目的 评价阶梯式教学结合精细程序化手术培训模式在耳鼻咽喉科住院医师耳内镜技术规范化培训中的应用效果。方法 选择2017年1月～2018年12月在中山大学附属第一医院耳鼻咽喉科进行耳内镜技术规范化培训的38名住院医师为研究对象,采用阶梯式教学结合精细程序化手术培训模式对其进行1年的培训,培训结束后采用问卷调查方法和理论与技能考试,了解其培训效果。结果 住院医师均通过理论和技能考核,耳内镜技能操作考核优秀率81.6%(31/38)。问卷调查结果显示,100.0%(38/38)的住院医师满意该种教学模式,100.0%(38/38)的住院医师认为学习兴趣和耳内镜操作熟练程度得到很大提升;86.8%(33/38)的住院医师认为耳内镜手术操作能力得到很大提升;92.1%(35/38)的住院医师认为术中应变能力得到很大提升,89.5%(34/38)的住院医师认为医患沟通能力得到很大提升。结论 阶梯式教学结合精细程序化手术培训模式有助于提高耳内镜技术的培训效果,适用于住院医师耳内镜技术规范化培训。

Objective To evaluate the effect of step teaching combined with precisely procedural operation training mode in the standardized training of otolaryngology technology for residents.Methods From January 2017 to December 2018,38 residents in the otolaryngology department of the First Affiliated Hospital of Sun Yat-sen University were selected as the research objects.They were trained for one year by using step teaching and precisely procedural operation training mode.After the training,questionnaire survey method and theory and skill examination were used to compare the training effect.Results All residents passed the examination of theory and skill,and the excellent rate of otoendoscopy skill operation was 81.6% (31/38).The results of questionnaire survey showed that 100.0% (38/38) of residents were satisfied with this teaching mode,100.0% (38/38) of residents thought that their interest in learning and their proficiency in otoendoscopy operation had been greatly improved;86.8% (33/38) of residents thought that their ability of otoendoscopy operation had been greatly improved;92.1% (35/38) of residents thought that their ability of intraoperative response had been greatly improved,89.5% (34/38) residents considered that the communication ability between doctors and patients had been greatly improved.Conclusions The combination of step teaching and precisely procedural operation training is helpful to improve the training effect of otoendoscopy technology and is suitable for the standardized training of otoendoscopy technology for residents.