外科住院医师应用动物离体器官训练效果分析  

Analysis of the training effect of surgical resident physicians using animal organs in vitro

作　　者：郑见宝[1] 朱国栋[2] 柏宏亮[3] 刘昌[4] 齐学进[5] 柳琪林[5] 韩一哲 刘华胜[6] Zheng Jianbao;Zhu Guodong;Bai Hongliang;Liu Chang;Qi Xuejin;Liu Qilin;Han Yizhe;Liu Huasheng(Department of General Surgery,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,Shaanxi,China;Department of Urology Surgery,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,Shaanxi,China;Department of Clinical Skills Center,The First Affiliated Hospital of Xi’an Jiaotong University,Xi'an 710061,Shaanxi,China;Department of Hepatobiliary Pancreatic and Liver Transplantation Surgery,the Second Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710004,Shaanxi,China;Chinese Medical Doctor Association,Beijing 100073,China;Department of Hematology,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,Shaanxi,China)

机构地区：[1]西安交通大学第一附属医院普通外科,陕西西安710061 [2]西安交通大学第一附属医院泌尿外科,陕西西安710061 [3]西安交通大学第一附属医院临床技能中心,陕西西安710061 [4]西安交通大学第二附属医院肝胆胰与肝移植外科,陕西西安710004 [5]中国医师协会,北京100073 [6]西安交通大学第一附属医院血液内科,陕西西安710061

出　　处：《中国毕业后医学教育》2024年第9期682-686,共5页Chinese Journal of Graduate Medical Education

基　　金：陕西高等教育教学改革研究项目(19BY006);西安交通大学第一附属医院院级教学研究改革项目(JG2020-0205,JG20190205);2023年陕西省学位与研究生教育研究项目(SXGERC2023014)。

摘　　要：目的探讨外科住院医师应用动物离体器官训练效果。方法以西安交通大学第一附属医院2019级外科(23名)和泌尿外科(6名)两个专业的29名住院医师作为研究对象,分为三组,包括开腹阑尾切除术组(13名)、腹腔镜阑尾切除术组(10名)和腹腔镜肾囊肿去顶减压术组(6名)。动物离体器官训练分为通用训练和术式训练。培训前,对住院医师进行各训练项目的操作能力测评。培训后对动物离体器官通用训练和术式训练均进行评分考核。并对29名住院医师进行问卷调查。结果29名住院医师均顺利完成训练及考核。经过动物离体器官通用训练,住院医师的通用训练成绩均有明显的提升(P<0.01)。开腹阑尾切除术组培训前考核合格率为10.26%,培训后合格率为94.87%;腹腔镜阑尾切除术组培训前考核合格率为5.56%,培训后合格率为46.67%;腹腔镜肾囊肿去顶减压术组培训前考核合格率为21.43%,培训后合格率为69.05%。三组住院医师培训后合格率均显著提高(P<0.01)。问卷调查结果显示,动物离体器官训练效果得到大多数参加培训的住院医师认可。结论动物离体器官训练可有效提高住院医师三种术式的操作技能,是提高住院医师临床实践技能的快速、有效方法。Objective To explore the effect of in vitro organ training for surgical residents.Methods A total of 29 resident training doctors(23 in surgery and 6 in urology)majored in the surgery and urology in our hospital in 2019 were selected as the research subjects.These resident doctors were divided into three groups:open appendectomy group(13 doctors),laparoscopic appendectomy group(10 doctors),and laparoscopic renal cyst decapitation decompression group(6 doctors).Animal in vitro organ training included general training and surgical training.Before the start of each training program,resident doctors conducted operational ability assessments for each training program.After the training,both the general training and surgical training of animal organs in vitro were graded and assessed.All doctors received the recognition questionnaire survey.Results All 29 resident doctors successfully completed their training and assessment.After general training of animal organs in vitro,the performance of resident doctors in general training was significantly improved(P<0.01).The passing rate of the pre-training assessment in the open appendectomy group was only 10.26%,and the passing rate after training was 94.87%;the passing rate of pre-training assessment in the laparoscopic appendectomy group was only 5.56%,and the passing rate after training was 46.67%;the passing rate of the pre-training assessment in the laparoscopic renal cyst decapitation decompression group was only 21.43%,and the passing rate after training was 69.05%.The passing rates in the three groups of trainees increased significantly after training(P<0.01).The questionnaire survey showed that the effect of animal organ training in vitro was recognized by the vast majority of resident doctors participating in the training.Conclusion Animal in vitro organ training can effectively improve the operational skills of resident doctors in the three modus operations,and is a fast and effective method to improve their clinical practice skills.

关 键 词：住院医师规范化培训 外科 动物离体器官训练 培训效果 

分 类 号：G40-034[文化科学—教育学原理] R6[文化科学—教育学]