并轨培养模式下门诊超声教学对专业学位研究生血管外科手术胜任力培养的应用  

Application of outpatient ultrasound teaching in the cultivation of surgery competency of professional degree students in vascular surgery department under parallel training mode

作　　者：吴劲进 楼炎波 朱越锋 WU Jingjin;LOU Yanbo;ZHU Yuefeng(Department of General Surgery,the Fourth Affiliated Hospital of School of Medicine,and International School of Medicine,International Institutes of Medicine,Zhejiang University,Yiwu 322000,China)

机构地区：[1]浙江大学医学院附属第四医院,国际医学院,国际健康医学研究院,普外科,浙江义乌322000 [2]浙江大学医学院附属邵逸夫医院血管外科

出　　处：《全科医学临床与教育》2025年第2期147-150,171,共5页Clinical Education of General Practice

基　　金：浙江省教育厅科研项目(Y202249357、Y202455352)。

摘　　要：目的调查并轨培养模式下门诊超声教学在专业学位研究生血管外科手术胜任力培养中的应用效果。方法对2024年1月开始在血管外科医疗组内轮转的研究生增加门诊超声教学内容,跟台手术期间重点培训大隐静脉主干穿刺置管术和腔内热消融术,通过问卷调查分析研究生们对门诊超声教学的反馈结果。结果共25名研究生参与调查,仅3名(12.00%)研究生在本科实习期间学习过外周血管的超声检查,4名(16.00%)研究生在本科实习期间参与过大隐静脉主干腔内热消融手术,仅有2名(8.00%)未参加门诊超声教学的研究生能独立完成1次超声引导下大隐静脉主干穿刺置管术,1名(4.00%)未参加门诊超声教学的研究生能独立完成1次超声引导下大隐静脉主干腔内热消融手术。随着门诊超声教学参与次数的增加,研究生对隐股交界区域重要血管的辨认能力明显提高,独立完成大隐静脉主干穿刺置管和腔内热消融手术操作的例数也随之增加,差异均有统计学意义(χ^(2)分别=17.02、27.58、30.86,P均<0.05)。25名(100%)研究生均认为门诊超声教学对辨认隐股交界区域重要血管、超声引导下大隐静脉主干穿刺置管术有帮助,19名(76.00%)认为有必要将门诊超声教学纳入常规轮转培训内容。结论并轨培养模式下,门诊超声教学在专业学位研究生规培轮转教学存在良好的可行性,研究生接受度高,并且有助于提升血管外科手术胜任力。Objective To investigate the application effect of outpatient ultrasound teaching in the cultivation of vascular surgery competency of professional degree students under the mode of parallel training.Methods For graduate students who have been rotating in the vascular surgery medical team since January 2024,the contents of outpatient ultrasound teaching have been added,and the training of great saphenous vein catheterization and endovascular thermal ablation were emphasized during the follow-up surgery.The feedback results of graduate students on outpatient ultrasound teaching will be analyzed through a questionnaire survey.Results A total of 25 graduate students participated in the investigation,of which only 3(12.00%)had learned peripheral vascular ultrasonography during the undergraduate internship,and 4(16.00%)had participated in endovascular ablation of large saphenous vein during the undergraduate internship.Only 2(8.00%)graduate students who did not participate in outpatient ultrasound teaching were able to independently complete once ultrasound-guided great saphenous vein puncture catheterization,and 1(4.00%)graduate student who did not participate in outpatient ultrasound teaching was able to independently complete once ultrasound-guided endocaval thermal ablation of the great saphenous vein.With the increasing number of participation in outpatient ultrasound teaching,the ability of graduate students to identify important blood vessels in the saphenofemoral junction area was improved,and the number of independent catheterization of the great saphenous vein and endovascular thermal ablation operations also increased,with statistical significance(χ^(2)=17.02,27.58,30.86,P<0.05).25(100%)graduate students believed that outpatient ultrasound teaching was helpful for identifying important blood vessels in the saphenofemoral junction area and ultrasound-guided great saphenous vein puncture catheter,and 19(76.00%)thought that it was necessary to include outpatient ultrasound teaching in routine rotation trainin

关 键 词：血管外科 专业学位研究生 超声 教学 胜任力 

分 类 号：G643[文化科学—高等教育学] R-4[文化科学—教育学]