胸腔镜在增强医学生对胸部分解学的兴趣和理解中的应用。

The use of thoracoscopy to enhance medical students' interest and understanding of thoracic anatomy.

机构信息

Department of Surgery, King Saud University, Riyadh, Saudi Arabia.

出版信息

Ann Thorac Med. 2012 Jul;7(3):145-8. doi: 10.4103/1817-1737.98847.

DOI:10.4103/1817-1737.98847

PMID:22924072

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3425046/

Abstract

AIM

To develop a video-based educational tool designed for teaching thoracic anatomy and to examine whether this tool would increase students' stimulation and motivation for learning anatomy.

METHODS

Our video-based tool was developed by recording different thoracoscopic procedures focusing on intraoperative live thoracic anatomy. The tool was then integrated into a pre-existing program for first year medical students (n = 150), and included cadaver dissection of the thorax and review of clinical problem scenarios of the respiratory system. Students were guided through a viewing of the videotape that demonstrated live anatomy of the thorax (15 minutes) and then asked to complete a 5-point Likert-type questionnaire assessing the video's usefulness. Apart from this, a small group of entirely different set of students was divided into two groups, one group to view the 15-minute video presentation of thoracoscopy and chest anatomy and the other group to attend a 15-minute lecture of chest anatomy using radiological images. Both groups took a 10-item pretest and post-test multiple choice questions examination to assess short-term knowledge gained.

RESULTS

Of 150 medical students, 119 completed the questionnaires, 88.6% were satisfied with the thoracoscopic video as a teaching tool, 86.4% were satisfied with the quality of the images, 69.2% perceived it to be beneficial in learning anatomy, 96.2% increased their interest in learning anatomy, and 88.5% wanted this new teaching tool to be implemented to the curriculum. Majority (80.7%) of the students increased their interest in surgery as a future career. Post-test scores were significantly higher in the thoracoscopy group (P = 0.0175).

CONCLUSION

Incorporating live surgery using thoracoscopic video presentation in the gross anatomy teaching curriculum had high acceptance and satisfaction scores from first year medical students. The video increased students' interest in learning, in clinically applying anatomic fact, and in surgery as a future career.

摘要

目的

开发一种基于视频的教育工具，用于教授胸部分区解剖学，并研究该工具是否能提高学生学习解剖学的积极性和兴趣。

方法

我们的基于视频的工具是通过记录不同的胸腔镜手术来制作的，这些手术都聚焦于术中的实时胸部解剖。然后，该工具被整合到一个现有的一年级医学生课程中（n=150），包括胸腔解剖和呼吸系统临床问题情景回顾。学生们被引导观看一段演示胸腔实时解剖的录像（15 分钟），然后完成一份 5 分制李克特量表问卷，评估录像的有用性。除此之外，一小部分完全不同的学生被分成两组，一组观看胸腔镜和胸部解剖的 15 分钟视频演示，另一组观看 15 分钟的胸部解剖放射图像讲座。两组学生都参加了 10 项前测和后测选择题考试，以评估短期知识的获取情况。

结果

在 150 名医学生中，有 119 名完成了问卷调查，88.6%的学生对胸腔镜视频作为教学工具感到满意，86.4%的学生对图像质量感到满意，69.2%的学生认为该视频有助于学习解剖学，96.2%的学生增加了学习解剖学的兴趣，88.5%的学生希望将这一新的教学工具纳入课程。大多数（80.7%）学生增加了对未来作为外科医生的职业的兴趣。胸腔镜组的后测得分显著更高（P=0.0175）。