全真模拟训练教学方法在运动医学医师关节镜操作培训中的应用

doi:10.3760/cma.j.cn115259-20240708-00714

中华医学教育杂志 ›› 2026, Vol. 46 ›› Issue (3): 193-198.DOI: 10.3760/cma.j.cn115259-20240708-00714

全真模拟训练教学方法在运动医学医师关节镜操作培训中的应用

杨宜锜¹, 李松岩¹, 杜广源¹, 卢家宁², 樊子娟³, 王斌¹

¹浙江大学医学院附属第一医院骨科, 杭州 310006;
²新乡医学院第一附属医院骨科, 新乡 453100;
³山西医科大学公共卫生学院卫生统计学教研室, 太原 030032

收稿日期:2024-07-08 出版日期:2026-03-01 发布日期:2026-02-28
通讯作者: 王斌, Emial: wangbin_pku@zju.edu.cn
基金资助:
2025年浙江大学医学院教育改革项目(jgyb202534);2024年浙江大学医学院附属第一医院医学教育研究项目(zyjg202404);2025年国家自然科学基金(82402831)

Application of full-scale simulation training in the teaching of arthroscopic skills for sports medicine surgeons

Yang Yiqi¹, Li Songyan¹, Du Guangyuan¹, Lu Jianing², Fan Zijuan³, Wang Bin¹

¹Department of Orthopaedics, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310006, China;
²Department of Orthopedics, The First Affiliated Hospital of Xinxiang Medical College, Xinxiang 453100, China;
³Department of Medical Statistics, School of Public Health, Shanxi Medical University, Taiyuan 030032, China

Received:2024-07-08 Online:2026-03-01 Published:2026-02-28
Contact: Wang Bin, Email: wangbin_pku@zju.edu.cn
Supported by:
Education Reform Project of Zhejiang University School of Medicine in 2025 (jgyb202534); 2024 Medical Education Research Project of The First Affiliated Hospital, Zhejiang University School of Medicine (zyjg202404); National Natural Science Foundation of China in 2025 (82402831)

摘要/Abstract

摘要： 目的分析全真模拟训练教学方法在运动医学医师关节镜操作培训中的应用效果,探索关节镜教学新模式。方法基于杜威的“从做中学”教育原则和Jeffries提出的模拟理论框架,在模块化的关节镜操作培训课程中引入全真模拟训练教学方法。选取2024年1月至4月在浙江大学医学院附属第一医院参加运动医学专科培训的12名学员为研究对象。通过模块化评分考核与问卷调查相结合的方式对训练效果进行评价。数据分析采用t检验分析全真模拟训练对专培学员操作评分的提升效果。结果经过全真模拟训练后,专培学员关节镜控制稳定性评分为 (14.50±2.71)分,探查关节腔内解剖结构准确性评分为 (14.75±3.27)分,摘除关节内游离体准确性评分为(15.50±2.84)分,肩峰下减压操作准确性评分为(14.50±2.43)分,操作流畅性评分为(15.08±2.53)分;所有专培学员(12/12)均认为关节镜全真模拟训练课程目标明确且合理,课程内容符合临床工作要求且具有启发性、实用性。结论关节镜全真模拟训练教学方法有助于提高关节镜操作的教学效果,专培学员满意度高,值得借鉴和推广。

关键词: 关节镜, 全真模拟训练, 运动医学, 教学培训

Abstract: Objective To explore the application effect of full-scale simulation training in arthroscopic skill training for sports medicine physicians and explore a new teaching model for arthroscopy. Methods Based on Dewey's ″learning by doing″ educational principle and Jeffries' simulation theoretical framework, a full-scale simulation training method was introduced into a modular arthroscopic operation training course. A total of 12 sports medicine fellowship trainees undergoing sports medicine training at the First Affiliated Hospital of Zhejiang University School of Medicine from January to April 2024. Training effectiveness was evaluated through modular scoring assessments and questionnaires. Data were analyzed using t-tests to examine the improvement effect of full-scale simulation training on the operation scores of the specialized training physicians. Results After full-scale simulation training, the specialized training physicians' scores were as follows: arthroscopic control stability (14.50±2.71), accuracy in exploring anatomical structures within the joint cavity (14.75±3.27), accuracy in removing intra-articular loose bodies (15.50±2.84), accuracy in subacromial decompression (14.50±2.43), and operational fluency (15.08±2.53). All specialized training physicians (12/12) considered the objectives of the full-scale arthroscopic simulation training course clear and reasonable, and found the course content clinically relevant, enlightening, and practical. Conclusions The full-scale simulation training method improves the effectiveness of arthroscopic skill instruction, with high trainee satisfaction among specialized training physicians, and is worthy of adoption and broader implementation.

Key words: Arthroscopy, Full-scale Simulation Training, Sports medicine, Teaching and training

中图分类号:

R-05

杨宜锜, 李松岩, 杜广源, 卢家宁, 樊子娟, 王斌. 全真模拟训练教学方法在运动医学医师关节镜操作培训中的应用[J]. 中华医学教育杂志, 2026, 46(3): 193-198.

Yang Yiqi, Li Songyan, Du Guangyuan, Lu Jianing, Fan Zijuan, Wang Bin. Application of full-scale simulation training in the teaching of arthroscopic skills for sports medicine surgeons[J]. Chinese Journal of Medical Education, 2026, 46(3): 193-198.

参考文献

[1] Ferderber M, Wilson K, Buchanan BK, et al. Sports medicine curricular recommendations for undergraduate medical education[J]. Curr Sports Med Rep, 2023,22(5):172-180. DOI: 10.1249/JSR.0000000000001064.
[2] Lind M, Seil R, Dejour D, et al. Evidence-based education for the future in the European Society for Sports traumatology, Knee surgery and Arthroscopy (ESSKA)[J]. Knee Surg Sports Traumatol Arthrosc, 2020,28(10):3061-3063. DOI: 10.1007/s00167-020-06251-7.
[3] 王嘉正, 张解元, 李学谦, 等. 针状关节镜的发展历史及在骨科领域的应用进展[J].足踝外科电子杂志,2023,10(1):90-94. DOI: 10.3969/j.issn.2095-7793.2023.01.021.
[4] 王宇桐, 徐永胜, 齐岩松. 计算机导航技术在关节镜手术中的应用进展[J].中国微创外科杂志,2023,23(10):788-793. DOI: 10.3969/j.issn.1009-6604.2023.10.013.
[5] 张鹏, 崔国庆, 王梦楠, 等. 模块化模拟教学方法在运动医学肩关节镜手术培训中的应用[J].中华医学教育杂志,2020,40(12):979-982. DOI: 10.3760/cma.j.cn115259-20200617-00924.
[6] 温亮, 王志为. 骨科研究生和住院医师关节镜手术教学方法的探讨[J].中国病案,2018,19(11):78-80. DOI: 10.3969/j.issn.1672-2566.2018.11.028.
[7] 张天伦, 蒋佳, 黄栋成, 等. 基于关节镜手术全真模拟系统结合以问题为基础的学习教学模式的价值[J].中国研究型医院,2021,8(5):19-22. DOI: 10.19450/j.cnki.jcrh.2021.05.005.
[8] 张华, 周爱国. 结合关节镜模拟训练的PBL教学在骨科临床教学中的应用[J].中华医学教育探索杂志,2019,18(5):449-453. DOI: 10.3760/cma.j.issn.2095-1485.2019.05.005.
[9] 孙学斌,刘阳,张克远. 关节镜下视频教学在运动医学临床实习教学中的应用[J]. 中华医学教育探索杂志,2019,18(10):1005-1008. DOI:10.3760/cma.j.issn.2095-1485.2019.10.009.
[10] 李海鹏, 辛培源, 石丽军, 等. 髋关节镜手术入路建立的学习曲线分析[J].中国矫形外科杂志,2022,30(5):464-466. DOI: 10.3977/j.issn.1005-8478.2022.05.18.
[11] 薄金鑫, 王丽华. 基于杜威“做中学”思想的学科实践研究[J]. 教学与管理, 2024, (4): 1-5.
[12] 朱芬芬, 吴丽荣. 基于Jeffries护理模拟教学理论框架的高仿真教学效果及影响因素研究[J].护理研究,2016,30(6):657-660. DOI: 10.3969/j.issn.1009-6493.2016.06.007.
[13] 颜瑞健, 吴一帆, 冯刚. 基于3D打印模型结合关节镜模具的CBL教学在运动医学教学中的应用[J].全科医学临床与教育,2021,19(11):1013-1014,1017. DOI: 10.13558/j.cnki.issn1672-3686.2021.011.016.
[14] 冉季升, 马驰原, 吴立东, 等. 关节镜模具教学在住培生运动医学教育中的应用[J].中国继续医学教育,2022,14(3):109-113. DOI: 10.3969/j.issn.1674-9308.2022.03.028.
[15] Hauschild J, Rivera JC, Johnson AE, et al. Shoulder arthroscopy simulator training improves surgical procedure performance: a controlled laboratory study[J]. Orthop J Sports Med, 2021,9(5):23259671211003873. DOI: 10.1177/23259671211003873.
[16] Tay C, Khajuria A, Gupte C. Simulation training: a systematic review of simulation in arthroscopy and proposal of a new competency-based training framework[J]. Int J Surg, 2014,12(6):626-633. DOI: 10.1016/j.ijsu.2014.04.005.
[17] 王凤蛟, 李雪鑫, 张磊, 等. 腔镜模拟训练系统联合简易模拟箱在住院医师胸腔镜培训中的应用[J].中华医学教育杂志,2021,41(1):44-48. DOI: 10.3760/cma.j.cn115259-20200305-00263.
[18] 何泓, 陈敦金. 基于真实宫腔镜系统的模拟培训在妇产科住院医师规范化培训中的应用[J].中华医学教育杂志,2021,41(1):49-52. DOI: 10.3760/cma.j.cn115259-20200525-00820.

全真模拟训练教学方法在运动医学医师关节镜操作培训中的应用

Application of full-scale simulation training in the teaching of arthroscopic skills for sports medicine surgeons

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