缺血性脑血管病神经介入治疗的阶段式目标教学法  

Staged target teaching method of neural interventional therapy for ischemic cerebrovascular disease

作　　者：焦力群[1] 高鹏[1] 宋庆斌[1] 牛香美[1] 宋刚[1] 凌锋[1] 

机构地区：[1]首都医科大学宣武医院介入放射科,北京100053

出　　处：《中国脑血管病杂志》2015年第8期435-438,共4页Chinese Journal of Cerebrovascular Diseases

基　　金：国家十二五科技支撑计划(2011BAI08B00);北京市首发基金(首发2014-2-2012);国家卫计委脑防委继续教育项目

摘　　要：目的采用阶段式目标教学法加强对神经介入医师的培训效果。方法 2012年3月至2015年3月,首都医科大学宣武医院介入放射科共培训39名来自全国各地的医师,培训方法为将1年的进修期按每3个月划分为4个阶段,并将学习内容分阶段进行重点教学并设置目标,使其具有明确的目的性。进修医师期满回到原工作单位后6、12个月,分别发放调查问卷,以获得进修医师独立工作的情况。结果 39名医师从理论到实际操作均达到预期目标,掌握缺血性脑血管病的整体化治疗原则,熟悉并掌握全脑DSA和支架置入等技术。至第四阶段,每名医师作为术者至少完成5例颅外段动脉支架置入。进修结束后回收的调查问卷显示,95.8%(23/24)的医师能够独立开展全脑DSA,并保持≥5例/月的数量;87.5%(21/24)的医师能够独立完成支架置入(1例/月)。结论阶段式目标教学法是神经介入专项技术培训实用、有效的教学手段。Objective To strengthen the training effect of the neuro-interventional surgeons using staged target teaching method. Methods A total of 39 neurosurgeons from all over the country were trained at the Department of Interventional Radiology, Xuanwu Hospital, Capital Medical University from March 2012 to March 2013. In the one-year training period,the training was divided into 4 stages （each stage for 3 months）. All the learning contents were phased to focus on teaching and set the target at each stage,which had a clear purpose. Questionnaires were sent to the refresher doctors at 6 months and 12 months after they returned to their original work in order to obtain the conditions about their independent work after training. Results All the 39 neurosurgeons achieved their desired goal from theory to practical operation. They mastered the holistic treatment principles of ischemic cerebrovascular disease and were familiar with and mastered the whole brain DSA and stenting techniques. At the fourth stage, as an operator, everyone had finished at least 5 extracranial artery stentings. The recovered questionnaires after the end of training showed that 95.8% （23/24） neurosurgeons were able to perform whole brain DSA independently and held ≥ 5 surgeries monthly ; 87.5 % （ 21/24 ） neurosurgeons could complete stenting independently （ 1 patient/month）. Conclusion The staged target teaching method is a practical and effective teaching means for special technical training of neurointervention.

关 键 词：脑缺血 神经介入 目标教学法 

分 类 号：R-4[医药卫生] G642[文化科学—高等教育学]