以问题为导向联合线上学习模式在缺血性脑血管病专业进修中的应用分析  

Application analysis of advanced training in ischemic stroke based on problem-based learning with online learning

作　　者：杨斌[1] 马妍[1] 焦力群[1] Yang Bin;Ma Yan;Jiao Liqun(Department of Neurosurgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院神经外科,北京100053

出　　处：《中国脑血管病杂志》2024年第2期102-108,共7页Chinese Journal of Cerebrovascular Diseases

摘　　要：目的探讨以问题为导向联合线上学习模式相比于非问题为导向的线下学习模式在缺血性脑血管病专业进修中的可行性及有效性。方法采取问卷调查法对2017年1月至2023年1月在首都医科大学宣武医院介入放射中心接受过系统培训的152名进修医师进行回访。根据进修时间以及学习模式的不同,将2017年1月至2020年1月进修方式为非问题为导向的线下学习模式的进修医师纳入非问题为导向组,将2020年2月至2023年1月进修方式为以问题为导向联合线上学习模式的进修医师纳入以问题为导向组。于培训结束时以及结束2个月后进行问卷调查。问卷内容包括:进修医师的性别、年龄,参与培训前已有的工作年限,参加进修培训的目的,培训时长,对培训的感受、建议和意见,培训结束后是否开展新手术(主要包括颅内外动脉支架置入术、颈动脉内膜切除术、杂交手术、动脉旁路移植术、急诊取栓术或其他)和培训结束后开展的新手术数量。结果(1)共发放问卷调查表152份,参与问卷调查并完成反馈者136名,其中4份问卷填写不全或填写错误,排除无效问卷后,剩余有效问卷调查表共132份,回收率和有效应答率分别为89.5%和97.1%。参与培训时,进修医师的年龄为25~44岁,平均(34±4)岁。医师的工作年限分布不等,>10年者占22.7%(30/132),>5~10年者占40.9%(54/132),0~5年者占36.4%(48/132)。不同工作年限者间是否开展新手术的比例差异有统计学意义(χ^(2)=2.501,P=0.012)。(2)参与以问题为导向和非问题为导向两种培训模式的人数分别为70人和62人。以问题为导向组中,希望通过培训学习新技术和提高手术能力的进修医师占88.6%(62/70),而在非问题为导向组中,该比例为87.1%(54/62),两组进修医师的进修培训目的差异无统计学意义(χ^(2)=0.067,P=0.796)。对培训体会进行分析显示,认为现有的培训形式合理和内容较为充实的�Objective To explore the feasibility and effectiveness of problem-based online learning model compared with non-problem-based learning model in terms of training methods and training effects in the ischemic stroke discipline.Methods From January 2017 to January 2023,152 physicians who had received systematic training in Interventional Radiology Center of Xuanwu Hospital,Capital Medical University were interviewed by questionnaire.Due to the different training time,the training mode was non-problem-based from January 2017 to January 2020,and the training model of problem-based online learning model was performed from February 2020 to January 2023.Questionnaires were conducted at the end of the training and 2 months after the training.The questionnaire includes:the gender and age of the trainee doctor,the working years before participating in the training,the purpose of participating in the training,the length of the training,the feelings,suggestions and opinions on the training,whether new procedures were performed after the training and the number of procedures performed after the training(mainly including intracranial and extracranial arterial stenting,carotid endarterectomy,hybrid surgery,arterial bypass surgery,mechanical thrombectomy,or others).Results(1)A total of 152 questionnaires were sent out,136 physicians participated in the questionnaire survey and completed the feedback,among which 4 questionnaires were incomplete or incorrectly filled in.After excluding the invalid questionnaires,a total of 132 valid questionnaires remained.The recovery rate and effective response rate of this questionnaire were 89.5%and 97.1%,respectively.When participating in the training,the age of studying physicians ranged from 25 to 44 years old,and the average age was(34±4)years old.The working years of doctors were 22.7%(30/132)for>10 years,40.9%(54/132)for>5-10 years and 36.4%(48/132)for 0-5 years.There was significant difference in the proportion of new operation among different working years(χ^(2)=2.501,P=0.012).(2)The

关 键 词：缺血性卒中 缺血性脑血管病 以问题为导向 培训模式 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]