿外科,北京 100730

手术教学 外科学 机器人手术 医学教育 外科教育 泌尿外科

2024

中国继续医学教育

中国继续医学教育

影响因子:2.564
ISSN:1674-9308
年,卷(期):2024.16(18)