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03.09.2020 | Mastoidektomie | Originalien

Multimodales Weiterbildungskonzept Schläfenbeinchirurgie

verfasst von: Dr. med. Hans-Georg Fischer, MBA, Prof. Dr. med. Dr. med. habil. Thorsten Zehlicke, Alexandra Gey, apl. Prof. Dr. rer. nat., rer. medic. habil. Torsten Rahne, Univ.-Prof. Dr. med. habil. Stefan K Plontke

Erschienen in: HNO | Ausgabe 7/2021

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Zusammenfassung

Hintergrund

Die chirurgische Weiterbildung wird zunehmend durch Simulatoren ergänzt. Für die ohrchirurgische Weiterbildung, hier dargestellt anhand der Mastoidektomie, stehen neben nativen Schläfenbeinen weitere Trainingsmodelle, wie das Kunststoffschläfenbein oder Computersimulatoren zur Verfügung.

Ziel

Es soll ein strukturiertes Weiterbildungskonzept erstellt werden, welches die unterschiedlichen Trainingsmethoden der Mastoidektomie hinsichtlich Wirksamkeit und aktueller lerntheoretischer Erkenntnisse integriert.

Methoden

Mittels selektiver Literaturrecherche wurden lerntheoretische Erkenntnisse und die Verfügbarkeit sowie Wirksamkeit derzeit vorhandener Trainingsmodelle berücksichtigt.

Ergebnisse

Zur Aneignung chirurgischer Fertigkeiten empfiehlt sich ein stufenweises Vorgehen. Je nach Fortschritt sollten Computersimulator, Kunststoff- oder natives Schläfenbein genutzt werden. Zum Erreichen eines Lernkurvenplateaus sind etwa 25 teilautonome Präparationen anzustreben. Qualitativ wird das Lernkurvenniveau stufenabhängig durch OSATS (Objektive Structured Assessments of Technical Skills) bewertet.

Diskussion

Aus Gründen der Patientensicherheit und zunehmend eingeschränkt verfügbarer Humanpräparate empfiehlt sich die Einbeziehung eines simulationsbasierten Trainings. Dieses besteht aus verschiedenen Simulationsmodellen sowie Bewertungsinstrumenten und dient dem Erreichen eines adäquaten Lernkurvenplateaus.

Schlussfolgerungen

Das erstellte Curriculum integriert die verschiedenen Trainingsmodelle und OSATS der Mastoidektomie in ein Gesamtkonzept. Der erstellte Weiterbildungsplan ist neuen Erkenntnissen und technischen Weiterentwicklungen kontinuierlich anzupassen.

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Titel: Multimodales Weiterbildungskonzept Schläfenbeinchirurgie
verfasst von: Dr. med. Hans-Georg Fischer, MBA
Prof. Dr. med. Dr. med. habil. Thorsten Zehlicke
Alexandra Gey
apl. Prof. Dr. rer. nat., rer. medic. habil. Torsten Rahne
Univ.-Prof. Dr. med. habil. Stefan K Plontke
Publikationsdatum: 03.09.2020
Verlag: Springer Medizin
Schlagwort: Mastoidektomie
Erschienen in: HNO / Ausgabe 7/2021
Print ISSN: 0017-6192
Elektronische ISSN: 1433-0458
DOI: https://doi.org/10.1007/s00106-020-00924-y

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Multimodales Weiterbildungskonzept Schläfenbeinchirurgie