摘要
目的:探讨采取进阶整合二段式腹腔镜模拟培训课程在外科住院医师规范化培训中的可行性及课程设计的合理性。方法:2019年12月至2021年12月于我院进行规范化培训的2019—2020级外科住院医师中开展进阶整合二段式腹腔镜模拟培训课程。课程分为2个阶段。一阶段BEST课程(best essential surgical technique train‐ing)采用达尔文^(■)腔镜培训系统、天堰^(■)腔镜培训系统、微创医疗^(■)3D腹腔镜以及简易模具进行培训。二阶段BEST PLUS课程采用一阶段培训系统及动物离体模型进行培训。采取问卷调查法(课前与课后问卷)对课程形式、课程使用模具、教师授课方式、课程时间安排、课程内容难度、课程培训效果和课程满意度等课程设置进行评价。结果:总共37位外科住院医师完成两阶段课程培训并完成调查问卷。对于课程设计安排的总体满意率为100%,认为一阶段课程显著提高临床水平的有32人(86.5%),认为二阶段课程对临床水平有显著提高的有35人(94.6%),认为一阶段课程对二阶段课程有显著帮助的有36人(97.3%)。结论:接受培训的外科住院医师课后对进阶整合二段式腹腔镜模拟培训课程的认可度高,该课程整体设计合理且可行,对于外科住院医师具有吸引力。
Objective To explore the feasibility and rationality of advanced integrated two‐stage laparoscopic simulation training course in standardized training of surgical residents.Methods From December 2019 to December2021,the advanced integrated two‐stage laparoscopic simulation training course was carried out among 2019—2020surgical residents who received standardized training in our hospital.The course was divided into two stages.In the first stage,BEST (best essential surgical technology training) course,adopted Darwin■ endoscopic training system,Tianyan■ endoscopic training system,Microport■ 3D laparoscopic training system and simple simulative models were used.The second stage,BEST PLUS course,same platform as that in BEST course and in vitro animal models were used.The questionnaire survey method (before and after class questionnaire) was adopted to evaluate the curriculum setting,such as curriculum form,simulators,teaching method,time arrangement,curriculum difficulty,training effect,curriculum satisfaction and so on.Results A total of 37 surgical residents completed the two‐stage course training and the questionnaire survey.The overall satisfaction rate with the curriculum setting was 100%.There were 32 residents (86.5%)thought that first stage training course could significantly improve their clinical skills,35 residents (94.6%) thought that second stage training course could significantly improve their clinical skills,and 36 resident (97.3%) thought that the first stage curriculum could significantly help them improve performance in the second stage curriculum.Conclusions The trainees had a high degree of recognition and satisfaction for the advanced integrated two‐stage laparoscopic simulation training course.The overall design of course was reasonable and feasible,and was attractive to trainees.
作者
张鲁阳
鞠萍
周雪亮
邵岩飞
吴超
王佳玉
孙晶
潘睿俊
蔡伟
ZHANG Luyang;JU Ping;ZHOU Xueliang;SHAO Yanfei;WU Chao;WANG Jiayu;SUN Jing;PAN Ruijun;CAI Wei(Department of General Surgery,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Shanghai Minimally Invasive Surgery Center,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Department of Surgery Teaching,Ruijin Clinical School,Shanghai Jiao Tong University,Shanghai 200025,China;Department of Nuclear Medicine,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Department of Medical Education,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Department of Medical Simulation Teaching,Ruijin Clinical School,Shanghai Jiao Tong University,Shanghai 200025,China)
出处
《外科理论与实践》
2024年第3期249-253,共5页
Journal of Surgery Concepts & Practice
基金
上海市科学技术委员会“科技创新行动计划”生物医药领域科技支撑项目(22S31904000)
上海市中西医结合学会医学工程专业委员会课题研究专项(YG202313)。
关键词
外科住院医师规范化培训
腹腔镜模拟教学
进阶整合二段式
Standardized training for surgical residents
Laparoscopic simulation training
Advanced integrated two stagecourse
