血管介入模拟器workshop联合案例教学法在神经介入教学实践中的效果评价  

Vascular interventional simulator workshop combined with case-based learning in the training of neurointervention: evaluation of teaching effect

作　　者：韩冰莎 冯光 李娇 栗艳茹 张磊 赵敬河 贺迎坤 李天晓 HAN Bingsha;FENG Guang;LI Jiao;LI Yanru;ZHANG Lei;ZHAO Jinghe;HE Yingkun;LI Tianxiao(ICU of Neurosurgery,Henan Provincial People’s Hospital,People's Hospital of Zhengzhou University,Zhengzhou,Henan Province 450003,China)

机构地区：[1]河南省人民医院(郑州大学人民医院,河南大学人民医院)神经外科,郑州450003 [2]河南省人民医院(郑州大学人民医院,河南大学人民医院)介入中心,郑州450003

出　　处：《介入放射学杂志》2021年第3期304-307,共4页Journal of Interventional Radiology

基　　金：河南大学研究生教育创新与质量提升计划项目(SYL10030302)。

摘　　要：目的分析血管介入模拟器workshop联合案例教学法(case-based learning,CBL)的综合教学模式在神经介入进修生带教中的应用效果。方法选取2018年至2019年在河南省人民医院进修的无神经介入手术经验的59名医师为研究对象,其中33名实验组学员采用CBL-血管介入模拟器-workshop三位一体教学模式进行培训,26名对照组学员采用传统模式(理论授课、操作示范、教师评价)进行培训。进修结束时通过神经介入基础理论与操作技能考核,以及培训效果与满意度问卷,评价临床带教模式的应用效果。结果实验组神经介入理论和技能考核的多个单项成绩和总分成绩均高于对照组,差异有统计学意义(P<0.05)。调查问卷显示实验组手术决策能力、病例评估能力、临床实践能力、知识掌握能力、手术熟练程度、教学法满意度方面均优于对照组,差异有统计学意义(P<0.05)。两组在手术入路穿刺单项考核成绩、提高学习兴趣和锻炼临床思维测评方面比较,差异无统计学意义(P>0.05)。结论CBL教学法结合模拟训练器workshop应用于神经介入带教表现出了良好的教学效果,有助于进修学员提升专业知识和手术操作技能,值得借鉴和推广。Objective To explore the teaching effect of the comprehensive teaching mode of vascular intervention simulator workshop combined with case-based learning(CBL)in training refresher physicians of neurointervention.Methods A total of 59 refresher physicians,who had no experience in neurointervention and studied in the Henan Provincial People’s Hospital of China during the period from 2018 to 2019,were selected as the subjects of study.Of the 59 refresher physicians,33(study group)received training with a trinity teaching mode,i.e.CBL-vascular intervention simulator-workshop combination teaching mode and 26(control group)received training with a traditional mode,i.e.theory teaching,operation demonstration,teacher evaluation.After completion of training,the assessment of basic theory and the operational skills of neurointervention,the training effectiveness and the satisfaction questionnaire were conducted to evaluate the effect of two kinds of clinical teaching mode.Results The multiple individual project scores and total scores of neurointervention theory and skills in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The questionnaire analysis showed that all the surgical decision-making ability,case-assessment ability,clinical practice ability,knowledge mastery level,surgical proficiency and satisfaction with teaching method in the study group were superior to those in the control group,and the differences were statistically significant(P<0.05).No statistically significant differences in the single assessment score of surgical approach puncturing,the improvement of subjective interest in learning and the clinical thinking assessment existed between the two groups(P>0.05).Conclusion The application of CBL-vascular intervention simulator-workshop combination teaching mode has excellent teaching effect in training neurointervention refresher physicians,which is helpful to enhance the refresher physicians’professional knowledge and surgical skill

关 键 词：CBL教学法 血管介入模拟器 WORKSHOP 神经介入教学 

分 类 号：R743[医药卫生—神经病学与精神病学]