动物在体心脏传导系统标测技术的研究生教学新模式探索  

A Novel Model for in-vivo Training of Postgraduates on Cardiac Electrical Conduction System Mapping Skills

作　　者：王小康 赵若瑾 吕昀徽 岳广新 刘尚雨 贺婷 彭鹏 孟亮 李巨波[1] 张宝杰 申晨 崔永春[1] 王欣[1,2] WANG Xiaokang;ZHAO Ruojin;LÜYunhui;YUE Guangxin;LIU Shangyu;HE Ting;PENG Peng;MENG Liang;LI Jubo;ZHANG Baojie;SHEN Chen;CUI Yongchun;WANG Xin(Beijing Municipal Key Laboratory for Pre-clinical Evaluation of Cardiovascular Implantation Devices,Animal Experimental Center,State Key Laboratory of Cardiovascular Disease,National Center for Cardiovascular Diseases,Fuwai Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 102800,China;Cardiac Surgery Center,State Key Laboratory of Cardiovascular Disease,National Center for Cardiovascular Diseases,Fuwai Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100037,China;Arrhythmia Center,State Key Laboratory of Cardiovascular Disease,National Center for Cardiovascular Diseases,Fuwai Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100037,China)

机构地区：[1]北京协和医学院,中国医学科学院阜外医院,国家心血管病中心,心血管疾病国家重点实验室,心血管植入材料临床前研究评价北京市重点实验室,动物实验中心,北京102800 [2]北京协和医学院,中国医学科学院阜外医院,国家心血管病中心,心血管疾病国家重点实验室,心脏外科中心,北京100037 [3]北京协和医学院,中国医学科学院阜外医院,国家心血管病中心,心血管疾病国家重点实验室,心律失常中心,北京100037

出　　处：《实验动物与比较医学》2022年第5期466-471,共6页Laboratory Animal and Comparative Medicine

基　　金：北京协和医学院研究生教育教学改革项目“心血管外科研究生课程教育盲点——心脏传导系统解剖”(10023201800203/2018E-JG04)。

摘　　要：目的探索一种“理论授课-实体操作-5WHYs分析-针对性强化训练-考核”(STIM)临床技能教学新模式。方法10名教育背景和技术水平相当的心血管专业研究生,分别接受STIM模式(n=5)和传统“理论-操作-考核”(TPT,n=5)模式心脏传导系统解剖及电生理标测专项技术教学,通过比较两组学生的考核成绩,对两种教育模式的教学效果进行评价。结果与TPT组比较,STIM组学生对心脏传导系统解剖位置和结构的理论知识掌握更加扎实,电解剖图、电压图、电激动图和电传导图的构建和解读更快,且准确度更高。结论STIM教学模式能够有效提升研究生临床基本手术技能,调动学生学习的主动性,是一种值得心血管专业研究生教学中广泛推广的专项技能强化教学模式。Objective StandardizationTo explore a novel special technique intensive mode(STIM) of teaching cardiac conduction system mapping skills. This method includes theoretical lecture, in vivo operation, 5-whys methods of analyses, intensive-problem oriented trainings, and assessments. Methods Ten postgraduates majoring in cardiology who have equivalent education backgrounds and technical levels were randomly divided into two groups(n=5 per group). All participants underwent a skill training on cardiac electrophysiology mapping, with one group training under the STIM and the other group under the traditional "theory-practice-test"(TPT) mode. The effect of these two educational techniques were evaluated at the end of the training. Results Postgraduates in the STIM group had a more solid grasp of the anatomical position and structure of the cardiac conduction system than those in the TPT group. During in-vivo operation, the students in the STIM group reconstructed and interpreted the electroanatomical maps, voltage maps, electric excitation maps, and electric conduction maps more accurately and quickly than those in the TPT group. Conclusion The STIM teaching mode more effectively improved the basic surgical skills of postgraduates, stimulated the students’ learning initiative, and improved the quality of education. STIM is a kind of intensive teaching mode of special skills, and is worth widely implementing in the education of postgraduates majoring in cardiovascular diseases.

关 键 词：心血管外科 动物实验 研究生 教学模式 心脏传导系统 

分 类 号：R-332[医药卫生] Q95-33[生物学—动物学]