目的 探讨目标导向的进阶式教学在麻醉科住院医师围手术期重症超声培训中的应用效果,为进一步优化围手术期重症超声教学提供经验与依据。方法 选择2018年4月至2020年12月在南京大学医学院附属鼓楼医院麻醉科参与住院医师规范化培训(简称住培)的40名住院医师为研究对象,根据随机数字表法将其分为试验组(n=20)和对照组(n=20),分别采用目标导向的进阶式教学和传统临床带教进行围手术期重症超声培训,在培训结束时,对两组住院医师进行围手术期重症超声考核,并采用问卷调查方法了解其教学满意度。采用独立样本t检验、Mann-Whitney检验和χ2检验进行组间比较。结果 试验组住院医师的围手术期重症超声考核总成绩[(88.1±3.2)分]高于对照组住院医师[(83.1±4.1)分],其差异具有统计学意义(t=4.28,P<0.001)。问卷调查结果显示,试验组住院医师对教学的满意度[(31.4±3.7)分]高于对照组住院医师[(25.6±3.4)分],其差异具有统计学意义(t=5.08,P<0.001)。结论 目标导向的进阶式教学有助于提高麻醉科住院医师围手术期重症超声的培训质量与效果,住院医师满意度较高。
Objective To explore the application effect of goal-oriented progressive teaching in perioperative critical ultrasonography training for anesthesia residents, so as to provide experience and basis for further optimizing the teaching applied in the residents' training of perioperative critical ultrasonography. Methods Forty anesthesia residents enrolled into the Affiliated Drum Tower Hospital of Medical School, Nanjing University from April 2018 to December 2020 were randomly divided into goal-oriented progressive teaching group (experimental group, n=20) and traditional teaching group (control group, n=20) using the random digits table. The scores of perioperative critical ultrasonography test of two groups were compared and a questionnaire survey about satisfaction from the teaching was conducted after the training. Independent sample t-test, Mann Whitney test and χ2 test was used for inter-group comparison. Results The total score of examination from the experimental group was higher than that from the control group [(88.1±3.2) vs. (83.1±4.1), t=4.28, P<0.001). The results of questionnaire survey showed that the residents in the experimental group were more satisfied with their teaching method than those in the control group [(31.4±3.7) vs. (25.6±3.4), t=5.08, P<0.001). Conclusions The goal-oriented progressive teaching can improve the quality and effect of training of perioperative critical ultrasonography and has high teaching satisfaction.
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