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骨科住院医师对定制3D打印解剖模型教育效用的认知:一项基于问卷调查的观察性研究。

Orthopedic Trainees' Perception of the Educational Utility of Patient-Specific 3D-Printed Anatomical Models: A Questionnaire-Based Observational Study.

作者信息

Zhou Xiaoyang, Yi Kaijun, Shi Yihua

机构信息

Department of Orthopedics, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, 441000, People's Republic of China.

出版信息

Adv Med Educ Pract. 2025 Aug 9;16:1399-1409. doi: 10.2147/AMEP.S534099. eCollection 2025.

Abstract

BACKGROUND

Traditional orthopedic teaching methods have inherent limitations in conveying complex three-dimensional anatomical relationships essential for surgical planning and execution. Three-dimensional (3D) printing technology offers a potential solution to these educational challenges, but systematic evaluation of its specific educational impact in orthopedic residency training remains limited.

PURPOSE

This study aimed to evaluate the educational efficacy of in-house 3D-printed patient-specific anatomical models in orthopedic training through assessment of three core domains: anatomical comprehension, surgical planning proficiency, and clinical teaching utility.

METHODS

In this analytical observational study, paper-based questionnaires were distributed to 145 orthopedic residents at Hubei University of Medicine who participated in clinical teaching sessions using 3D-printed anatomical models between January 2025 and March 2025. Participants rated their experiences on a 10-point Likert scale. Data were analyzed using descriptive statistics.

RESULTS

The response rate was 81.4% (n=118). A majority (85.6%) of residents reported enhanced understanding of complex anatomical structures. First-year residents demonstrated higher satisfaction (mean score 7.9) compared to more advanced trainees (mean scores 7.3 and 6.9). Small group settings (4-6 participants) were preferred by 76.3% of respondents. Physical manipulation of models received the highest educational value rating (mean score 8.1). Primary limitations included production time (45.8%), material durability (38.6%), and limited model varieties (35.6%). Nearly half (43.2%) of residents requested more frequent practice sessions.

CONCLUSION

3D-printed anatomical models significantly enhance orthopedic resident education, particularly for complex structures and junior trainees. Small-group, instructor-guided implementation maximizes educational benefits. When strategically integrated into existing curricula, in-house production enables widespread access across training levels with minimal resource constraints.

摘要

背景

传统的骨科教学方法在传达手术规划和实施所必需的复杂三维解剖关系方面存在固有局限性。三维(3D)打印技术为这些教育挑战提供了一个潜在的解决方案,但对其在骨科住院医师培训中的具体教育影响的系统评估仍然有限。

目的

本研究旨在通过评估三个核心领域来评估内部3D打印的患者特异性解剖模型在骨科培训中的教育效果:解剖理解、手术规划熟练度和临床教学效用。

方法

在这项分析性观察研究中,向湖北医药学院的145名骨科住院医师发放了纸质问卷,这些住院医师在2025年1月至2025年3月期间参加了使用3D打印解剖模型的临床教学课程。参与者以10分制李克特量表对他们的体验进行评分。使用描述性统计分析数据。

结果

回复率为81.4%(n = 118)。大多数(85.6%)住院医师报告对复杂解剖结构的理解有所增强。与高年级学员(平均得分7.3和6.9)相比,一年级住院医师表现出更高的满意度(平均得分7.9)。76.3%的受访者更喜欢小组设置(4 - 6名参与者)。模型的物理操作获得了最高的教育价值评分(平均得分8.1)。主要限制包括制作时间(45.8%)、材料耐久性(38.6%)和模型种类有限(35.6%)。近一半(43.2%)的住院医师要求增加练习课程的频率。

结论

3D打印解剖模型显著提高了骨科住院医师的教育水平,特别是对于复杂结构和初级学员。小组、教师指导的实施方式能最大限度地提高教育效益。当战略性地整合到现有课程中时,内部制作能够在资源限制最小的情况下,使各级培训广泛使用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfa8/12345946/8482a8616413/AMEP-16-1399-g0001.jpg

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