骨髓穿刺及活检术教学视频在血液内科住培教学中的应用  

The Application of Bone Marrow Puncture and Biopsy Teaching Video in the Residential Training Teaching of Hematology Department

作　　者：陈曦 杜鹃 CHEN Xi;DU Juan(Department of Hematology,the Second Affiliated Hospital of Naval Medical University,Shanghai 200003,China)

机构地区：[1]海军军医大学第二附属医院血液病科,上海200003

出　　处：《中国继续医学教育》2024年第5期134-139,共6页China Continuing Medical Education

摘　　要：目的 探讨骨髓穿刺及骨髓活检术教学视频在住院医师规范化培训(简称“住培”)血液内科轮转教学中的应用效果。方法 选取2020年1月—2022年12月在海军军医大学第二附属医院血液内科参与轮转住培住院医生36名,将其随机分为试验组和对照组,各18名。试验组统一接受骨髓穿刺及骨髓活检术视频教学,视频结合图文注释、标准化模型展示、全真模拟操作等方式进行教学。同时,对照组则采用传统的幻灯和面授讲解方式教学。课程结束后,进行骨髓穿刺术和骨髓活检术的考核。通过调查问卷完成授课教员和住院医师之间的双向评估,并收集住院医师对教学视频的满意度。结果 试验组骨髓穿刺、骨髓活检术技能考核得分均高于对照组,差异有统计学意义(P<0.001)。试验组授课教员的操作指导、临床水平和工作态度量化得分均高于对照组,差异有统计学意义(P <0.001)。试验组学员的实践水平以及临床思维考核量化得分均高于对照组,差异有统计学意义(P<0.001)。全体学员一致认为该教学视频可以帮助提高学习兴趣并提升培训的质量。结论 视频教学模式能切实帮助学员掌握操作技能,提高学习兴趣和考核成绩,提升培训质量。Objective The purpose of this study is to explore the application of teaching videos on bone marrow puncture and biopsy in the standardized training of residents in the rotating teaching of hematology.Methods A total of 36resident doctors who participated in rotating residential training in the department of hematology,the Second Affiliated Hospital of Naval Medical University from January 2020 to December 2022 were selected and randomly divided into experimental group and control group,with 18 resident physician in each group.The experimental group received the video teaching of bone marrow puncture and bone marrow biopsy,and the video was taught in combination with graphic annotation,standardized model display,full simulation operation,etc.Meanwhile,the control group was taught by traditional slide show and face-to-face lecture.At the end of the course,the assessment of bone marrow puncture and bone marrow biopsy was performed.The questionnaire was used to complete the twoway assessment between the teaching instructor and the residents,and the residents' satisfaction with the teaching video was collected.Results The test scores of bone marrow aspiration and bone marrow biopsy in experimental groups were higher than those in control group,and the difference was statistically significant(P<0.001).The scores of operation guidance,clinical level and work attitude of teachers in experimental group were higher than those in control group,and the differences were statistically significant(P<0.001).The practical level and quantitative scores of clinical thinking assessment of the experimental group were higher than those of the control group,and the difference was statistically significant(P<0.001).All participants agreed that the video helped to increase interest in learning and improve the quality of the training.Conclusion The video teaching mode can effectively help resident physicians master operational skills,improve the learning interest and assessment results of standardized training students,and greatly improv

关 键 词：骨髓穿刺术 骨髓活检术 血液内科 规范化培训 视频教学 培训质量 

分 类 号：G642[文化科学—高等教育学]