Chinese Journal of Medical Education ›› 2025, Vol. 45 ›› Issue (7): 547-552.DOI: 10.3760/cma.j.cn115259-20240615-00607

• Continuing Medical Education • Previous Articles     Next Articles

Exploration of teaching laparoscopic cholecystectomy based on SPOC inprimary hospitals in extremely high-altitude areas

Xie Yi1, Wang Guangyong2, Jia Yangduoji3, La Buxiaga3, Li Zhe4, Yu Feifei5   

  1. 1Department of General and Hepatobiliary Pancreatic Spleen, Naval Medical Center, Naval Medical University, Shanghai 200433, China;
    2Department of Gastroenterology, Naval Medical Center, Naval Medical University, Shanghai 200433, China;
    3Office of the Director, Nima County People′s Hospital of the Xizang Autonomous Region, Nima 853200, China;
    4Health Department, Naval Medical Center, Naval Medical University, Shanghai 200433, China;
    5Department of Quality Management,Medical Service Center, Naval Medical Center, Naval Medical University, Shanghai 200433, China
  • Received:2024-06-15 Online:2025-07-01 Published:2025-07-01
  • Contact: Yu Feifei, Email: yffling@163.com
  • Supported by:
    Excellent Young Talents Program of the Naval Medical Center (21TPQN1601)

Abstract: As the cornerstone of laparoscopic biliary surgery, laparoscopic cholecystectomy has been widely implemented in plain areas, yet a systematic training system for young surgeons remains underdeveloped. Since 2022, the Naval Medical Center has provided continuous ″group″ medical assistance to the People′s Hospital of Nyima County in Nagqu, Tibet Autonomous Region. During surgical support for this high-altitude primary hospital, the medical team adapted laparoscopic surgical training experience in plain areas to local conditions, developing an innovative surgical team training approach where Small Private Online Courses played a pivotal role. This approach established a customized, centralized online learning platform that effectively addressed the needs of remote, resource-limited high-altitude learners, providing flexible self-paced learning while ensuring high-quality, standardized content delivery. The curriculum progressively transitioned from open cholecystectomy training to minimally invasive small-incision cholecystectomy, ultimately advancing to laparoscopic cholecystectomy, with Small Private Online Courses consistently integrated throughout. This approach demonstrated remarkable efficacy in surgical education at extremely high-altitude primary hospitals.

Key words: Cholecystectomy, laparoscopic, Extra high altitude, Small private online course, Teaching

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