三层次技能培训在腔镜技能实践教学中的应用

Application research of three levels of skills training in the practical teaching of general surgery in the area of endoscopic surgical skills

目的探讨医学学生在普外科实践教学中利用三层次技能培训方法训练腔镜技能的可行性。方法抽取2015年1月—2016年6月安徽医科大学临床医学5年制及7年制实习生115名,以随机数字表法分为观察组58例和对照组57例,观察组进行外科基本技能培训、腔镜技能培训及临床腔镜实习培训等三层次技能培训,对照组进行外科基本技能培训及临床腔镜实习培训等两层次技能培训。比较培训后两组外科基本技能及腔镜操作能力以评估培训效果。结果两组外科基本技能成绩差异无统计学意义(P>0.05);观察组的腔镜操作技能(棋盘、拾豆、走线、木块移动及腔镜下缝合)成绩优于对照组,差异有统计学意义(P<0.05)。结论医学学生在普外学科的实践教学中,通过三层次技能培训可以培养医学生的腔镜技能及微创外科理念,利于医学生成为具有扎实操作基本功的、符合时代要求的实用型医学人才。

Objective To investigate the feasibility of the three levels of skills training in the practical teaching of general surgery toob-tain the endoscopic surgical skills. Methods 115 clinical medical undergraduate interns were selected from the five-year clinical medi-cal bachelors and the seven-year masters from Anhui Medical University. They were randomly divided into experimental group （n = 58） and control group （ n = 57） . The experimental group received three levels of skills training including surgical basic skills training, sys-tematic laparoscopic skills training and clinical endoscopic surgical skills practice training,while the control group did not receive sys-tematic laparoscopic skills training. The surgical basic skills and systematic laparoscopic skills of interns in both groups were compared so as to evaluate the training effects. Results There was no significantly difference in the scores of surgical basic skills between these two groups （P 〉0.05）. But the experimental group had significantly higher scores in laparoscopic skills than the control group （P 〈 0.05） ,which were checkerboard drill,bean drop drill,running string drill,the block move drill and suture foam drill. Conclusion The medical college students could obtain the minimally invasive surgery concept and skills and become practical innovative medical talents with solid fundamental operation by cultivation of the three levels of skills training in the practical teaching of general surgery in the area of minimally invasive techniques.