کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4278327 1611490 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Interdisciplinary cognitive task analysis: a strategy to develop a comprehensive endoscopic retrograde cholangiopancreatography protocol for use in fellowship training
ترجمه فارسی عنوان
تجزیه و تحلیل وظیفه شناختی میان رشته ای: یک استراتژی برای ایجاد یک پروتکل جامع آندوسکوپی انتگرال کولنگیوپانکراپوگرافی برای استفاده در آموزش همکاری
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundEndoscopic retrograde cholangiopancreatography is a challenging procedure performed by surgeons and gastroenterologists. We employed cognitive task analysis to identify steps and decision points for this procedure.MethodsStandardized interviews were conducted with expert gastroenterologists (7) and surgeons (4) from 4 institutions. A procedural step and cognitive decision point protocol was created from audio-taped transcriptions and was refined by 5 additional surgeons.ResultsConceptual elements, sequential actions, and decision points were iterated for 5 tasks: patient preparation, duodenal intubation, selective cannulation, imaging interpretation with related therapeutic intervention, and complication management. A total of 180 steps were identified. Gastroenterologists identified 34 steps not identified by surgeons, and surgeons identified 20 steps not identified by gastroenterologists.ConclusionThe findings suggest that for complex procedures performed by diverse practitioners, more experts may help delineate distinctive emphases differentiated by training background and type of practice.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 210, Issue 4, October 2015, Pages 710–714
نویسندگان
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