视频教学结合双评分系统对提高住院医师规范化培训腹腔镜手术的研究

摘要
图/表
参考文献(18)
相关文章 (15)

全文: PDF (0 KB) HTML (32 KB)
输出: BibTeX | EndNote (RIS)

摘要目的评估视频教学结合双评分系统对规培医生腹腔镜手术提高的效果分析。方法选取2017 年1 月至2020 年1 月佛山市南海区人民医院的24 名规培医师作为研究对象，采用随机数字表法分为试验组（12 例）和对照组（12 例）。试验组采用视频教学系统，对照组采用传统授课教学，两组进行为期1 年的腹腔镜手术培训，比较两组培训前后的总体腹腔镜技能的操作评估（GOALS）和技术技能的目标结构化评估（OSATS）评分。结果两组培训前的GOALS 评分和OSATS 评分比较，差异无统计学意义（P＞0.05）。两组培训后GOALS 和OSATS 的评分均高于培训前，且试验组培训后的GOALS 和OSATS 评分均高于对照组，差异有统计学意义（P＜0.05）。结论视频教学结合双评分系统可以使规培医师更容易学习和掌握腹腔镜手术操作，提高技术和技能，与传统教学相比更加客观、方便、有效。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章

关键词 ：视频教学, 教育, 腹腔镜手术, 住院医师, 规范化培训

Abstract：Objective To evaluate the effect of video coaching (VC) system on laparoscopic operation combined with double scoring system. Methods From January 2017 to January 2020, 24 prescription-trained physicians in the People′s Hospital of Nanhai District, Foshan City were selected as the research subjects, and were divided into experimental group (12 cases) and control group (12 cases) by random number table method. Video teaching system was used in the experimental group and traditional teaching was used in the control group. The two groups were trained in laparoscopic surgery for one year. The scores of global operation assessment of laparoscopic skills (GOALS) and objective structured assessment of technical skills (OSATS) were compared between the two groups before and after the training. Results There were no statistically significant difference in the GOALS scores and OSATS scores between the two groups before training (P＞0.05). The GOALS and OSATS scores of the two groups after training were higher than those before training, and the GOALS and OSATS scores of the experimental group after training were higher than those of the control group, the difference was statistically significant (P＜0.05). Conclusion Video coaching combined with double scoring system can make standardized training easier for residents to learn and master laparoscopic surgery operation, improve their technology and skills, and be more objective, convenient and effective compared with traditional teaching.

Key words： Video coaching Education Laparoscopic surgery Resident doctor Standardized training

收稿日期: 2021-08-05

作者简介: 梁耿祺（1982-），男，广东连州人，硕士，副主任医师，研究方向：泌尿外科。

引用本文:

梁耿祺；关礼贤；赵振华；廖俊发；徐勋. 视频教学结合双评分系统对提高住院医师规范化培训腹腔镜手术的研究[J]. 中国当代医药, 2021, 28(35): 199-202.
LIANG Geng-qi GUAN Li-xian ZHAO Zhen-hua LIAO Jun-fa XU-Xun. Study on video coaching combined with double scoring system to improve the laparoscopic surgery for the standardized residents training. 中国当代医药, 2021, 28(35): 199-202.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I35/199

[1]	Hu YY，Mazer LM，Yule SJ，et al.Complementing Operating Room Teaching With Video-Based Coaching[J].JAMA Surg，2017，152（4）：318-325.
[2]	Langerman A，Grantcharov TP.Are We Ready for Our Closeup?：Why and How We Must Embrace Video in the OR[J].Ann Surg，2017，266（6）：934-936.
[3]	Celentano V，Smart N，Cahill RA，et al.Development and validation of a recommended checklist for assessment of surgical videos quality：the LAParoscopic surgery Video Educational GuidelineS （LAP-VEGaS）video assessment tool[J].Surg Endosc，2021，35（3）：1362-1369.
[4]	Martin JA，Regehr G，Reznick R，et al.Objective structured assessment of technical skill（OSATS）for surgical residents[J].Br J Surg，1997，84（2）：273-278.
[5]	Vassiliou MC，Feldman LS，Andrew CG，et al.A global assessment tool for evaluation of intraoperative laparoscopic skills[J].Am J Surg，2005，190（1）：107-113.
[6]	张鹏，陶凯雄.微创手术视频教学体系在胃肠外科中的应用[J].医学教育研究与实践，2021，29（2）：314-318.
[7]	陆宏.视频反馈教学+板书教学对外科教学质量的影响[J].中国卫生产业，2020，17（10）：130-131，134.
[8]	Augestad KM，Han H，Paige J，et al.Educational implications for surgical telementoring：a current review with recommendations for future practice，policy，and research[J].Surg Endosc，2017，31（10）：3836-3846.
[10]	魏芳远，张建中，张立军.手术视频结合病例讨论教学法用于骨科临床实习教学中的研究[J].继续医学教育，2018，32（10）：41-43.
[11]	王栓虎，时依，管佳佳，等.CBL 结合微视频教学法在胃肠外科实习教学中的应用[J].齐齐哈尔医学院学报，2020，41（5）：618-619.
[12]	梁霄，郑俊浩.微创外科时代腹腔镜高清视频辅助教学的应用[J].全科医学临床与教育，2019，17（4）：344-345，348.
[14]	郭园园，刘贝贝，孙巍，等.基于微信平台的CBL 联合视频教学在泌尿外科课程中的应用探索[J].齐齐哈尔医学院学报，2020，41（12）：1548-1551.
[9]	van de Graaf FW，Lange MM，Spakman JI，et al.Comparison of Systematic Video Documentation With Narrative Operative Report in Colorectal Cancer Surgery[J].JAMA Surg，2019，154（5）：381-389.
[13]	Liu KJ，Tkachenko E，Waldman A，et al.A video-based，flipped classroom，simulation curriculum for dermatologic surgery：A prospective，multi-institution study[J].J Am A-cad Dermatol，2019，81（6）：1271-1276.
[15]	胡建华，何建忠.PBL 结合手术视频教学模式对泌尿外科医师培训结果的影响[J].中国卫生产业，2020，17（20）：173-175.
[16]	Hamour AF，Mendez AI，Harris JR，et al.A High-Definition Video Teaching Module for Thyroidectomy Surgery[J].J Surg Educ，2018，75（2）：481-488.
[17]	Sharma G，Aycart MA，O′Mara L，et al.A cadaveric procedural anatomy simulation course improves video-based assessment of operative performance[J].J Surg Res，2018，223：64-71.
[18]	Jung YK，Jang K，Paik SS，et al.Positive immunostaining of Sal-like protein 4 is associated with poor patient survival outcome in the large and undifferentiated Korean hepatocellular carcinoma[J].Ann Surg Treat Res，2016，91（1）：23-28.