Teaching practice of endotracheal intubation in emergency department standardized residency training guided by the outcome-based education concept

doi:10.16138/j.1673-6087.2025.06.08

Abstract

Abstract:

Objective To evaluate the effect of outcome-based education (OBE) approach on endotracheal intubation training for emergency department residents during the standardized residency training. Methods From August 2023 to July 2024, 48 emergency department residents undergoing standardized training at Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, were enrolled and randomly assigned to an OBE teaching group or a traditional training group. Each group received the corresponding teaching method, and the examination scores as well as pass rates were compared between the two groups. After the training, a questionnaire was administered to assess satisfaction with the teaching method and confidence in performing successful endotracheal intubation. Results The OBE teaching group achieved significantly higher theoretical and practical examination scores than the traditional training group (P < 0.05). The OBE group has a higher first-attempt success rate of endotracheal intubation during the practical examination than the traditional group (79.2% vs 20.8%, P < 0.001), and a significantly shorter intubation duration [(63.2 ± 20.7) s vs (97.3 ± 12.8) s, P < 0.001]. The OBE group also reported higher satisfaction with the teaching method and greater confidence in performing the procedure successfully (P < 0.001). Conclusions The OBE-based teaching method can effectively improve endotracheal intubation skills of emergency department residents, and offers a new instructional model for practical endotracheal intubation courses.

Key words: Outcome-based education, Endotracheal intubation, Emergency medicine education, Resident, Standardized training

CLC Number:

R459.7

CHEN Min, SHENG Huiqiu, YANG Zhitao, ZHOU Weijun, MAO Enqiang. Teaching practice of endotracheal intubation in emergency department standardized residency training guided by the outcome-based education concept[J]. Journal of Internal Medicine Concepts & Practice, 2026, 20(06): 477-481.

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组别	年龄（岁）	男性[n（%）]	本科学历[n（%）]
传统实训组	26.7 ± 3.3	13（54.2）	8（33.3）
OBE教学组	25.6 ± 1.9	12（50.0）	8（33.3）
t/χ²	0.882	0.083	0.000
P	0.391	0.773	1.000

组别	理论考核成绩	操作考核成绩
传统实训组	81.6 ± 8.6	85.8 ± 3.4
OBE教学组	88.8 ± 3.6	92.1 ± 4.1
t	−2.330	−3.540
P	0.033	0.003

组别	气管插管一次性通过率[n（%）]	气管插管时间（s）
传统实训组	5（20.8）	97.3 ± 12.8
OBE教学组	19（79.2）	63.2 ± 20.7
t/χ²	16.333	4.205
P	< 0.001	< 0.001

组别	教学的满意度				操作成功的信心
组别	4分	3分	2分	1分	4分	3分	2分	1分
传统实训组	3（12.5）	8（33.3）	13（54.2）	0（0.0）	0（0.0）	0（0.0）	5（20.8）	19（79.2）
OBE教学组	19（79.2）	5（20.8）	0（0.0）	0（0.0）	19（79.2）	3（12.5）	2（8.3）	0（0.0）
Z	− 4.979				− 6.245
P	< 0.001				< 0.001