国外医学与比较医学教育

心脏外科模拟训练课程在美国心脏外科专科医师培训中的应用现状和启示

  • 张怡然 ,
  • 马量
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  • 浙江大学医学院附属第一医院心脏大血管外科,杭州 310003

收稿日期: 2022-10-17

  网络出版日期: 2023-08-29

基金资助

国家自然科学基金青年项目(82200515);浙江省自然科学基金项目(LQ20H020003)

Current status and referential value of cardiac surgery simulation curriculum during cardiac surgery specialist training in United States

  • Zhang Yiran ,
  • Ma Liang
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  • Department of Cardiovascular Surgery, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China

Received date: 2022-10-17

  Online published: 2023-08-29

Supported by

National Natural Science Foundation of China (82200515); Natural Science Foundation of Zhejiang Province (LQ20H020003)

摘要

随着心脏外科学的发展与变化,心脏外科专科医师的手术技能训练面临着多重挑战。美国于2010年开始在心脏外科专科医师培训中试行心脏外科模拟训练课程(cardiac surgery simulation curriculum,CSSC),本文从技术发展现状、课程设置、评价体系、应用效果等方面对其进行系统性的介绍。CSSC在模块化的课程设置、考核评价体系、危机事件的团队协作模拟训练、师资配置等方面对我国有一定的参考借鉴价值。

本文引用格式

张怡然 , 马量 . 心脏外科模拟训练课程在美国心脏外科专科医师培训中的应用现状和启示[J]. 中华医学教育杂志, 2023 , 43(9) : 717 -720 . DOI: 10.3760/cma.j.cn115259-20221017-01313

Abstract

Surgical skill training of cardiac surgeons is faced with multiple challenges with the development and evolution of cardiac surgery. The cardiac surgery simulation curriculum (CSSC) was piloted during cardiac surgery specialist training in the United States since 2010. This article reviews and analyzes the current status of CSSC from the aspects of simulation technique development, curriculum setting, assessment system, and application effect. CSSC may improve the cardiac surgery specialist training in China on aspects such as modularized curriculum setting, assessment system, team-based simulation training, and faculty configuration.

参考文献

[1] Yanagawa B, Ribeiro R, Naqib F, et al. See one, simulate many, do one, teach one: cardiac surgical simulation[J]. Curr Opin Cardiol, 2019, 34(5):571-577. DOI: 10.1097/HCO.000000000000
0659.
[2] Carpenter AJ, Yang SC, Uhlig PN, et al. Envisioning simulation in the future of thoracic surgical education[J]. J Thorac Cardiovasc Surg, 2008, 135(3):477-484. DOI: 10.1016/j.jtcvs.2007.12.005.
[3] Fann JI, Calhoon JH, Carpenter AJ, et al. Simulation in coronary artery anastomosis early in cardiothoracic surgical residency training: the boot camp experience[J]. J Thorac Cardiovasc Surg, 2010, 139(5):1275-1281. DOI: 10.1016/j.jtcvs.2009.08.045.
[4] Feins RH, Burkhart HM, Conte JV, et al. Simulation-based training in cardiac surgery[J]. Ann Thorac Surg, 2017, 103(1):312-321. DOI: 10.1016/j.athoracsur.2016.06.062.
[5] Abri QA, von Ballmoos M. Cardiovascular surgery procedural training and evaluation: current status and future directions[J]. Methodist Debakey Cardiovasc J, 2022, 18(3):30-38. DOI: 10.14797/mdcvj.1085.
[6] 赵宁, 赵清, 汪栋, 等. 外科住院医师模拟手术训练课程的设计与实施[J]. 中国毕业后医学教育, 2018, 2(6):401-403.
[7] Trehan K, Kemp CD, Yang SC. Simulation in cardiothoracic surgical training: where do we stand?[J]. J Thorac Cardiovasc Surg, 2014, 147(1):18-24.e2. DOI: 10.1016/j.jtcvs.2013.09.007.
[8] Stevens LM, Cooper JB, Raemer DB, et al. Educational program in crisis management for cardiac surgery teams including high realism simulation[J]. J Thorac Cardiovasc Surg, 2012, 144(1):17-24. DOI: 10.1016/j.jtcvs.2012.03.006.
[9] Turkmen A, Rosinski D, Noyes N. A simulator for perfusion training[J]. Perfusion, 2007, 22(6):397-400. DOI: 10.1177/0267659108089140.
[10] Hicks GL Jr, Gangemi J, Angona RE Jr, et al. Cardiopulmonary bypass simulation at the boot camp[J]. J Thorac Cardiovasc Surg, 2011, 141(1):284-292. DOI: 10.1016/j.jtcvs.2010.03.019.
[11] Ramphal PS, Coore DN, Craven MP, et al. A high fidelity tissue-based cardiac surgical simulator[J]. Eur J Cardiothorac Surg, 2005, 27(5):910-916. DOI: 10.1016/j.ejcts.2004.12.049.
[12] Feins RH, Burkhart HM, Coore DN, et al. Cardiac surgery simulation curriculum [EB/OL].(2016-01-01)[2022-10-03] .http://www.tsda.org/wp-content/uploads/2016/01/Cardiac-Surgery-Simulation-Curriculum-TSDA.pdf.
[13] Mokadam NA, Fann JI, Hicks GL, et al. Experience with the cardiac surgery simulation curriculum: results of the resident and faculty survey[J]. Ann Thorac Surg, 2017, 103(1):322-328. DOI: 10.1016/j.athoracsur.2016.06.074.
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