妇产科学硕士研究生剖宫产手术分层递进式培训模式探讨  

Discussion on the Hierarchical and Progressive Training Mode of Cesarean Section Operation for Postgraduate Students in Obstetrics and Gynecology Department

作　　者：丁新[1] 侯磊[1] Ding Xin;Hou Lei(Department of Obstetrics,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing Maternal and Child Health Hospital,Beijing 100026,China;不详)

机构地区：[1]首都医科大学附属北京妇产医院北京妇幼保健院,北京市100026

出　　处：《中国病案》2024年第10期98-100,共3页Chinese Medical Record

基　　金：首都医科大学教育教学改革研究课题(2022JYY299)。

摘　　要：目的探索在妇产科学硕士研究生规范化培训过程中开展分层递进式剖宫产手术培训的效果与意义。方法培训对象为2022年8月1日至2023年2月28日某医院硕士研究生共43人,实验组25人,参加分层递进式剖宫产手术培训,培训内容包括剖宫产术理论授课、参加剖宫产技能培训,精准教学模拟培训及剖宫产的实体操作3个阶段。对照组为同一时期采用传统模式培训的18人,两组进行培训结果对比分析,并进行培训体验评价及满意度反馈。结果43名硕士研究生完成了全部培训,实验组剖宫产基本操作水平(95.84±1.25)显著高于对照组(91.83±2.36,P<0.05),实验组剖宫产手术时间(72.28±3.86)也显著低于对照组(73.83±6.71,P<0.05);实验组在6项培训体验评价中的“提高动手能力”、“增加手术操作中协作配合意识”等4项得分显著高于对照组,差异有统计学意义(P<0.05);实验组在6项培训满意度反馈中的“热心教学,并愿意花足够时间参与培训对象的教学”等3项得分显著高于对照组,有差异显著性(P<0.05)。结论在妇产科学专业硕士规范化培训过程中开展分层递进式剖宫产手术培训可有效提高培训质量,进而提升研究生剖宫产技术水平。Objective To investigate the value and significance of cesarean section training among postgraduates with hierarchical and progressive training mode.Methods Twenty-five resident postgraduates in Obstetrics and Gynecology Hospital underwent cesarean section training between August 1st,2022 and December 28th,2023,involving theories of operation,virtual simulation and operation on patients.The cesarean section skill of students was evaluated after training compared with those whom were taught by traditional manner(n=18),Questionnaire was used to evaluate the effectiveness of training.Results All the 25postgraduates completed the training,The exam scores(95.84±1.25)were significantly higher than those of control(91.83±2.36,P<0.05).The operative time(72.28±3.86)were significantly lower than those of control(73.83±6.71,P<0.05).In the questionnaire survey of training experience,the scores of experimental group was significant higher than the control group in 4 of 6dimensions.In the questionnaire survey of training evaluation,the scores of experimental group was significant higher than the control group in 3 of 6 dimensions.Conclusions In the process of standardized training for master of Obstetrics and Gynecology department,the training of hierarchical and progressive cesarean section operation could effectively improve the quality of training and enhance the technical level of cesarean section for graduate students.

关 键 词：住院医师规范化培训 妇产科 分层递进 模拟训练 

分 类 号：R-4[医药卫生] G643[文化科学—高等教育学]