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Thorac Cardiovasc Surg 2024; 72(07): 568-575
DOI: 10.1055/s-0044-1787888
Original Basic Science

The Impact of High-Fidelity Simulator System on Bronchoscopy Operation Skills of Trainees Who Receive Refresher Training: A Teaching Study

Guoping Jin
1   Zhejiang Chinese Medical University, Hangzhou, China
2   Department of Endoscopy Center, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China
,
Xiaofen Tao
2   Department of Endoscopy Center, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China
,
Hongzhen Xu
3   Nursing Department, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China
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Abstract

Objective This study aimed to explore the impact of high-fidelity simulator (HFS) training on the bronchoscopy operation skills, confidence, stress, and learning satisfaction of trainees who further their training at endoscopy center in our hospital. The study also investigated the practical application effects of HFS training and provided a reference for the development of clinical teaching and training programs in hospitals.

Methods The 18 trainees who furthered their training at the endoscopy center were evaluated for their bronchoscopy operation skills, confidence, and stress levels before and after HFS training. A survey on learning satisfaction was conducted after the completion of HFS training. The scores of all evaluations were collected for comparison of differences before and after HFS training.

Results HFS training improved the clinical operation skill levels and confidence of trainees who further their training at the endoscopy center, reduced their stress, and achieved 100% satisfaction from this training. Education level and department had no significant impact on trainees' operational skills and confidence improvement, and stress reduction (p > 0.05). The results of this study supported the influence of the history of endoscopy operations on the improvement of trainees' improved operational skills after HFS training, but it had no relation to the improvement of confidence and stress reduction. Trainees with a history of endoscopy operations had higher operation skill scores before and after HFS training (n = 5, 94.80 ± 2.95 and 97.60 ± 1.82, respectively) than those without a history of endoscopy operations (n = 13, 80.62 ± 2.53 and 86.38 ± 2.82, respectively), and the difference was significant (p < 0.05).

Conclusion HFS training is an effective clinical teaching method that can significantly improve trainees' bronchoscopy operation skills and confidence, reduce stress, and achieve high levels of satisfaction.

Keywords

high-fidelity simulator - bronchoscopy - operational skills - stress - confidence - physicians

Data Availability Statement

The data and materials in the current study are available from the corresponding author upon reasonable request.


Ethical Approval Statement

The study was approved by the ethics committee of Children's Hospital, University School of Medicine (2023-IRB-0213-P-01).


Authors' Contribution

G.J. conceived the study, participated in its design and interpretation, and helped to draft the manuscript. X.T. participated in the design and interpretation of the data and drafting/revising the manuscript. H.X. performed the statistical analysis and revised the manuscript critically. All the authors read and approved the final manuscript.


Supplementary Material



Publication History

Received: 22 December 2023

Accepted: 29 May 2024

Article published online:
28 June 2024

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