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住院医师规范化培训中以住院医师为教员的宫腔镜教学观察(SRT)与导师指导相结合。

An Observation of a Resident-as-Teacher Combined with Tutor Guided Hysteroscopy Teaching Program for Standardized Residency Training (SRT) in Obstetrics and Gynecology.

机构信息

Department of Obstetrics and Gynecology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, 85 Wujin Road, Hongkou, Shanghai 200080, China.

Department of Orthopedics, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, 85 Wujin Road, Hongkou, Shanghai 200080, China.

出版信息

J Healthc Eng. 2020 Jul 30;2020:8855099. doi: 10.1155/2020/8855099. eCollection 2020.

Abstract

OBJECTIVES

The standardized residency training (SRT) program in China is an important link for continuing education and clinical work training for graduate students. The purpose of our study was to enable educators to maintain the effectiveness of hysteroscopy teaching techniques and make the standardized residency training students well experienced in surgery, thus demonstrating that higher efficiency of teaching can lead to better proficiency for surgery.

METHODS

We generated resident-as-teacher teaching round and tutor guided hysteroscopic surgery as well as a questionnaire based on the mastery degree of the basic theoretical knowledge and operational skills of hysteroscopy among seven junior residents and five senior residents of the Obstetrics and Gynecology Department, including four attending gynecologic surgeons of a hysteroscopy teaching program.

RESULTS

Senior residents felt confident to teach, while junior residents learned effectively through the teaching round. There were statistically significant differences in the whole operation time and the volume of distension fluid used between junior and senior residents ( < 0.05).

CONCLUSIONS

This study acknowledges the need for new approaches to medical education for better characterization of the link between the use of teaching rounds through problem-based learning (PBL) discussion dominated by the residents themselves and overall surgical skills of teaching and learning.

摘要

目的

中国的规范化住院医师培训(SRT)项目是研究生继续教育和临床工作培训的重要环节。我们研究的目的是使教育工作者能够保持宫腔镜教学技术的有效性,并使规范化住院医师培训学生在手术方面有丰富的经验,从而证明更高的教学效率可以带来更好的手术熟练度。

方法

我们开展了住院医师作为教师的教学查房和导师指导的宫腔镜手术,并基于妇产科的 7 名住院医师和 5 名进修医师(包括 4 名宫腔镜教学计划的主治妇科医生)对宫腔镜基本理论知识和操作技能的掌握程度设计了一份问卷。

结果

进修医师对教学充满信心,而住院医师通过教学查房有效地学习。住院医师和进修医师的整体手术时间和膨宫液用量均存在统计学差异(<0.05)。

结论

本研究认为需要采用新的医学教育方法,更好地描述以住院医师为主体的基于问题的学习(PBL)讨论的教学查房在教学和学习中的整体手术技能之间的联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69b9/7414364/e1812891eff4/JHE2020-8855099.001.jpg

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