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| Indexado |
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| DOI | 10.1016/J.RECOT.2025.02.021 | ||
| Año | 2025 | ||
| Tipo |
Citas Totales
Autores Afiliación Chile
Instituciones Chile
% Participación
Internacional
Autores
Afiliación Extranjera
Instituciones
Extranjeras
Purpose: Complications from cast removal are infrequent but can cause permanent skin sequelae. Formal training in cast removal is limited during residency. This study aimed to develop a plaster cast removal simulation model for resident training. Methods: Quasiexperimental study. A pediatric forearm phantom with temperature sensors was designed to simulate forearm cast removal. Six first-year orthopedic residents with no prior cast removal experience and two experts were evaluated. The residents underwent an initial evaluation, followed by an instruction session, and a final evaluation. Performance was assessed using a specific ratings scale (SRS), the Objective Structured Assessment of Technical Skills (OSATS) guideline, procedure time, and temperature measurement. Median scores with ranges were reported, and pre- and posttraining performances were compared using the Wilcoxon test. Experts scores were compared with resident scores using the Mann–Whitney test. The statistical significance was set at p < 0.05. Results: Significant improvements in OSATS [(pre 22 points (range: 20–24); posttraining 25 (range: 25–28) (p = 0.03)] and SRS [pre 8.5 points (range: 7–9); post 10 points (range: 8–10) (p = 0.02)] were observed. No differences were found in temperature (p = 0.50) and procedure time (p = 0.09). When comparing residents’ post-training scores with those of experts, no significant differences were found in OSATS (p = 0.16), SRS (p = 0.11), temperature measurement (p = 0.50), or procedure time (p = 0.09). Conclusions: The plaster cast removal simulation model proved to be an effective training tool for residents, enabling them to achieve expert-level competency. Significant improvements were observed in OSATS and SRS scores post-training, highlighting the positive impact of the intervention on this skill.
| Ord. | Autor | Género | Institución - País |
|---|---|---|---|
| 1 | Moller-Macherone, F. | - |
Pontificia Universidad Católica de Chile - Chile
Hospital Dr Sotero del Rio - Chile |
| 2 | Lobos-Urbina, M. | - |
Pontificia Universidad Católica de Chile - Chile
Hospital Regional de Iquique Dr. Ernesto Torres Galdames - Chile |
| 3 | Cañete-Campos, I. | - |
Pontificia Universidad Católica de Chile - Chile
Hospital Dr Sotero del Rio - Chile |
| 4 | Vidal-Olate, C. | - |
Pontificia Universidad Católica de Chile - Chile
|
| 5 | Hodgson-Ovalle, F. | - |
Pontificia Universidad Católica de Chile - Chile
Hospital Dr Sotero del Rio - Chile |
| 6 | Murati-Carrasco, P. | - |
Pontificia Universidad Católica de Chile - Chile
Hospital Dr Sotero del Rio - Chile |
| 7 | Ibañez-León, M. A. | - |
Pontificia Universidad Católica de Chile - Chile
|
| 8 | Figueroa-Gatica, M. J. | - |
Pontificia Universidad Católica de Chile - Chile
Hospital Dr Sotero del Rio - Chile |