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Publication
Simulação em endoscopia digestiva : uma revisão narrativa
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| 1.32 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
Os simuladores de endoscopia são ferramentas educacionais que possibilitam o ensino num ambiente não clínico. Na endoscopia gastrointestinal (GI) os simuladores incluem modelos de tecido animal ex vivo, modelos animais in vivo, modelos mecânicos e modelos computorizados de realidade virtual (VR). Dentro destes, os simuladores virtuais são uma ferramenta promissora e estão a tornar-se uma referência no início do treino em endoscopia, ao oferecerem uma experiência endoscópica semelhante à anatomia humana [1]. O treino de simulação em endoscopia GI confere uma variedade de benefícios que incluem a aprendizagem num ambiente de pouco risco, o reforço da segurança do paciente e a otimização do tempo útil em endoscopia [2]. O treino de simulação está a tornar-se cada vez mais relevante, particularmente durante esta época de COVID-19, por haver uma restrição do treino de endoscopia em pacientes reais [3].
Os objetivos primários desta revisão narrativa são rever a literatura atualmente disponível sobre as plataformas de simulação em endoscopia GI, especialmente no ramo da simulação VR, analisar os outcomes clínicos da simulação em endoscopia, reunir informação sobre o treino de simulação em comparação com o treino no paciente, em termos de performance e aquisição de capacidades técnicas e, finalmente, determinar se o treino de simulação é eficaz enquanto substituto do método de treino convencional.
Foi feita uma pesquisa em bases de dados informatizadas, médicas e educativas, em procura de revisões sobre o treino de simulação em endoscopia GI e ensaios clínicos randomizados que comparassem o treino de simulação com a ausência de treino ou com o treino convencional.
Endoscopic simulators are educational tools that allow instruction in a nonpatient care environment. In Gastrointestinal (GI) endoscopy, simulators include ex vivo animal tissue models, live animal models, mechanical models, and virtual reality (VR) computer simulators. Among these, virtual simulators are a promising tool and are becoming the standard when beginning endoscopic training, by offering a human-like endoscopy experience [1]. Simulation training in GI endoscopy offers various benefits including learning in a low-stakes environment, improvement of patient safety and optimization of valuable endoscopy time [2]. This simulation training is becoming more relevant, particularly during the COVID-19 era, as there is a general decrease in endoscopic training with real patients [3]. The primary goals of this narrative review are to evaluate the currently available literature on GI endoscopy simulation systems, especially on VR simulation training, to analyze the clinical outcomes of simulation in endoscopy, to gather evidence on simulation-based versus patient-based training in terms of performance and skill acquisition and, finally, to determine if simulation training is effective as a replacement of the conventional teaching method. We searched medical, educational, and computer literature databases for reviews of the simulation training in GI endoscopy and for randomized controlled trials that compared simulation training with no training or with conventional training.
Endoscopic simulators are educational tools that allow instruction in a nonpatient care environment. In Gastrointestinal (GI) endoscopy, simulators include ex vivo animal tissue models, live animal models, mechanical models, and virtual reality (VR) computer simulators. Among these, virtual simulators are a promising tool and are becoming the standard when beginning endoscopic training, by offering a human-like endoscopy experience [1]. Simulation training in GI endoscopy offers various benefits including learning in a low-stakes environment, improvement of patient safety and optimization of valuable endoscopy time [2]. This simulation training is becoming more relevant, particularly during the COVID-19 era, as there is a general decrease in endoscopic training with real patients [3]. The primary goals of this narrative review are to evaluate the currently available literature on GI endoscopy simulation systems, especially on VR simulation training, to analyze the clinical outcomes of simulation in endoscopy, to gather evidence on simulation-based versus patient-based training in terms of performance and skill acquisition and, finally, to determine if simulation training is effective as a replacement of the conventional teaching method. We searched medical, educational, and computer literature databases for reviews of the simulation training in GI endoscopy and for randomized controlled trials that compared simulation training with no training or with conventional training.
Description
Trabalho Final do Curso de Mestrado Integrado em Medicina, Faculdade de Medicina, Universidade de Lisboa, 2021
Keywords
Endoscopia gastrointestinal Simuladores de endoscopia Gastroscopia Treino de simulação Realidade virtual Gastroenterologia