肩关节镜手术实操在骨科专科医师培训中的应用价值探索  

Application value of shoulder arthroscopy operation in orthopedic specialist physician training

作　　者：孙雪武 施培华[1] SUN Xuewu;SHI Peihua(Department of Orthopedics,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院骨科,浙江杭州310016

出　　处：《全科医学临床与教育》2024年第8期722-724,共3页Clinical Education of General Practice

基　　金：国家自然科学基金面上项目(82271604)。

摘　　要：目的探究肩关节镜手术实操在骨科专科医师培训中的应用价值。方法随机招募2021年8月至2023年7月在浙江大学医学院附属邵逸夫医院骨科参加骨科医师规范化培训的学员作为研究对象,随机分成实验组和对照组。以肩袖损伤为教学内容,所有对象在入组前均接受2 h的理论学习。实验组采用全程参与肩关节镜手术的教学,对照组采用播放手术录像的方式教学。比较两组学员的课外学习时长、考核成绩和教学满意度。结果实验组的课外自主学习时长≥5 h比例、手术记录考核优秀率明显高于对照组,差异有统计学意义(χ^(2)分别=10.99、9.23,P均<0.05),理论考核成绩明显高于对照组,差异有统计学意义(t=2.66,P<0.05)。同时实验组的教学满意度明显高于对照组(t=2.62,P<0.05)。结论采用肩关节镜手术实操培训是提高骨科专科学员学习积极性、提升骨科专科培训效果的实用手段。Objective To explore the application value of shoulder arthroscopy surgery in the training of orthopedic specialist physicians.Methods Totally 40 students were randomly recruited who participated in the standardized orthopedic physician training at Sir Run Run Shaw Hospital,Zhejiang University School of Medicine from August 2021 to July 2023 as the research subjects,and were randomly divided into an experimental group and a control group.The rotator cuff injury as the teaching content.Prior to enrollment,all subjects underwent 2 hours of theoretical learning.The experimental group participated in the whole process of shoulder arthroscopy surgery,while the control group was taught by watching surgical videos.The differences in the extracurricular study time,examination scores,and teaching satisfaction between the two groups of students were compared.Results The proportion of extracurricular self-directed learning time≥5 hours and the excellent rate of surgical record assessment in the experimental group were significantly higher than those in the control group(χ^(2)=10.99,9.23,P<0.05).The theoretical assessment scores were significantly higher than those in the control group(t=2.66,P<0.05).At the same time,the teaching satisfaction of the experimental group was significantly higher than that of the control group(t=2.62,P<0.05).Conclusion Utilizing hands-on shoulder arthroscopy surgery training is a practical approach to enhance the learning motivation of orthopedic specialist students and improve the effectiveness of orthopedic specialist training.

关 键 词：肩关节镜 专科培训 肩袖损伤 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]