目的 探讨外耳道模型联合传统教学在耳内镜手术培训中的应用价值。方法 选取中山大学附属第一医院2018年50名进修医师为研究对象,平均分为实验组和对照组。两组均有观摩及临床操作考试,实验组增加外耳道模型练习。分析两组进修医师实践操作及主观评价的差异。结果 实验组不但在碰触外耳道次数[(2.52±0.65)次比(3.76±0.93)次]、寻求教师帮助次数[1(1, 2)次比2(2, 2.75)次]及完成时间[(18.62±3.09)分钟比(24.08±4.05)分钟]方面明显少于对照组(均P<0.05),而且在操作熟练程度[(7.92±0.76)分比(6.88±0.88)分]及教学方法评价[(9.80±0.41)分比(7.96±0.98)分]上优于对照组(均P<0.05)。结论 外耳道模型联合传统教学在耳内镜手术培训教学中具有明显的优势,作为一种高效的教学工具,在进修医师的培训中发挥着重要的作用。
Objective To explore the application of external auditory canal model combined with traditional teaching method for improving the teaching quality. Methods All 50 refresher doctors of sun yat-sen university were divided into experiment group and control group. Experiment group added an extra practice of external auditory canal model. The differences between the two groups in practice and subjective evaluation were analyzed. Results The trarnees in experiment group was significantly less than the control group in terms of the times of touching the external auditory canal [(2.52±0.65) vs (3.76±0.93)], the times of teachers' help [1(1,2) vs 2(2,2.75)] and the time of completion[(18.62±3.09) vs (24.08±4.05)] (all P<0.05). The experiment group was better than the control group in operation proficiency [(7.92±0.76) vs (6.88±0.98)] and teaching method evaluation [(9.80±0.41) vs (7.96±0.98)](all P<0.05). Conclusions External auditory canal model combined with traditional teaching has obvious advantages in the training of endoscopic otologic surgery. As an efficient teaching tool, it plays an important role in the training of trainees.
[1]孔维佳,丁秀勇,王云峰,等. 耳内镜手术是昙花一现还是技术革命? [J].临床耳鼻咽喉头颈外科杂志,2018,32(6):427-434. DOI:10. 13201 /j.issn.1001-1781.2018.06.008.
[2]赖彦冰,虞幼军,侯昭晖,等. 对耳内镜手术的思考[J]. 中华耳科学杂志, 2017, 15(4): 426-430. DOI: 10.3969/j.issn.1672-2922.2017.04.008.
[3]Kostusiak M, Hart M, Barone DG, et al. Methodological shortcomings in the literature evaluating the role and applications of 3D training for surgical trainees[J]. Med Teach, 2017, 39(11):1168-1173. DOI: 10.1080/0142159X.2017.1362102.
[4]李杨,田华,张克. 3D打印技术在骨科膝关节置换术教学中的应用[J]. 中华医学教育杂志, 2018, 38(5): 734-738. DOI: 10.3760/cma.j.issn.1673-677X.2018.05.022.
[5]Matsumura Y, Shinno H, Mori T, et al. Simulating clinical psychiatry for medical students: A comprehensive clinic simulator with virtual patients and an electronic medical record system[J]. Acad Psychiatry, 2018, 42(5):613-621. DOI: 10.1007/s40596-017-0860-8.
[6]张莉,李鹏,王拥军,等. 消化内镜模拟训练系统在研究生消化内镜教学中的应用[J]. 中华医学教育杂志, 2012, 32(5): 778-780. DOI: 10.3760/cma.j.issn.1673-677X.2012.05.048.
[7]路明,沈宁,朱红,等. 模拟内镜联合微格教学法在支气管镜培训中的应用研究[J]. 中国高等医学教育, 2018 (1): 106-107. DOI: 10.3969/j.issn.1002-1701.2018.01.054.
