ABSTRACT
AIM: To develop 'Cadaveric Course' of operative surgery for severe combined trauma for students, surgical residents, postgraduate students of medical universities and to compare its effectiveness with other approaches. MATERIAL AND METHODS: 'Cadaveric course' program of operative surgery for severe combined trauma consisted of four stages. The first stage is theoretical course (2 weeks), the second stage - students' work in cadaveric operating theatre with instructors (5 weeks), the third stage - their independent work in 'cadaveric operating theatre (10 weeks), the fourth stage - analysis of the results and their comparison with those of 5 2-year residents (control group). RESULTS: There were significant differences in practical skills between students. Mean time of surgery and expert assessment score were 32.0±9.5 min and 4.6±0.5 in the main group, respectively, in the control group - 46.0±7.5 min and 3.6±0.5 scores, respectively (p=0.03 and p=0.02). Theoretical background was similar in both groups (p>0.05). CONCLUSION: Research has opened new opportunities to introduce 'cadaveric course' into educational process, to analyze its outcomes and further improvement.
Subject(s)
Clinical Competence/standards , Education, Medical/methods , General Surgery/education , Multiple Trauma/surgery , Surgical Procedures, Operative/education , Cadaver , Education , Education, Medical/standards , General Surgery/standards , Humans , Models, Anatomic , Surgical Procedures, Operative/standardsABSTRACT
AIM: To develop system for students training in laparoscopic surgery by using of Wet-lab educational operating theatre. MATERIAL AND METHODS: We have launched laparoscopic surgery teaching program for students of Ryazan State Medical University. This system includes several stages. At the first stage professional selection was carried out on 'dry' laparoscopic simulators among III-IV-year students of medical faculty. So, 10 people were selected. The second stage included theoretical and practical parts consisting of development of basic laparoscopic skills on 'dry' simulators. 5 students who scored the maximum points were admitted to the next stage. The third stage is working in Wet-lab operating theatre with a mentor. There were 10 sessions on 10 laboratory pigs. Final stage of our study compares two groups of participants: main group - 5 students who underwent above-described program and control group of 5 residents without experience for laparoscopic operations. RESULTS: The participants of the main group had significantly higher OSATS score compared with another group (20 vs. 10; p<0.05). Movements effectiveness estimated by measuring of movements trajectory total length was also higher in main group than in control group (6 vs. 20; p<0.05). Experts' subjective assessment according to 10-point scale was also higher for students than for interns (9 vs. 5, p<0.05). Participants in the main group required significantly less time to complete the task compared with the control group (40 vs. 90 minutes, p<0.05). CONCLUSION: Our experience has shown that training system with Wet-lab operating theatre is effective for quick and efficient training of medical students in main laparoscopic procedures. In our opinion, introduction of students into 'advanced' surgery from early age will make it possible to get finally highly professional specialists.
