中华医学教育杂志

中华医学教育杂志 ›› 2017, Vol. 37 ›› Issue (3): 441-444.DOI: 10.3760/cma.j.issn.1673-677X.2017.03.027

• 临床教学 • 上一篇    下一篇

远程与现场模拟教学在腹腔镜外科基础操作培训中的对照研究

沈凯, 梁书静, 梁斌, 尹慕军, 刘婧, 姜冠潮, 叶颖江, 王杉   

  1. 100044 北京大学人民医院胃肠外科(沈凯、梁斌、尹慕军、叶颖江、王杉),临床能力培训中心(梁书静、刘婧、姜冠潮)
  • 出版日期:2017-03-01 发布日期:2020-12-09
  • 通讯作者: 叶颖江, Email:yjye101@yahoo.com.cn

Comparison of tele-simulation and on-site method for fundamentals of laparoscopic surgery skills training

Shen Kai, Liang Shujing, Liang Bin, Yin Mujun, Liu Jing, Jiang Guanchao, Ye Yingjiang, Wang Shan   

  1. Department of Gastroenterological Surgery,Peking University People's Hospital,Beijing 100044,China (Shen K, Liang B, Yin MJ, Ye YJ, Wang S );
    Clinical Competence Center,Peking University People's Hospital,Beijing 100044,China(Liang SJ, Liu J, Jiang GC )
  • Online:2017-03-01 Published:2020-12-09
  • Contact: Ye Yingjiang, Email:yjye101@yahoo.com.cn

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摘要： 目的 评估远程与现场模拟教学在腹腔镜外科基础操作培训中的应用效果。方法 选取2012年11月~2015年8月在北京大学人民医院临床能力培训中心培训的53名学员为研究对象,随机分为实验组和对照组,实验组22人采用远程教学,对照组31人采用现场教学。同一教师进行教学,培训前后,采用该培训规定的5项基本操作评估体系对两组学员进行评估并对他们的得分进行比较。结果 所有学员操作评估得分,培训前为(55.3±6.6)分,培训后为(89.3±5.3)分,差异具有统计学意义(P＜0.001)。培训前,对照组与实验组学员操作评估得分分别为(61.8±6.5)和(46.1±7.2),对照组学员成绩优于实验组学员,差异具有统计学意义(P＜0.001);培训后,对照组和实验组学员操作评估得分分别为(89.6±4.8)和(89.0±6.0)分,差异无统计学意义(P=0.66)。结论 腹腔镜外科基础操作培训可以有效地提高受训者的腹腔镜操作水平,远程教学的效果不亚于现场教学,值得推广。

关键词: 腹腔镜, 规范化培训, 腹腔镜外科基础, 远程模拟

Abstract: Objective To evaluate the effect of using tele-simulation and on-site method for teaching the fundamentals of laparoscopic surgery skills training.Methods A total of 53 surgeons were selected from Peking University People's Hospital participated in this 8-week fundamentals of laparoscopic surgery(FLS) training from November, 2012 to August, 2015. Tele-simulation was set up for 22 surgeons as experimental group. A standard FLS on-site training for the 33 surgeons was as control group. FLS's skills pretest and post-test scores were obtained in both groups.Results Participants had higher post-test FLS scores(89.3±5.3) than their pretest's(55.3±6.6), and it showed statistical difference(P<0.001). Between the two groups, control group had higher pretest FLS scores(61.8±6.5) than that of experimental group (46.1±7.2), and it showed statistical difference(P<0.001). There was no statistical difference in the post-test FLS scores between them(P=0.66).Conclusions Fundamentals of laparoscopic surgery skills training can significantly improve the laparoscopic skills of the trainees. Tele-simulation is an effective method for the fundamentals of laparoscopic surgery skills training.

Key words: Laparoscopic, Standardized training, Fundamentals of laparoscopic surgery (FLS), Tele-simulation