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面向未来的血管外科教学模式探索

  • 王双静 ,
  • 马鑫强 ,
  • 陈刚 ,
  • 阚远晴 ,
  • 符伟国 ,
  • 王利新
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  • 1.复旦大学附属中山医院血管外科,上海 200032
    2.复旦大学血管外科研究所,上海 200032
    3.复旦大学附属中山医院厦门医院血管外科,福建 厦门 361006
    4.厦门市泛血管疾病精准诊疗重点实验室,福建 厦门 361006
王利新,E-mail:wang.lixin@zs-hospital.sh.cn

收稿日期: 2024-10-08

  网络出版日期: 2025-03-17

基金资助

国家自然科学基金(82270415)

Exploration of future-oriented teaching models in vascular surgery

  • WANG Shuangjing ,
  • MA Xinqiang ,
  • CHEN Gang ,
  • KAN Yuanqing ,
  • FU Weiguo ,
  • WANG Lixin
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  • 1. Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China
    2. Institute of Vascular Surgery, Fudan University, Shanghai 200032, China
    3. Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Xiamen Hospital, Fujian Xiamen 361006, China
    4. Key Laboratory of Precision Diagnosis and Treatment for Pan-Vascular Diseases, Fujian Xiamen 361006, China

Received date: 2024-10-08

  Online published: 2025-03-17

摘要

血管外科正迅速发展,但人才短缺问题依然突出。为适应这一领域的技术创新与突破,血管外科教学亟需持续更新,培养具备高水平临床技能与创新精神的医疗人才。本文深入探讨血管外科教学的现状,着重从课程的优化、教学方法的创新、实践经验的增强以及师资队伍的提升四个维度出发,提出了具体的改进措施,旨在显著提升学生的临床操作技能,以期培养出更多能够胜任血管外科领域的高素质专业人才。

本文引用格式

王双静 , 马鑫强 , 陈刚 , 阚远晴 , 符伟国 , 王利新 . 面向未来的血管外科教学模式探索[J]. 外科理论与实践, 2024 , 29(06) : 518 -522 . DOI: 10.16139/j.1007-9610.2024.06.10

Abstract

There has been a rapid advancement in vascular surgery. Despite this, the lack of qualified candidates remains a pivotal issue. To keep pace with technological advancements in this field, vascular surgery education urgently needs to be continuously updated in order to cultivate doctors with high-level clinical skills and innovative spirit. This article explored the current state of vascular surgery education through four dimensions: improving curriculum, innovating teaching methods, enhancing practical experience, and strengthening faculty. As part of this proposal, specific improvement measures were proposed that aim to improve specific skills to train more high-quality professionals capable of excelling in the field of vascular surgery.

参考文献

[1] PERRY M O. Progress in peripheral vascular surgery[J]. West J Med, 1976, 124(3):194-218.
[2] SATIANI B, WILLIAMS T E, GO M R. Predicted shortage of vascular surgeons in the United States:population and workload analysis[J]. J Vasc Surg, 2009, 50(4):946-952.
[3] WILLIAMS T E Jr, SATIANI B, THOMAS A, et al. The impending shortage and the estimated cost of training the future surgical workforce[J]. Ann Surg, 2009, 250(4):590-597.
[4] UPCHURCH G R JR. Vascular surgery needs millen-nials![J]. J Vasc Surg, 2019, 70(1):8-14.
[5] 蒲露涯, 尹誉橙, 韩冬梅, 等. 新医科背景下血管外科研究生创新培养模式的探索[J]. 中国实验诊断学, 2024, 28(8):892-894.
  PU L Y, YIN Y C, HAN D M, et al. Exploration of innovative training models for vascular surgery graduate students in the context of new medical sciences[J]. China Lab Diagn, 2024, 28(8):892-894.
[6] BISMUTH J, DONOVAN M A, O'MALLEY M K, et al. Incorporating simulation in vascular surgery education[J]. J Vasc Surg, 2010, 52(4):1072-1080.
[7] MITCHELL E L, LEE D Y, SEVDALIS N, et al. Evaluation of distributed practice schedules on retention of a newly acquired surgical skill:a randomized trial[J]. Am J Surg, 2011, 201(1):31-39.
[8] DESENDER L M, VAN HERZEELE I, AGGARWAL R, et al. Training with simulation versus operative room attendance[J]. J Cardiovasc Surg (Torino), 2011, 52(1):17-37.
[9] BARTH U, MEYER F, HALLOUL Z. [Specifics of teaching in vascular surgery in an interdisciplinary surgical setting][J]. Chirurgie(Heidelb), 2022, 93(10):966-975.
[10] 孟兆慧, 陈少泽. 心血管临床教学现状反思[J]. 时代教育, 2018,9:166.
  MENG Z H, CHEN S Z. Reflection on the current state of cardiovascular clinical education[J]. Today Edu, 2018,9:166.
[11] ABDULRAHAMAN M D, FARUK N, OLOYEDE A A, et al. Multimedia tools in the teaching and learning processes:a systematic review[J]. Heliyon, 2020, 6(11):e05312.
[12] 陈英华, 胡国栋, 张琳, 等. PBL教学法在我国基础医学教育中的应用及存在问题[J]. 中国继续医学教育, 2015,18:7-8.
  CHEN Y H, HU G D, ZHANG L, et al. The application of PBL teaching method in basic medical education in our country and the existing problems[J]. China Contin Med Educ, 2015,18:7-8.
[13] 黄小平, 邓常清. PBL与案例教学相结合在基础医学教学中的应用[J]. 基础医学教育, 2016, 18(7):537-538,539.
  HUANG X P, DENG C Q. The application of combining PBL and case-based teaching in basic medical education[J]. J Basic Med Educ, 2016, 18(7):537-538,539.
[14] 卢冉, 高涌, 余朝文, 等. 血管外科临床实习应用PBL教学模式探讨与评价[J]. 中国继续医学教育, 2019, 11(16):12-14.
  LU R, GAO Y, YU C W, et al. Exploration and evaluation of PBL teaching model in clinical practice of vascular surgery[J]. China Contin Med Educ, 2019, 11(16):12-14.
[15] 韩卉, 尹艳艳, 贾雪梅, 等. 以问题为中心的基础医学教学模式“本土化”的探讨[J]. 中国高等医学教育, 2010,11:63-64.
  HAN H, YIN Y Y, JIA X M, et al. Analysis of PBL “localization” model applied in preclinical medical teaching[J]. China Higher Med Educ, 2010,11:63-64.
[16] 纪文静, 刘海英, 冶玉萍. 全科医学教学中案例教学模式的应用探讨[J]. 继续医学教育, 2016, 30(7):83-84.
  JI W J, LIU H Y, YE Y P. Exploration on the application of case-based learning mode in general medical education[J]. Contin Med Educ, 2016, 30(7):83-84.
[17] FROMKE E J, JORDAN S G, AWAN O A. Case-based learning:its importance in medical student education[J]. Acad Radiol, 2022, 29(8):1284-1286.
[18] FERRER VALENCIA V, RIVERA GONZALES H, ORTIZ LLINáS J R, et al. Case-based learning:an immersive and effective educational approach[J]. Acad Radiol, 2023, 30(11):2797.
[19] 李冬眉, 黄慧君, 潘盈盈, 等. 翻转课堂教学模式在高分级动脉瘤患者主要照顾者健康教育中的应用[J]. 护士进修杂志, 2022, 37(15):1427-1431.
  LI D M, HUANG H J, PAN Y Y, et al. Application of flipped classroom teaching mode in health education of the primary caregivers of patients with high-grade aneurysm[J]. J Nurs Staff Dev, 2022, 37(15):1427-1431.
[20] NAING C, WHITTAKER M A, AUNG H H, et al. The effects of flipped classrooms to improve. learning outcomes in undergraduate health professional education:a systematic review[J]. Campbell Syst Rev, 2023, 19(3):e1339.
[21] 罗宁, 杨晖, 郭峰, 等. 关于虚拟仿真实验教学在临床技能课中应用的调查及分析[J]. 现代医药卫生, 2024, 40(19):3395-3397.
  LUO N, YANG H, GUO F, et al. Survey and analysis on the application of virtual simulation experimental teaching in clinical skills courses[J]. J Mod Med Health, 2024, 40(19):3395-3397.
[22] 魏周阳, 谭谈, 刘忠, 等. 数字化解剖与虚拟手术仿真系统在骨科PBL教学中的应用及效果评价[J]. 医学教育研究与实践, 2023, 31(2):215-219,230.
  WEI Z Y, TAN T, LIU Z, et al. Application and effect evaluation of digital anatomy and virtual surgery simulation systems in orthopedic PBL teaching[J]. Med Educ Res Pract, 2023, 31(2):215-219,230.
[23] 陶维, 张佳怡, 王维. 数字虚拟仿真系统在普通外科教学中的应用[J]. 中国继续医学教育, 2020, 12(4):38-40.
  TAO W, ZHANG J Y, WANG W. Application of digital virtual simulation in teaching of department of general surgery[J]. China Contin Med Educ, 2020, 12(4):38-40.
[24] 白雪, 张少杰, 王俊刚, 等. 虚拟现实技术在肝胆外科本科教学中的应用[J]. 中国中医药现代远程教育, 2021, 19(16):30-32.
  BAI X, ZHANG S J, WANG J G, et al. Application of virtual reality technology in undergraduate teaching of hepatobiliary surgery[J]. Chin Med Mod Distance Educ China, 2021, 19(16):30-32.
[25] 熊江, 陈端端, 贾贺月, 等. 血管外科生物力学虚拟仿真实验脚本设计的教学经验[J]. 中国血管外科杂志(电子版), 2020, 12(3):245-247,251.
  XIONG J, CHEN D D, JIA H Y, et al. Teaching experience on script design for virtual reality experiments in biomechanics of vascular surgery[J]. Chin J Vasc Surg(Electronic Edition), 2020, 12(3):245-247,251.
[26] 贾仕琛. 基于增强现实的血管介入手术医生训练系统研究[D]. 天津理工大学, 2023.
  JIA S C. Research on a doctor training system for vascular interventional surgery based on augmented reality[D]. Tianjin Univ Technol, 2023.
[27] 陈德强. 面向人体血管系统的扩展现实交互展示技术研究[D]. 江苏: 东南大学, 2022.
  CHEN D Q. Research on extended reality interactive display technology for human vascular system[D]. JiangSu: Southeast Univ, 2022.
[28] 刘树义, 屈肖肖, 王志浩, 等. 虚拟仿真实验教学平台在外科基本技能教学中的应用[J]. 科技风, 2022,28:1-73.
  LIU S Y, QU X X, WANG Z H, et al. Application of virtual simulation experiment teaching platform in basic skills training for surgery[J]. Sci Technol Wind, 2022,28:1-73.
[29] ECKSTEIN H H, SCHMIDLI J, SCHUMACHER H, et al. Rationale, scope, and 20-year experience of vascular surgical training with lifelike pulsatile flow models[J]. J Vasc Surg, 2013, 57(5):1422-1428.
[30] 罗泰来, 李檬, 牛振. 我国医务人员医学模拟教育现状调查研究[J]. 海军医学杂志, 2014, 35(5):408-409.
  LUO T L, LI M, NIU Z. Investigation on the current status of medical simulation education for healthcare professionals in China[J]. Naval Med J, 2014, 35(5):408-409.
[31] 赵沛, 肇毅. 关于模拟医学教育的几点认识[J]. 医学理论与实践, 2016, 29(13):1822-1823.
  ZHAO P, ZHAO Y. Reflections on simulation-based medical education[J]. Med Theor Pract, 2016, 29(13):1822-1823.
[32] 饶贤才, 胡福泉. 加强师资队伍建设培养高素质医学人才[J]. 医学教育, 2000,6:10-11.
  RAO X C, HU F Q. Strengthening faculty development to cultivate high-quality medical professionals[J]. Med Educ, 2000,6:10-11.
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