摘要
目的探究基于学习金字塔模型理论的短期半浸入式教学培训对提高消化内镜医师识别早期胃癌(早癌)能力的效果。方法从本中心随机选取30名消化进修医生作为培训学员,进行4周的半浸入式培训。培训前、理论课后和培训4周后分别测试培训学员识别早癌能力,比较测试的正确率。结果培训前、理论课后及培训4周后测试正确率分别为44.58%±16.39%、48.54%±16.95%和68.75%±12.06%,培训4周后测试正确率高于培训前及理论课后(P<0.001),理论课后测试正确率高于培训前(P<0.05)。按既往胃镜检查例数分组时,培训前及理论课后,高经验组测试正确率均高于低经验组(P<0.01),培训4周后两组测试正确率相当;随着培训时间的延长,测试正确率逐渐升高(P<0.001);且分组与培训时间间存在交互作用(P<0.001)。相关性分析时,既往胃镜检查例数与培训前、理论课后测试正确率均呈正相关(r=0.668,P<0.001;r=0.581,P<0.01)。结论基于学习金字塔模型理论的半浸入式培训可有效提高消化内镜医师识别早癌能力。
Objective To explore the effect of short-term semi-immersion teaching and training based on the learning pyramid model to improve the capacity building of to find early gastric cancer by digestive endoscope physicians.Methods Thirty digestive refresher doctors were randomly selected from our center for 4-week semi-immersion training.The capacity of the trainees to recognize early gastric cancer was tested before and after 4 weeks of training,and the accuracy of the test was compared.Results The accuracy of the test before training,after theoreticallesson and after 4 weeks of training were 44.58%±16.39%,48.54%±16.95%and 68.75%±12.06%respectively.The test accuracy after theory lesson plus 4 weeks of training was higher than that before training and after only theoretical lesson(P<0.001).The test accuracy after theoretical lesson was higher than that before the training(P<0.05).When grouping by the number of cases in previous gastroscopy,no matter before training or after theoretical lesson,the test accuracy with experience in testing was higher than group with less experience.However,the test accuracy of the two groups almost reached a same level after 4 weeks of training(P<0.01).With the extension of training time,the test accuracy gradually increased(P<0.001).There was an interaction between grouping and training time(P<0.001).In the correlation analysis,the number of cases of the previous gastroscopy performance was positively correlated with the test accuracy before training and after theoretical lesson(r=0.668,<0.001,r=0.581,P<0.01).Conclusions Semi-immersion training guided by the learning pyramid model can effectively improve the capacity of digestive endoscope physicians to recognize early gastric cancer.
作者
陈希
庞海玉
秦春迪
郭元红
杨爱明
赖雅敏
CHEN Xi;PANG Hai-yu;QIN Chun-di;GUO Yuan-hong;YANG Ai-ming;LAI Ya-min(Department of Gastroenterology,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730;Medical Science Research Center, Peking Union Medical College Hospital,CAMS & PUMC,Beijing 100730;Department of Gastroenterology, the Second Hospital of Heilongjiang Province,Harbin 150010;Department of Gastroenterology, Chengdu Fifth People's Hospital, Chengdu 611130, China)
出处
《基础医学与临床》
2022年第4期696-700,共5页
Basic and Clinical Medicine
关键词
识别早期胃癌能力
学习金字塔模型理论
半浸入式教学培训
diagnosis capacity of early gastric cancer
learning pyramid model theory
semi-immersion teaching training
