首页|麻醉医生在TEE培训中授课与模拟训练理想顺序的探索

麻醉医生在TEE培训中授课与模拟训练理想顺序的探索

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目的:探讨基于仿真模拟器的TEE(transesophageal echocardiography)培训中,模拟训练后再进行授课的教学效果是否优于授课后再进行模拟训练。方法:选取首都医科大学附属北京朝阳医院麻醉科未接受过任何TEE培训课程的非心脏麻醉医生60名,随机分为两组。对照组(n=30)先授课后进行模拟训练;试验组(n=30)先进行模拟训练后授课。通过笔试及模拟操作成绩来评估教学效果。用SPSS 25。0统计软件进行统计分析,组间比较采用独立样本t检验,计数资料采用x2检验。结果:最终51名学员的成绩纳入数据分析,两组学员课后即时MCQ测试成绩及技能测试成绩无统计学差异,但1个月后试验组MCQ测试成绩及技能测试成绩均优于对照组。结论:对于无任何TEE相关基础的非心脏麻醉医生,最好先进行基于仿真模拟人的实践技能培训,再进行理论知识授课,此种顺序的安排可使新手学员对TEE切面及心脏结构的记忆时间更长久。
Exploration of the Ideal Sequence of Teaching and Simulation Training for Anesthesiologists in Transesophageal Echocardiography(TEE)Training
Objective:To explore whether the teaching effect of simulation training followed by lectures in Transesophageal Echocardiography(TEE)training based on simulators is superior to that of lectures followed by simulation training.Methods:Sixty non-cardiac anesthesiologists from the Department of Anesthesiology,Beijing Chaoyang Hospital,Capital Medical University,who had not received any TEE training courses,were randomly divided into two groups:control group(n=30):lectures followed by simulation training;experimental group(n=30):simulation training followed by lectures.The teaching effect was evaluated based on written tests and simulation operation scores.Statistical analysis was performed using SPSS 25.0 software,with independent sample t-test for intergroup comparison and chi-square test for count data.Results:The scores of 51 participants were included in the data analysis.There was no statistically significant difference in immediate written tests and operation test scores between the two groups after the training course.However,one month later,the retest scores of both written tests and operation tests were higher in the experimental group than in the control group.Conclusion:For non-cardiac anesthesiologists without any TEE-related foundation,it is preferable to undergo practical skill training based on simulated human models before receiving theoretical knowledge lectures.This sequence allows novice learners to retain memory of TEE planes and cardiac structures for a longer period.

Transesophageal echocardiographySimulation trainingAnesthesiology

王晶、穆博然、吴安石、魏昌伟

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首都医科大学附属北京朝阳医院,北京 100020

经食道超声心动 模拟教学 麻醉学

2024

中国高等医学教育
浙江大学,全国高等医学教育学会

中国高等医学教育

影响因子:0.963
ISSN:1002-1701
年,卷(期):2024.(6)