Practice of three-station intensive animal simulation training of endoscopic submucosal dissection for international trainees
10.3760/cma.j.cn116021-20191204-00250
- VernacularTitle:国际学员三站式强化内镜黏膜下剥离术动物模拟培训的实践
- Author:
Zhuqing GAO
1
;
Wei JIANG
;
Junfeng GUO
;
Xinyuan HUANG
;
Xiujing SUN
;
Fandong MENG
;
Yongjun WANG
;
Peng LI
Author Information
1. 首都医科大学附属北京友谊医院消化内科/国家消化系统疾病临床医学研究中心/北京市消化疾病中心/首都医科大学消化病学系/消化疾病癌前病变北京市重点实验室 100050
- From:
Chinese Journal of Medical Education Research
2020;19(9):1083-1087
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the value of ex- vivo porcine stomach model for endoscopic submucosal dissection (ESD) training for international trainees. Methods:Fifteen international students received ESD training and learning for twenty days. Firstly, students learned basic theory of ESD and completed a questionnaire. Then they were randomized to receive endoscopic training either on the vitro animal (group A) or on training experience (group B) of the clinical observation. At last, one case was assessed by an experienced endoscopist. The total and step-by-step operating time, complete resection, size of specimen and complications were recorded. All students completed the questionnaire once again. SPSS 20.0 was used for t test and chi-square test. Results:There was significant difference in total ESD operation time between group A and group B ( P<0.05). There were significant differences between the two groups on cutting time and dissection time, but there was no difference on marking time, injection time and operating speed. There was only one case of block resection and perforation in each group. For group A, their mastery and clinic confidence of ESD had been obviously increased after the animal training course. Compared with the operation before the training in group A, it was found that the total time and cutting time of the ESD after the training were also significantly improved. Conclusion:Theory combined with endoscopic training on vitro animal model can make the trainees familiar with the basic theory and master the operational skills, which is helpful and valuable for them to perform ESD in further clinic practice.
