宫腔镜进阶式培训在妇产科住培中的应用  

Application of Advanced Hysteroscopy Training in the Standardized Training for Residents of Obstetrics and Gynecology

作　　者：蒋建发[1] 肖松舒[1] JIANG Jianfa;XIAO Songshu(Department of Obstetrics and Gynecology,the Third Xiangya Hospital of Central South University,Changsha Hunan 410013,China)

机构地区：[1]中南大学湘雅三医院妇产科,湖南长沙410013

出　　处：《继续医学教育》2025年第1期81-84,共4页Continuing Medical Education

基　　金：2024年度中南大学研究生教育教学改革研究项目(2024JGB111)。

摘　　要：目的 探索在妇产科住院医师规范化培训(简称“住培”)中进行宫腔镜进阶式培训对提高宫腔镜手术技能的作用。方法 选取2022年11月至2023年4月在中南大学湘雅三医院妇产科进行住培的8名住院医师为研究对象,进行宫腔镜进阶式培训,分别为理论培训、术前准备培训、手把手宫腔镜检培训、住院医师宫腔镜检。通过培训前后测试、学员反馈、里程碑评价等形式对各阶段培训效果进行评价。结果 培训后,住院医师理论成绩平均分为(91.6±4.0)分,宫腔镜术前准备平均评分为(88.5±3.7)分,均较培训前的理论成绩(65.4±4.6)分及培训前术前准备评分(58.5±8.2)分提高,差异有统计学意义(P <0.001)。4名住院医师达到里程碑评价> 1~<2级水平,3名住院医师为2级水平,1名住院医师达到> 2~<3级水平。结论宫腔镜进阶式培训可提高妇产科住院医师宫腔镜手术技能。Objective To explore the effect of advanced hysteroscopy training in the standardized training for residents of obstetrics and gynecology on improving hysteroscopy surgical skills.Methods Eight residents undergoing standardized training in the department of obstetrics and gynecology of the Third Xiangya Hospital of Central South University from November 2022 to April 2023 were selected as the research subjects and received advanced hysteroscopy training,including theoretical training,preoperative preparation training,hands-on hysteroscopy training,and resident hysteroscopy.The training effects at each stage were evaluated through pre-and post-training tests,resident feedback,and milestone evaluations.Results After the training,the average theoretical score of the residents was(91.6±4.0)points,and the average preoperative preparation score for hysteroscopy was(88.5±3.7)points,both of which were higher than the theoretical score(65.4±4.6)points and the preoperative preparation score(58.5±8.2)points before the training,with statistically significant differences(P<0.001).Four residents reached the milestone evaluation level of>1 to<2,three residents were at level 2,and one resident reached the level of>2 to<3.Conclusion Advanced hysteroscopy training can improve the hysteroscopy surgical skills of obstetrics and gynecology residents.

关 键 词：住院医师 规范化培训 妇产科 宫腔镜 理论培训 手术技能 

分 类 号：G642[文化科学—高等教育学]