Cadaver Course in the Training System of an Urgent Surgeon
D. A. Khubezov,
L. D. Khubezov,
S. N. Trushin,
A. Yu. Ogoreltsev,
D. K. Puchkov,
I. S. Ignatov,
S. V. Rodimov,
A. R. Krotkov https://doi.org/10.23934/2223-9022-2020-9-4-606-611
Abstract
Introduction. In our country, severe concomitant injury is one of the main causes of death among people of working age. This poses an urgent task for the national health care and education system in the form of training qualified emergency surgeons.
Purpose of the study. To improve the quality of practical training of specialists in the delivery of urgent surgical care for concomitant injury.
Material and methods. The “Cadaver course of operative surgery for severe concomitant injury” was developed. The participants of the cadaver course were senior students of the Ryazan State Medical University. At the stages of the course, theoretical training was carried out, work in a cadaver operating room with mentors and independently was performed, as well as a comparative assessment of learning outcomes with the results of similar tests of clinical residents of the 2nd year of study.
Results. Statistically significant differences were obtained in terms of indicators reflecting the level of practical training of students who completed the developed course. The level of theoretical training in the compared groups did not differ significantly.
Conclusion. New opportunities have been opened for the widespread introduction of the developed training course into the educational process. It is necessary to further improve the proposed methodology and study the results of its use.
About the Authors
D. A. Khubezov
Department of Faculty Surgery, I.P. Pavlov Ryazan State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Dmitry A. Khubezov Doctor of Medical Sciences, Professor
9 Vysokovoltnaya St., Ryazan 390026, Russian Federation
L. D. Khubezov
Academician V.I.Shumakov Federal Research Center of Transplantology and Artificial Organs of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Leonid D. Khubezov Clinical resident
1 Schukinskaya St., Moscow 123182, Russian Federation
S. N. Trushin
Regional Clinical Hospital
Russian Federation
Russian Federation
Sergey N. Trushin Doctor of Medical Sciences, Professor, Head of the Department of Faculty Surgery
3a Internationalnaya St., Ryazan 390039, Russian Federation
A. Yu. Ogoreltsev
Department of Faculty Surgery, I.P. Pavlov Ryazan State Medical University of the Ministry of Health of the Russian Federation; Regional Clinical Hospital
Russian Federation
Russian Federation
Alexander Yu. Ogoreltsev Candidate of Medical Sciences, Associate Professor
Vysokovoltnaya St., Ryazan 390026, Russian Federation
3a Internationalnaya St., Ryazan 390039, Russian Federation
D. K. Puchkov
Regional Clinical Hospital
Russian Federation
Russian Federation
Dmitry K. Puchkov Candidate of Medical Sciences, Assistant of the Department of Surgery, Obstetrics and Gynecology, I.P. Pavlov Ryazan State Medical University
3a Internationalnaya St., Ryazan 390039, Russian Federation
I. S. Ignatov
Regional Clinical Hospital
Russian Federation
Russian Federation
Ivan S. Ignatov Candidate of Medical Sciences, Head of the Oncology Department
3a Internationalnaya St., Ryazan 390039, Russian Federation
S. V. Rodimov
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of Russian Federation (Sechenov University)
Russian Federation
Russian Federation
Sergey V. Rodimov Candidate of Medical Sciences, Assistant of the Department of Surgery named after I.I. N.V. Sklifosovsky
8, b. 2 Trubetskaya St., Moscow 119048, Russian Federation
A. R. Krotkov
Regional Clinical Hospital
Russian Federation
Russian Federation
Artem R. Krotkov Doctor of the Coloproctology Department
3a Internationalnaya St., Ryazan 390039, Russian Federation
References
1. Korolev VM. Epidemiological and Clinical aspects of the combined trauma. Dal’nevostochnyy meditsinskiy zhurnal. 2011:3:124–128. (In Russ.)
2. Inozemtsev E.O., Grigoryev E.G., Apartsin K.A. The Actual Issues of Associated Injuries (from the Materials of Polytrauma Journal). Polytrauma. 2017;1:6–11.
3. Khubezov D.A., Sazhin V.P., Ogoreltsev A.Yu., Puchkov D.K., Rodimov S.V., Ignatov I.S., et al. Current directions in professional training of surgeon. Pirogov Russian Journal of Surgery. 2018;9:56–60. (In Russ.) https://doi.org/10.17116/hirurgia201809157
4. Goncharov A.V., Samokhvalov I.M., Suvorov V.V., Markevich V.Yu., Pichugin A.A., Petrov A.N. Problems of Staged Treatment of Patients with Severe Concomitant Injuries in a Regional Trauma System. Polytrauma. 2017;4:6–15.
5. Oettinger A.P. Nikolay Ivanovich Pirogov – the Founder of Experimental Surgery. Bulletin of RSMU. 2014:5:70–74. (In Russ.)
6. Drosdeck J, Carraro E, Arnold M, Perry K, Harzman A, Nagel R, et al. Porcine wet lab improves surgical skills in third year medical students. J Surg Res. 2013;184(1):19–25. PMID: 23845867 https://doi.org/10.1016/j.jss.2013.06.009
7. Huber T, Paschold M, Hansen C, Wunderling T, Lang H, Kneist W. New dimensions in surgical training: immersive virtual reality laparoscopic simulation exhilarates surgical staff. Surg Endosc. 2017;31(11):4472–4477. PMID: 28378077 https://doi.org/10.1007/s00464-017-5500-6
8. Khubezov D.A., Sazhin V.P., Ogoreltsev A.Yu., Puchkov D.K., Rodimov S.V., Ignatov I.S., et al. Specialist’s training for laparoscopic surgery in Wet-lab educational operating theatre. Pirogov Russian Journal of Surgery. 2018;4:31–35. (In Russ.) https://doi.org/10.17116/hirurgia2018431-35
9. Kolsanov A.V., Yunusov R.R., Ivaschenko A.V., Kuzmin A.V., Golovanov A.E., Cherepanov A.S., et al. Midline Incision Modeling for Basic Laparotomy Simulation Training. Information and Control Systems. 2013;6(67):79–84. (In Russ.)
10. Ryan J, Roberts P. Definitive surgical trauma skills: a new skills course for specialist registrars and consultants in general surgery in the United Kingdom. Trauma. 2002;4(3):184–188. https://doi.org/10.1191/1460408602ta240oa
11. Bowyer MW, Kuhls DA, Haskin D, Sallee RA, Henry ShM, Garcia GD, et al. Advanced surgical skills for exposure in trauma (ASSET): the first 25 courses. J Surg Res. 2013;183(2):553–558. PMID: 23481565 https://doi.org/10.1016/j.jss.2013.02.005
12. Homma H, Oda J, Yukioka T, Hayashi Sh, Suzuki T, Kawai K, et al. Effectiveness of cadaver-based educational seminar for trauma surgery: skills retention after half-year follow-up. Acute Med Surg. 2016;4(1):57–67. PMID: 29123837 https://doi.org/10.1002/ams2.230
13. Anastakis DJ, Regehr G, Reznick RK, Cusimano M, Murnaghan J, Brown M, et al. Assessment of technical skills transfer from the bench training model to the human model. Am J Surg. 1999;177(2):167–170. PMID: 10204564 https://doi.org/10.1016/s0002-9610(98)00327-4
14. Leblanc F, Senagore AJ, Ellis CN, Champagne Br, Augestad K, Neary P, et al. Hand-Assisted laparoscopic sigmoid colectomy skills acquisition: augmented reality simulator versus human cadaver training models. J Surg Educ. 2010;67(4):200–204. PMID: 20816353 https://doi.org/10.1016/j.jsurg.2010.06.004
15. Lewis CE, Peacock WJ, Tillou A, Hines OJ, Hiatt JR. A Novel Cadaver- Based Educational Program in General Surgery Training. J Surg Educ. 2012;69(6):693–698. PMID: 23111032 https://doi.org/10.1016/j.jsurg.2012.06.013
Review
For citations:
Khubezov D.A., Khubezov L.D., Trushin S.N., Ogoreltsev A.Yu., Puchkov D.K., Ignatov I.S., Rodimov S.V., Krotkov A.R. Cadaver Course in the Training System of an Urgent Surgeon. Russian Sklifosovsky Journal "Emergency Medical Care". 2020;9(4):606-611. https://doi.org/10.23934/2223-9022-2020-9-4-606-611
Views:
972
Email this article 