中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (7): 547-552.DOI: 10.3760/cma.j.cn115259-20240615-00607

• 继续医学教育 • 上一篇    下一篇

特高海拔地区基层医院基于SPOC的腹腔镜胆囊切除术教学探索

谢毅1, 王广勇2, 加央多吉3, 拉布夏嘎3, 李喆4, 于菲菲5   

  1. 1海军军医大学特色医学中心普外肝胆胰脾外科,上海 200433;
    2海军军医大学特色医学中心消化内科,上海 200433;
    3西藏自治区尼玛县人民医院院办,尼玛 853200;
    4海军军医大学特色医学中心保健科,上海 200433;
    5海军军医大学特色医学中心医疗保障中心质量管理科,上海 200433
  • 收稿日期:2024-06-15 出版日期:2025-07-01 发布日期:2025-07-01
  • 通讯作者: 于菲菲, Email: yffling@163.com
  • 基金资助:
    海军特色医学中心优秀青年人才项目(21TPQN1601)

Exploration of teaching laparoscopic cholecystectomy based on SPOC inprimary hospitals in extremely high-altitude areas

Xie Yi1, Wang Guangyong2, Jia Yangduoji3, La Buxiaga3, Li Zhe4, Yu Feifei5   

  1. 1Department of General and Hepatobiliary Pancreatic Spleen, Naval Medical Center, Naval Medical University, Shanghai 200433, China;
    2Department of Gastroenterology, Naval Medical Center, Naval Medical University, Shanghai 200433, China;
    3Office of the Director, Nima County People′s Hospital of the Xizang Autonomous Region, Nima 853200, China;
    4Health Department, Naval Medical Center, Naval Medical University, Shanghai 200433, China;
    5Department of Quality Management,Medical Service Center, Naval Medical Center, Naval Medical University, Shanghai 200433, China
  • Received:2024-06-15 Online:2025-07-01 Published:2025-07-01
  • Contact: Yu Feifei, Email: yffling@163.com
  • Supported by:
    Excellent Young Talents Program of the Naval Medical Center (21TPQN1601)

摘要: 腹腔镜胆囊切除术(laparoscopic cholecystectomy)作为腹腔镜胆道手术的基石,已经在平原地区广泛实施,但针对年轻医师的系统化教学体系尚未建立。海军特色医学中心从2022年开始对西藏自治区那曲尼玛县人民医院进行了持续的“组团式”医疗援助。在对高原基层医院外科提供医疗援助期间,医疗援助团队结合平原地区的腹腔镜手术教学经验,因地制宜地开展了外科手术团队教学探索,其中小规模限制性在线课程(small private online course)发挥了关键作用。该教学通过构建定制化、集中化的在线学习平台,有效满足了地处偏远、资源匮乏的高原地区学员的学习需求,赋予了学员自主规划学习进度的灵活性,同时确保了教学内容的高质量与高度一致性。从传统的开腹胆囊切除术教学逐步过渡至微创小切口胆囊切除术,最终拓展至腹腔镜胆囊切除术,小规模限制性在线课程始终贯穿于整个教学过程,在特高海拔地区基层外科学教学实践中取得了显著的教学成效。

关键词: 胆囊切除术,腹腔镜, 特高海拔, 小规模限制性在线课程, 教学

Abstract: As the cornerstone of laparoscopic biliary surgery, laparoscopic cholecystectomy has been widely implemented in plain areas, yet a systematic training system for young surgeons remains underdeveloped. Since 2022, the Naval Medical Center has provided continuous ″group″ medical assistance to the People′s Hospital of Nyima County in Nagqu, Tibet Autonomous Region. During surgical support for this high-altitude primary hospital, the medical team adapted laparoscopic surgical training experience in plain areas to local conditions, developing an innovative surgical team training approach where Small Private Online Courses played a pivotal role. This approach established a customized, centralized online learning platform that effectively addressed the needs of remote, resource-limited high-altitude learners, providing flexible self-paced learning while ensuring high-quality, standardized content delivery. The curriculum progressively transitioned from open cholecystectomy training to minimally invasive small-incision cholecystectomy, ultimately advancing to laparoscopic cholecystectomy, with Small Private Online Courses consistently integrated throughout. This approach demonstrated remarkable efficacy in surgical education at extremely high-altitude primary hospitals.

Key words: Cholecystectomy, laparoscopic, Extra high altitude, Small private online course, Teaching

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