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。
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.
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