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Successful Use of a Cadaver Model to Teach Ultrasound-Guided Breast Procedures to Surgical Trainees.
Huy, Tess C; Thompson, Carlie K; Deranteriassian, Aletta; Peacock, Warwick; Tillou, Areti; Baker, Jennifer L; Graham, Danielle S; Chang, Grace; Kapoor, Nimmi S.
Afiliação
  • Huy TC; Department of Surgery, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, California.
  • Thompson CK; Department of Surgery, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, California.
  • Deranteriassian A; Department of Surgery, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, California.
  • Peacock W; Department of Surgery, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, California.
  • Tillou A; Department of Surgery, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, California.
  • Baker JL; Department of Surgery, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, California.
  • Graham DS; Department of Surgery, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, California.
  • Chang G; Department of Surgery, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, California.
  • Kapoor NS; Department of Surgery, David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, California. Electronic address: nskapoor@mednet.ucla.edu.
J Surg Res ; 302: 274-280, 2024 Oct.
Article em En | MEDLINE | ID: mdl-39116826
ABSTRACT

INTRODUCTION:

In academic breast surgery, ultrasound use tends to be limited to radiology departments, thus formal surgical resident training in breast ultrasound is sparse. Building on residents' ultrasound skills in our general surgery training program, we developed a novel curriculum to teach ultrasound-guided breast procedures (UGBPs), including core needle biopsy (CNB) and wire localization (WL). We hypothesized that learning UGBPs on cadavers would be preferred to learning with a breast phantom model using chicken breasts.

METHODS:

Residents received a 1-h lecture on breast CNB and WL followed by a 1-h hands-on laboratory session. Olives stuffed with red pimentos were used to replicate breast masses and implanted in chicken breasts and the breasts of lightly embalmed and unembalmed female cadavers. All residents practiced UGBPs with a course instructor on both models. Residents completed anonymous prelaboratory and postlaboratory surveys utilizing five-point Likert scales.

RESULTS:

A total of 35 trainees participated in the didactics; all completed the prelaboratory survey and 28 completed the postlaboratory survey. Participant clinical year ranged from 1 to 6. Residents' confidence in describing and performing CNBs and WLs increased significantly on postlaboratory surveys, controlling for clinical year (P < 0.001). Eighty-point seven percent preferred learning UGBPs on cadavers over phantoms most commonly citing that the cadaver was more realistic.

CONCLUSIONS:

Following a novel 2-h UGBP training curriculum using phantom and cadaveric models, resident confidence in describing and performing UGBPs significantly improved. Most favored the cadaveric model and reported that the course prepared them for real-life procedures.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cadáver / Internato e Residência Limite: Animals / Female / Humans Idioma: En Revista: J Surg Res Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cadáver / Internato e Residência Limite: Animals / Female / Humans Idioma: En Revista: J Surg Res Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos