猪膝关节的关节镜教学在住院医师规范化培训中的探讨
iscussion of arthroscopic skill teaching using pig knee joint in standardized training of residents
目的 鉴于住院医师规范化培训学习中,在行膝关节镜手术时住院医师基本动手技能欠缺的情况,本次研究使用猪膝关节的关节镜培训观察手术教学中的效果。方法 选择2023年1月-2024年9月新入骨科参与规范化培训的38名住院医生,根据初始理论考核成绩分为A组和B组,每组19人。A组进行传统的手术视频教学,B组进行使用使用猪膝关节的关节镜培训教学,培训结束后再对两组住院医师进行考核,同时采用问卷调查所有学员对教学方式的评价。记录两组不同教学方式前后受试者的考核成绩及受试者对教学方式的主观评价,并比较组间差异。结果 两组住院医师的初始理论成绩无明显差异,但采用猪膝关节的关节镜培训的住院医师最终考核成绩(理论及实践考核)较采用传统教学方法的住院医师明显提高(P<0.05),采用猪膝关节的关节镜培训教学主观评价得分要高于传统的手术视频教学(P<0.05)。结论 住院医师规范化培训中,使用猪膝关节的关节镜培训教学可以使住院医师培训效果明显提高。
Objective In view of the current situation that the ability of knee arthroscopy is weak in the process of standardized training for residents, the effect of arthroscopy training based on pig knee joint in surgical teaching was studied.Methods Thirty-eight new orthopedics residents who participated in standardized training from January 2023 to September 2024 were selected and divided into group A and group B according to their initial theoretical assessment results, with 19 residents in each group.Group A received traditional surgical video teaching, while group B received arthroscopy training using pig knee joint.At the end of the training, the two groups of residents were assessed, and a questionnaire was used to investigate the evaluation of all students on the teaching methods.SThe assessment results before and after the two groups of different teaching methods and subjective evaluation of teaching methods were recorded, and the differences between groups were compared. Results There was no significant difference in the initial theoretical scores between the two groups, but the final scores of the residents trained by arthroscopy of pig knee joint were significantly improved compared with those trained by traditional teaching methods, and the difference was statistically significant(P<0.05), the subjective evaluation score of pig knee arthroscopy training teaching method was higher than that of traditional video teaching method(P<0.05).Conclusion The arthroscopy training of pig knee joint can significantly improve the teaching performance of resident physicians.
何苗、李杰、曹治东、宋若愚、刘建
临床医学外科学
猪膝关节关节镜教学住院医师规范化培训骨科
Pigshe knee jointrthroscopyeachingStandardized training for residentsOrthopaedic
何苗,李杰,曹治东,宋若愚,刘建.猪膝关节的关节镜教学在住院医师规范化培训中的探讨[EB/OL].(2024-10-18)[2025-08-02].https://www.biomedrxiv.org.cn/article/doi/bmr.202411.00038.点此复制
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