目的 探讨第一人称视角视频教学在口腔科住院医师牙体预备临床操作技能培训中的应用效果。 方法 2020年1月至2022年11月,选择在首都医科大学附属北京安贞医院口腔科接受住院医师规范化培训的20名学员为研究对象。采用试验对照方法,将学员随机平均分为试验组和对照组,比较观看第一人称视角视频的试验组学员和观看第三人称视角视频的对照组学员牙体预备培训的教学效果,通过拟合扫描数据来测量三维方向的牙体预备量进行客观评分,并由学员对教学效果进行主观评价。采用单因素方差分析对数据进行统计学处理。结果 试验组学员备牙客观评价整体成绩[(54.2±1.0)分]高于对照组学员[(43.0±2.3)分],其差异具有统计学意义(P<0.001)。试验组学员对教学视频指导意义的评分为(86.6±14.1)分,高于对照组学员的(67.6±11.8)分,其差异具有统计学意义(P<0.05)。结论 第一人称视角视频教学有助于住院医师规范化培训学员更好地理解掌握牙体预备知识要点和提高操作水平,教学满意度更高。
张非煜
,
董坚
,
丁芳
,
余兰
,
武洲
,
刘银花
,
王杰
,
郭海燕
,
刘林
. 第一人称视角视频教学在口腔科住院医师临床操作技能培训中的应用[J]. 中华医学教育杂志, 2025
, 45(8)
: 621
-624
.
DOI: 10.3760/cma.j.cn115259-20240514-00485
Objective To explore the effectiveness of first-person perspective (FPP) video teaching in the clinical operative skills training of tooth preparation for dental residents. Methods From January 2020 to November 2022, 20 residents in the Department of Stomatology at Beijing Anzhen Hospital, Capital Medical University were enrolled in this study. A randomized controlled trial was conducted, dividing the participants equally into an experimental group (FPP video) and a control group (third-person perspective). The teaching outcomes were compared by objectively scoring the three-dimensional dental preparation volume using fitted scan data, along with subjective evaluations from the participants. Statistical analysis was performed using one-way ANOVA. Results The experimental group achieved significantly higher overall objective scores [(54.2±1.0) points] compared to the control group [(43.0±2.3) points], P<0.001. Subjective evaluations of the instructional videos' effectiveness were also higher in the experimental group [(86.6±14.1) points vs. (67.6±11.8) points, P<0.05]. Conclusions FPP video teaching enhances residents' comprehension of key dental preparation techniques and improves operational proficiency, with higher satisfaction rates in standardized residency training.
[1] 潘赛英, 周汝云, 陈宏翔, 等. 形成性评价在住院医师核心胜任力培养中的应用探索[J].中华医学教育杂志,2023,43(6):467-470. DOI: 10.3760/cma.j.cn115259-20220906-01119.
[2] 赵玮. 全冠的牙体预备[J]. 国外医学·口腔医学分册,2003,30(2):151-153.
[3] 孔宁华, 吕亚林. 美国华盛顿大学牙学院口腔全科住院医师培训项目及启示[J].中华医学教育杂志,2018,38(1):147-152. DOI: 10.3760/cma.j.issn.1673-677X.2018.01.032.
[4] 杨阳,张世彤. 手术视频示教采集模式对比研究[J]. 影像技术,2022,34(4):35-39.
[5] 小水内俊介,近野敦,金井理,等. 一人称視点で模範手技の追体験が可能な没入型看護教育システム[J]. ESTE-VR, 2019,7(1):89-93.
[6] Schmidt MW, Friedrich M, Kowalewski KF, et al. Learning from the surgeon's real perspective-first-person view versus laparoscopic view in e-learning for training of surgical skills? Study protocol for a randomized controlled trial[J]. Int J Surg Protoc, 2017,3:7-13. DOI: 10.1016/j.isjp.2017.01.001.
[7] 马兴彬, 史宁, 李彦敏, 等. 基于成果导向教育理念的理实一体化教学方法在消化系统见习教学中的应用[J].中华医学教育杂志,2023,43(3):199-202. DOI: 10.3760/cma.j.cn115259-20220607-00741.
[8] 康艳凤, 徐啸翔, 丁茜, 等. 数字化动态咬合模型在口腔生理学下颌运动教学中的应用效果[J].中华医学教育杂志,2024,44(2):123-126. DOI: 10.3760/cma.j.cn115259-20230517-00508.
[9] Hatt D, Zimmerman E, Chang E, et al. First-person point-of-view instructional video on lumbar puncture procedure[J]. Pediatr Emerg Care, 2023,39(12):953-956. DOI: 10.1097/PEC.0000000000003084.
[10] Fukuta J, Morgan J. First-person perspective video to enhance simulation[J]. Clin Teach, 2018,15(3):231-235. DOI: 10.1111/tct.12659.
[11] Offiah G, Ekpotu LP, Murphy S, et al. Evaluation of medical student retention of clinical skills following simulation training[J]. BMC Med Educ, 2019,19(1):263. DOI: 10.1186/s12909-019-1663-2.
[12] 杨洋, 丁茜, 廖宇, 等. 探讨案例教学法在口腔美学修复实习教学中的应用[J].口腔颌面修复学杂志,2021,22(2):134-137. DOI: 10.19748/j.cn.kqxf.1009-3761.2021.02.013.
[13] 丁茜, 刘洋, 王时敏, 等. 口腔虚拟患者结合基于案例学习教学方法在口腔修复学实习中的应用[J].中华医学教育杂志,2024,44(3):190-194. DOI: 10.3760/cma.j.cn115259-20230512-00489.
[14] 门庆林, 周宪华, 张文静, 等. 改良Peyton教学方法在口腔修复科住院医师规范化培训中的应用[J].中华医学教育杂志,2024,44(7):546-549. DOI: 10.3760/cma.j.cn115259-20230511-00485.
