Application of a goal-oriented progressive teaching method in training of perioperative critical ultrasonography for anesthesia residents

doi:10.3760/cma.j.cn115259-20210305-00299

Abstract

Abstract: Objective To explore the application effect of goal-oriented progressive teaching in perioperative critical ultrasonography training for anesthesia residents, so as to provide experience and basis for further optimizing the teaching applied in the residents' training of perioperative critical ultrasonography. Methods Forty anesthesia residents enrolled into the Affiliated Drum Tower Hospital of Medical School, Nanjing University from April 2018 to December 2020 were randomly divided into goal-oriented progressive teaching group (experimental group, n=20) and traditional teaching group (control group, n=20) using the random digits table. The scores of perioperative critical ultrasonography test of two groups were compared and a questionnaire survey about satisfaction from the teaching was conducted after the training. Independent sample t-test, Mann Whitney test and χ² test was used for inter-group comparison. Results The total score of examination from the experimental group was higher than that from the control group [(88.1±3.2) vs. (83.1±4.1), t=4.28, P<0.001). The results of questionnaire survey showed that the residents in the experimental group were more satisfied with their teaching method than those in the control group [(31.4±3.7) vs. (25.6±3.4), t=5.08, P<0.001). Conclusions The goal-oriented progressive teaching can improve the quality and effect of training of perioperative critical ultrasonography and has high teaching satisfaction.

Key words: Anesthesia, Goal-oriented, Progressive teaching, Residents, Critical ultrasonography

CLC Number:

Liu Yue, Song Fen, Yang Yan, Zhang Juan, Zhu Beibei, Zhang Wei. Application of a goal-oriented progressive teaching method in training of perioperative critical ultrasonography for anesthesia residents[J]. Chinese Journal of Medical Education, 2022, 42(3): 236-240.

References

[1] 玉红, 梁鹏, 余海, 等. 围术期超声——新时代麻醉科医师的基本技能[J].临床麻醉学杂志,2018,34(8):824-826. DOI:10.12089/jca.2018.08.025.
[2]Prada G, Vieillard-Baron A, Martin AK, et al. Tracheal, lung, and diaphragmatic applications of M-mode ultrasonography in anesthesiology and critical care[J].J Cardiothorac Vasc Anesth,2021,35(1):310-322.DOI:10.1053/j.jvca.2019.11.051.
[3]马育, 高燕凤, 谭敬, 等. 加强麻醉科住院医师围手术期重症超声技术[J].中国继续医学教育,2020,12(30):78-82. DOI:10.3969/j.issn.1674-9308.2020.30.023.
[4]Mizubuti GB, Allard RV, Tanzola RC, et al. Pro:Focused cardiac ultrasound should be an integral component of anesthesiology residency training[J].J Cardiothorac Vasc Anesth, 2015,29(4):1081-1085. DOI:10.1053/j.jvca.2015.04.001.
[5]Smith WB, Robinson AR 3rd, Janelle GM. Expanding role of perioperative transesophageal echocardiography in the general anesthesia practice and residency training in the USA[J]. Curr Opin Anaesthesiol, 2015,28(1):95-100. DOI:10.1097/ACO.0000000000000146.
[6]Mok D, Schwarz S, Rondi K. Point-of-care ultrasonography in Canadian anesthesiology residency programs: a national survey of program directors[J]. Can J Anaesth, 2017,64(10):1023-1036. DOI:10.1007/s12630-017-0935-8.
[7]茅凯凯, 周玉皆, 沈山梅. 基于目标导向的住院医师分阶段培养体系的构建[J].江苏卫生事业管理,2018,29(5):589-592. DOI:10.3969/j.issn.1005-7803.2018.05.031.
[8]Nasca TJ, Philibert I, Brigham T, et al. The next GME accreditation system--rationale and benefits[J].N Engl J Med, 2012,366(11):1051-1056. DOI:10.1056/NEJMsr1200117.
[9]贾茜茜,吴长毅,王军,等.进阶式培训方式在麻醉学医师气管插管技能培训中的应用[J].中华医学教育杂志,2019,39(12):962-965.DOI:10.3760/cma.j.issn.1673-677X.2019.12.017.
[10]张筱茵, 赵敏, 曾志宇, 等.进阶式教学模式在内镜超声培训中的初步应用[J].中华消化内镜杂志,2018,35(8):580-582.DOI:10.3760/cma.j.issn.1007-5232.2018.08.011.
[11]高明杰,华扬.进阶式培训模式在超声专业住院医师规范化培训中的应用[J].医学教育管理,2018,4(5):397-400.DOI:10.3969/j.issn.2096-045X.2018.05.011.

[1]	Wu Shuo, Wang Peiji, Xie Dielai. The application of virtual and 3D printing model in clinical training otorhinolaryngology residents [J]. Chinese Journal of Medical Education, 2022, 42(3): 254-257.
[2]	Li Shan, Zhou Wenjing, Qi Xin, Jiang Zhehan, Qi Jianguang. A pilot study to implement entrustable professional activities in pediatric residency program in China [J]. Chinese Journal of Medical Education, 2022, 42(3): 263-267.
[3]	Lin Zengmao, Kong Hao, Zhang Feng, Li Xue, Huang Da, Zhang Hong. Application of simulation-based training in the ultrasound-guided regional anesthesia teaching program [J]. Chinese Journal of Medical Education, 2022, 42(1): 55-59.
[4]	Huang Xiaohan, He Xie, Zhu Bingjing, Deng Caixia, Bian Shizhu, Li Yang, Luo Hu. Investigation on cognition and anxiety status of trainees receiving standardized resident training for COVID-19 pandemic [J]. Chinese Journal of Medical Education, 2021, 41(9): 799-802.
[5]	Xia Qianqian, Zhu Jiying, Zhu Xiangwen, Ding Zhongxiang, Han Zhijiang. Application of SPARK mode in the training of non-medical imaging residents at department of radiology [J]. Chinese Journal of Medical Education, 2021, 41(8): 699-702.
[6]	Zhao Yongfeng, Tang Xiaohong, Peng Hong, Liu Wengang, Li Linlu, Yuan Le, Zhou Ping. Application of ultrasound simulator in assessing residents' skill of obstetric ultrasound scanning [J]. Chinese Journal of Medical Education, 2021, 41(7): 601-605.
[7]	Fu Mengzhu, Wang Xun, Hu Zhenzhen, You Chunyuan, Xu Xin, Li Xing, Feng Xuehong, Sun Danqin. Application of an in vitro dynamic cardiac model in the residents' training of echocardiography [J]. Chinese Journal of Medical Education, 2021, 41(7): 611-615.
[8]	Wang Lixin, Tan Bin, Han Bing, Chen Chunxia, Qin Li. The training of American blood transfusion medicine specialists and its enlightenment [J]. Chinese Journal of Medical Education, 2021, 41(7): 661-664.
[9]	Zhang Mingxia, Wang Zhenlin, Qi Yan, Lyu Haili, Cao Lianjie, Li Pu. Establishment and preliminary exploration of teaching clinic in otolaryngology head and neck surgery [J]. Chinese Journal of Medical Education, 2021, 41(5): 448-451.
[10]	He Ji, Zhang Yixuan, Li Gang, Fan Dongsheng. Application of an online case-based learning platform in standardized training of neurology residents [J]. Chinese Journal of Medical Education, 2021, 41(3): 226-229.
[11]	Zhao Yajun, Zhang Fangyan, Tian Jiupeng, Gong Jizhang, Ge Xuhua. Critical thinking capacity and its influencing factors in the training of general practice residents [J]. Chinese Journal of Medical Education, 2021, 41(3): 247-250.
[12]	Liu Lili, Zhong Yilin, Yu Guo, Hou Xinlin, Qi Jianguang. Application of 360-degree assessment in the competency-oriented standardized training of pediatric residents [J]. Chinese Journal of Medical Education, 2021, 41(3): 251-255.
[13]	Qi Xin, Jin Zhe, Han Xiaoning, Zhang Hong, Li Yuan, Dong Aimei, Qi Jianguang, Lu Ye, Jiang Zhehan, Li Yan, Liu Jiashuai, Wang Ying, Li Haichao. Establishment of the entrustable professional activities for the residents [J]. Chinese Journal of Medical Education, 2021, 41(2): 104-108.
[14]	Yan Qi, Ma Xiaoran, Huo Fei, Feng Yi, An Haiyan. The difficulties and countermeasures of the training of ultrasound-guided regional anesthesia [J]. Chinese Journal of Medical Education, 2021, 41(2): 167-170.
[15]	Liu Guohui, Wang Yanbo, Lan Tian, He Yunlong, Wang Chunbo, E Mingyan. Application of 3D reconstruction digital model combined with PBL teaching for the training of tumor radiotherapy target delineation [J]. Chinese Journal of Medical Education, 2021, 41(12): 1118-1121.