Einrichtung eines chirurgischen Trainingslabors an einer Ausbildungsklinik

Abstract

The improvement of surgical skills of trainees in Germany often occurs solely in the operating room. In recent years, several countries have established surgical skills labs as an essential part of surgical education, with the goal of improving and refining surgical skills before clinical application. Several years ago, training units were established by the industry wherein the curricula focused on products of the respective company. Selected training courses are still offered in a few clinics. Presently, laboratories which train the surgical skills of novices in an individually adapted form are lacking. A surgical skills lab with a comprehensive curriculum of training courses was introduced at the University Hospital of Marburg in 2005. The present article describes the development and introduction of such facilities. The authors are convinced that surgical skills labs will become increasingly important in German surgical education for improving patient safety in the operating room.

Description and evaluation of a bench porcine model for teaching surgical residents vascular anastomosis skills

“…They perform, among other procedures; ten bench-model based vascular anastomoses prior to performing them on patients in the operating room [16,22]. This exemplary attempt to establish a continuous curriculum for surgical residents is one important step towards improving both quality in surgical education and the satisfaction of the trainees in surgery.…”

“…It is now time to transfer these experiences and build nationwide comprehensive structured surgical curricula to accompany surgical residency programs. This need becomes apparent when considering a survey of general surgery residency programs in the United States that revealed that 86% had specific curricula for teaching book knowledge, but only 45% had curricula for single surgical techniques [16,23]. The most important basic surgical skills needed have been already described and have been compulsory in the graduate training program of the Royal Colleges of Surgery of England, among others, for several years [24].…”

Etablierung eines multidimensionalen, strukturierten Weiterbildungscurriculums in der Chirurgie

“…Befragungen unter Weiterbildungsassistenten in der Chirurgie ergeben, dass fast 2 2 ⁄3 3 der Befragten mit ihrer Weiterbildung unzufrieden sind [10]. Ein Hauptfaktor dabei ist die fehlende Struktur in der Weiterbildung.…”

Fit für den OP? – Klinische Anatomie und chirurgische Basisfertigkeiten für Studierende im vorklinischen Studienabschnitt

“…The effectiveness of simulation-based medical education is indisputable today, especially if it meets best practice requirements in planning and implementation [21], [22], [23]. Today it is virtually considered standard for a faculty to have a skills lab [22].…”

“…Today it is virtually considered standard for a faculty to have a skills lab [22]. But the combination of anatomical education - in particular the use of bodies that have been embalmed using the Thiel technique - and simulation-based surgery with teaching of basic surgical skills is innovative and not integrated enough into the degree courses.…”