阶梯式培训模式在普通外科进修医师腹腔镜技术培训临床教学中的应用
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摘要
目的探讨针对普通外科进修医师的腹腔镜手术技能阶段式培训新模式。方法选取2015年3月至2017年5月,在新疆维吾尔自治区人民医院学习的68名进修医师,评估其腹腔镜阶段式培训模式对腹腔镜掌握程度。针对不同程度的学生采用不同的理论学习、观看操作录像、模拟器训练及动物模拟手术完成情况等项目进行阶梯式训练,出科理论及操作考试形式客观对进修学员培训情况进行考核。结果所有进修医师均能熟悉掌握腹腔镜基本操作技能,熟练掌握了腹腔镜规范基本操作技能,理论及实践操作考核合格率为100%,学习效果及满意度显著,并取得良好的教学效果。结论针对普通外科进修学员的具体情况,临床教学理论与腹腔镜培训相结合,开展腹腔镜技术阶梯式教学,学习效果显著,取得良好的教学效果。
Objective To explore a new stage training model for laparoscopic surgery skills of general surgical trainees. Methods 68 trainees who studied in our department from March 2015 to May2017 were selected to evaluate their mastery of laparoscopy and to adopt different theories for different students. Studying, watching operation videos, training simulators and the completion of animal simulation operations were carried out step-by-step training, and the training of trainees was evaluated objectively in the form of departure theory and operation examination. Results All the trainees were familiar with the basic skills of laparoscopy and mastered the basic skills of laparoscopy. The qualified rate of theoretical and practical operation was 100%. The learning effect and satisfaction were significant, and good teaching effect was achieved. Conclusion According to the specific situation of the general surgical students, the combination of clinical teaching theory and laparoscopic training, laparoscopic technology ladder teaching,learning effect is significant, and achieved good teaching results.
Objective To explore a new stage training model for laparoscopic surgery skills of general surgical trainees. Methods 68 trainees who studied in our department from March 2015 to May2017 were selected to evaluate their mastery of laparoscopy and to adopt different theories for different students. Studying, watching operation videos, training simulators and the completion of animal simulation operations were carried out step-by-step training, and the training of trainees was evaluated objectively in the form of departure theory and operation examination. Results All the trainees were familiar with the basic skills of laparoscopy and mastered the basic skills of laparoscopy. The qualified rate of theoretical and practical operation was 100%. The learning effect and satisfaction were significant, and good teaching effect was achieved. Conclusion According to the specific situation of the general surgical students, the combination of clinical teaching theory and laparoscopic training, laparoscopic technology ladder teaching,learning effect is significant, and achieved good teaching results.
引文
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4齐桓,谭剑,杜庆峰,等.腹腔镜操作模拟训练系统用于手术基本技能训练的研究[J].中华医学教育探索杂志,2009,8(7):814-816.
5闫巍,李天雄,孙志鹏,等.“困难型”腹腔镜胆囊部分切除的手术技巧与处理原则[J].中华肝胆外科杂志,2017,23(9):615-618.
6 Magge D,Zureikat A,Hogg M,et al.Minimally Invasive Approaches to Pancreatic Surgery[J].Surg Oncol Clin N Am,2016,25(2):273-286.
7 Stolzenburg JU,Rabenalt R,Do M,et al.Modular training for residents with no prior experience with open pelvic surgery in endoscopic extraperitoneal radical prostatectomy[J].Eur Urol,2006,49(3):491-500.
2胡明根,刘荣,罗英,等.腹腔镜肝切除治疗肝细胞癌123例临床分析[J/CD].中华腔镜外科杂志(电子版),2008,1(2):76-79.
3张成,安东均,马富平,等.十二指肠镜、腹腔镜联合治疗胆囊结石合并胆总管结石[J].中国微创外科杂志,2008,8(2):151-152.
4齐桓,谭剑,杜庆峰,等.腹腔镜操作模拟训练系统用于手术基本技能训练的研究[J].中华医学教育探索杂志,2009,8(7):814-816.
5闫巍,李天雄,孙志鹏,等.“困难型”腹腔镜胆囊部分切除的手术技巧与处理原则[J].中华肝胆外科杂志,2017,23(9):615-618.
6 Magge D,Zureikat A,Hogg M,et al.Minimally Invasive Approaches to Pancreatic Surgery[J].Surg Oncol Clin N Am,2016,25(2):273-286.
7 Stolzenburg JU,Rabenalt R,Do M,et al.Modular training for residents with no prior experience with open pelvic surgery in endoscopic extraperitoneal radical prostatectomy[J].Eur Urol,2006,49(3):491-500.