膝关节镜手术训练模拟系统在中医骨伤规培学员临床教学中的应用  

Application of knee arthroscopic operation training simulation system in clinical teaching of orthopedics of traditional Chinese medicine training students

作　　者：李远栋[1] 赵奕暄 刘爱峰[1] 王平[1] Li Yuandong;Zhao Yixuan;Liu Aifeng;Wang Ping(Department of Orthopedics and Traumatology,First Teaching Hospital of Tianjin University of Traditional Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300381,China)

机构地区：[1]天津中医药大学第一附属医院骨伤科,国家中医针灸临床医学研究中心,天津300381

出　　处：《国际生物医学工程杂志》2024年第3期263-267,共5页International Journal of Biomedical Engineering

基　　金：天津市高等学校研究生教育改革研究计划(TJYG020);天津中医药大学第一附属医院教育教学改革研究课题(JX2023009);天津市教育工作重点调研课题(JYDY-20241036)。

摘　　要：目的探讨膝关节镜手术训练模拟系统在中医骨伤科学住院医师规范化培训(规培)学员临床教学中的应用效果。方法选择2023年1~9月在天津中医药大学第一附属医院骨伤科规培学员40例,按随机数字表法分为对照组(n=20)与试验组(n=20)。对照组采用"PPT讲解+播放视频"教学;试验组采用膝关节镜手术训练模拟系统教学。两组均由同一名指定教师教学,两组均于每周进行2学时教学,共计2周。教学结束后,记录两组规培学员教学前后理论知识考试成绩、有关教学内容掌握情况的问卷调查结果及对教学方法评价的问卷调查结果,并进行组间比较。结果在理论知识考试成绩方面,两组规培学员的初始考试成绩差异无统计学意义(P>0.05),试验组在终末考试成绩及考试成绩改善率方面均高于对照组(均P<0.05)。在有关教学内容掌握情况方面,试验组在教学方式是否有益于膝关节解剖学、影像学、手术操作过程的学习3个方面均高于对照组(均P<0.05),教学方式是否有益于手术适应证选择的学习方面,两组评分比较差异无统计学意义(P>0.05);在对教学方法评价方面,两组教学参与度评分比较差异无统计学意义(P>0.05),试验组在教学趣味性、教学有效性、教学理解性、学习主动性、教学课程评价及课程满意度6个方面评分均高于对照组(均P<0.05)。结论采用膝关节镜手术训练模拟操作系统教学可以显著提高中医骨伤规培学员的理论知识考试成绩,并有益于临床教学内容的掌握及提高临床教学满意度。ObjectiveTo explore the effect of knee arthroscopic operation training simulation system in clinical teaching of traditional Chinese medicine osteomatology resident doctor standardized training students.MethodsA total of 40 trainees were selected in Department of Orthopedics and Traumatology of the First Affiliated Hospital of Tianjin University of Chinese Medicine from January 2023 to September 2023.The trainees were divided into an experimental group and a control group according to the random number table method,with 20 in each group.Trainees in the control group was taught by presentations and video demonstrations.Trainees in the experimental group was taught by knee arthroscopic operation training simulation system.Trainees in each group were taught by a same teacher for a total of 2 weeks,with 2 class hours per week.After the teaching,the results of the assessment of theoretical knowledge,the results of the questionnaire survey on the mastery of teaching content and the results of the questionnaire survey on the evaluation of teaching methods were recorded.Then compared the results between the two groups.ResultsCompared with the control group,there was no significant difference in the initial theoretical assessment scores between the two groups(P>0.05).The improvement rate of the test group was higher than that of the control group,with statistical significance(P<0.05).In terms of the mastery of teaching content,the experimental group was higher than the control group in three aspects:whether the teaching method was beneficial to the study of knee anatomy,imaging and surgical procedure,the difference was statistically significant(P<0.05);whether the teaching method was beneficial to the study of the selection of surgical indications,there was no statistically significant difference between the two groups(P>0.05).In the evaluation of teaching methods,there was no significant difference in the scores of teaching participation between the two groups(P>0.05),and the scores of the experimental group in six aspec

关 键 词：临床教学 膝关节镜手术训练模拟系统 住院医师规范化培训 中医骨伤科 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]