外科理论与实践

外科理论与实践 ›› 2024, Vol. 29 ›› Issue (03): 249-253.doi: 10.16139/j.1007-9610.2024.03.11

• 论著 • 上一篇    下一篇

进阶整合二段式腹腔镜模拟培训课程在外科住院医师规范化培训中的应用探讨

张鲁阳1a,b,2a, 鞠萍1c,*, 周雪亮1a, 邵岩飞1a, 吴超1a,b,2a, 王佳玉1d,2b, 孙晶1a,b,2a, 潘睿俊1a,b,2a,b(), 蔡伟1a,b,2a()   

  1. 1. 上海交通大学医学院附属瑞金医院 a.普外科，b.上海市微创外科临床医学中心，c. 核医学科，d. 医学教育处，上海 200025
    2. 上海交通大学瑞金临床医学院 a. 外科学教研室，b. 医学模拟教研室，上海 200025
  • 收稿日期:2023-04-16 出版日期:2024-05-25 发布日期:2024-09-03
  • 通讯作者: 蔡伟，E-mail: caiwei@shsmu.edu.cn；
    潘睿俊，E-mail:prj11522@rjh.com.cn
  • 作者简介:*：共同第一作者
  • 基金资助:
    上海市科学技术委员会“科技创新行动计划”生物医药领域科技支撑项目(22S31904000);上海市中西医结合学会医学工程专业委员会课题研究专项(YG202313)

Application of advanced integrated two-stage laparoscopic simulation training course in standardized training of surgical residents

ZHANG Luyang1a,b,2a, JU Ping1c,*, ZHOU Xueliang1a, SHAO Yanfei1a, WU Chao1a,b,2a, WANG Jiayu1d,2b, SUN Jing1a,b,2a, PAN Ruijun1a,b,2a,b(), CAI Wei1a,b,2a()   

  1. 1a. Department of General Surgery，b. Shanghai Minimally Invasive Surgery Center, c. Department of Nuclear Medicine, d.Department of Medical Education, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
    2a. Department of Surgery Teaching，b. Department of Medical Simulation Teaching，Ruijin Clinical School, Shanghai Jiao Tong University, Shanghai 200025, China
  • Received:2023-04-16 Online:2024-05-25 Published:2024-09-03

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摘要：

目的：探讨采取进阶整合二段式腹腔镜模拟培训课程在外科住院医师规范化培训中的可行性及课程设计的合理性。方法：2019年12月至2021年12月于我院进行规范化培训的2019—2020级外科住院医师中开展进阶整合二段式腹腔镜模拟培训课程。课程分为2个阶段。一阶段BEST课程（best essential surgical technique training）采用达尔文®腔镜培训系统、天堰®腔镜培训系统、微创医疗®3D腹腔镜以及简易模具进行培训。二阶段BEST PLUS课程采用一阶段培训系统及动物离体模型进行培训。采取问卷调查法（课前与课后问卷）对课程形式、课程使用模具、教师授课方式、课程时间安排、课程内容难度、课程培训效果和课程满意度等课程设置进行评价。结果：总共37位外科住院医师完成两阶段课程培训并完成调查问卷。对于课程设计安排的总体满意率为100%，认为一阶段课程显著提高临床水平的有32人（86.5%），认为二阶段课程对临床水平有显著提高的有35人（94.6%），认为一阶段课程对二阶段课程有显著帮助的有36人（97.3%）。结论：接受培训的外科住院医师课后对进阶整合二段式腹腔镜模拟培训课程的认可度高，该课程整体设计合理且可行，对于外科住院医师具有吸引力。

关键词: 外科住院医师规范化培训, 腹腔镜模拟教学, 进阶整合二段式

Abstract:

Objective To explore the feasibility and rationality of advanced integrated two-stage laparoscopic simulation training course in standardized training of surgical residents. Methods From December 2019 to December 2021, the advanced integrated two-stage laparoscopic simulation training course was carried out among 2019—2020 surgical residents who received standardized training in our hospital. The course was divided into two stages. In the first stage, BEST (best essential surgical technology training) course, adopted Darwin® endoscopic training system, Tianyan® endoscopic training system, Microport® 3D laparoscopic training system and simple simulative models were used. The second stage, BEST PLUS course, same platform as that in BEST course and in vitro animal models were used. The questionnaire survey method (before and after class questionnaire) was adopted to evaluate the curriculum setting, such as curriculum form, simulators, teaching method, time arrangement, curriculum difficulty, training effect, curriculum satisfaction and so on. Results A total of 37 surgical residents completed the two-stage course training and the questionnaire survey. The overall satisfaction rate with the curriculum setting was 100%. There were 32 residents (86.5%) thought that first stage training course could significantly improve their clinical skills, 35 residents (94.6%) thought that second stage training course could significantly improve their clinical skills, and 36 resident (97.3%) thought that the first stage curriculum could significantly help them improve performance in the second stage curriculum. Conclusions The trainees had a high degree of recognition and satisfaction for the advanced integrated two-stage laparoscopic simulation training course. The overall design of course was reasonable and feasible, and was attractive to trainees.

Key words: Standardized training for surgical residents, Laparoscopic simulation training, Advanced integrated two-stage course

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