Role of advanced assessment of adrenalectomy in urology standardized residency training
10.3760/cma.j.cn116021-20200321-00314
- VernacularTitle:肾上腺腺瘤切除术进阶式考核在泌尿外科住院医师规范化培训中的作用
- Author:
Ke CHEN
1
;
Teng HOU
;
Song LI
;
Jun ZHAO
;
Xiaoping ZHANG
;
Zhaohui CHEN
Author Information
1. 华中科技大学同济医学院附属协和医院泌尿外科，武汉 430022
- From:
Chinese Journal of Medical Education Research
2020;19(11):1341-1344
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study and train urological resident's laparoscopic operation skills based on retroperitoneal laparoscopic adrenalectomy.Methods:From January 2011 to January 2020, 121 urology residents were selected to complete the basic skills training including laparoscopic simulator, and gradually engaged in and operated laparoscopic minimally invasive surgery for adrenal tumor. The training stage included training and examination of laparoscopic simulator module, establishment of lateral position and puncture hole in lumbar surgery, anatomy of kidney at three levels and exposure and removal of adrenal tumor. The training of four stages was completed by step-by-step advanced assessment.Results:Fifteen doctors could complete laparoscopic adrenalectomy operation under the supervision and guiding of teachers (12.4%), 71 residentss could independently complete the operation requirements in the first three stages (58.7%).Conclusion:The study has proved that the main factors affecting the advanced training of retroperitoneal laparoscopic adrenalectomy were the operation assessment score of laparoscopic simulator, the duration of the standardized residency training in urology department, the case number of participating in retroperitoneal laparoscopic adrenalectomy, and the times that teachers and training residents exchanged the positions of main knife and assistant during the operation.
