腔镜模拟器模块化训练在外科学腔镜技能教学中的应用  

Application and exploration of modular training using endoscopic simulator in the teaching of endoscopic skills in surgery

作　　者：郭青松[1] 罗佳[2] 黄 芮理[1] 陆玉华[1] Guo Qingsong;Luo Jia;Huang Yan;Rui Li;Lu Yuhua(Department of Hepatobiliary,Pancreatic and Splenic Surgery,Affiliated Hospital of Nantong University,Nantong 226001,China;Department of Clinical Medicine,Affiliated Hospital of Nantong University,Nantong 226001,China)

机构地区：[1]南通大学附属医院肝胆胰脾外科,226001 [2]南通大学附属医院临床药学部,226001

出　　处：《中华医学教育探索杂志》2021年第8期945-947,共3页Chinese Journal of Medical Education Research

基　　金：中国博士后科学基金面上项目(2019M661904);江苏省资助招收博士后研究人员项目(2019Z154);南通大学教学改革研究课题(2019B54)。

摘　　要：目的评估本科医学教育阶段使用腔镜模拟器实施技能模块化训练的教学效果。方法对2017届南通大学临床医学系学生在完成外科实践课的基本教学内容后增加了腔镜基础理论与基本操作的学习课程。实验组292名学生,运用腔镜模拟器实施技能模块化的训练方法;对照组114名学生,采用普通视频教学和器械操作练习。两组学生经相同学时训练后,以腔镜下间断缝合与打结作为技能考核标准进行评价。采用SPSS 19.0进行卡方检验。结果经过腔镜模拟器实施模块化训练的医学生腔镜技能考核优秀率与合格率分别为7.5%、42.8%,明显高于对照组的0%、11.4%;而不合格率实验组为49.7%,低于对照组的88.6%,差异有统计学意义(P<0.01)。结论腔镜模拟器下模块化训练有助于快速提高医学本科生的腔镜实践操作能力,能够缩短医学生将来走上临床后对于腔镜技术的学习曲线。Objective To explore how to carry out endoscopic skill training in undergraduate medical education and evaluate the teaching effect of modular skill training using endoscopic simulator.Methods After completing the basic teaching content of the surgical practice course,we added the learning course of the basic theory and basic operation of endoscopy to the students of Clinical Medicine Department from Nantong University.In the experimental group,292 students were trained by the modular training using the endoscopic simulator.The control group consisted of 114 students,who were treated with ordinary video teaching and instrument operation exercises.After the same class hours of training,the two groups of students were evaluated with intermittent suture and knotting under endoscope as the skill assessment criteria.The chi-square test was performed using SPSS 19.0.Results The excellent rate and qualified rate of the medical students after the modular training of the endoscopic simulator were 7.5% and 42.8% respectively,which were significantly higher than 0% and 11.4% of the control group,while the unqualified rate of the experimental group was 49.7%,which was also lower than 88.6% of the control group,with significant differences(P<0.01).Conclusion Modular training using endoscopic simulator helps the medical undergraduates to quickly increase the ability of endoscopic operation.And in the stage of undergraduate,medical education implementation of the training can shorten the learning curve of endoscopic skills for medical students after they enter clinical practice.

关 键 词：外科实践 腔镜技能 教学改革 模块化训练 

分 类 号：R-05[医药卫生]