摘要
目的探讨最佳腹腔镜技能教学模式及培训效果。方法将进入临床实习阶段的临床实习生随机分组,实验组进行外科基本操作培训后进行腹腔镜技能培训,对照组直接进行腹腔镜技能培训,包括持物传递、剪切纸片、缝合打结以及组织分离。培训结束后进行考核比较,同时对学生发放调查问卷。结果两组学生基础腹腔镜技能差异无统计学意义,经短期集中腹腔镜技能培训后,均有显著提升(P<0.01)。实验组学生的持物传递及缝合打结能力均优于对照组,差异有统计学意义(P<0.01),但两组学生的剪切能力及分离组织能力差异无统计学意义。分别有95%及85%的学生对培训模式及培训结果满意。结论短期集中腹腔镜技能培训有利于提高临床实习生的腹腔镜技能水平,掌握开放外科基本操作有利于提高掌握腹腔镜技能效率。
Objective To investigate the teaching mode of laparoscopic surgery skills for medical interns and its effect.Methods New interns were randomly divided into experimental group and control group. The experimental group received the laparoscopic surgery skill training by learning Pick and Place (PP), Scrip Shear (SS), Suture and Knot tying (SK) and Tissue Isolation (TI), and they also received additional training of basic surgery skills before the training of laparoscopic surgery skills, while the control group did not receive the pre-training. Examines and questionnaires were conducted after the training.Results There were no significant differences in laparoscopic skills between the two groups at the beginning of the training, but they all had obvious improvement after training (P<0.01). Compared with the control group, the experimental group did better in PP and SK (P<0.01), but no differences in SS and TI. The satisfaction rate of training model and skill improvement was 95% and 85% in the experimental group and control group.Conclusion Short-term program of laparoscopic surgery skill training could effectively improve intern's laparoscopic surgery skills, and the master of basic surgery skills is conducive to the learning of laparoscopic surgery skills.
作者
黄利军
方佳峰
邓美海
杨晓锋
卫洪波
Huang Lijun;Fang Jiafeng;Deng Meihai;Yang Xiaofeng;Wei Hongbo(Department of Gastrointestinal Surgery,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China;Department of Hepatobiliary Surgery,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China)
出处
《中华医学教育探索杂志》
2020年第2期182-185,共4页
Chinese Journal of Medical Education Research
基金
广东省教改课题(82000-18822560)
中山大学医学教育类CAI课题项目(82000-16300009)
中山大学校级本科教学改革研究课题项目(82000-16300024)
中山大学校级本科教学改革研究课题项目(82000-18822604)。
关键词
教学模式
腹腔镜
培训
临床实习教学
Teaching model
Laparoscopy
Training
Clinical practice teaching
