优化血流动力学短期培训模式提高培训效果

Improvement the training effectiveness with optimized mode for the hemodynamics short-term training course

目的研究血流动力学短期培训优化模式对培训效果的影响。方法于2016—2017年,在先后举办2期为期2 d的血流动力学培课程,采用"优化课程结构"、"开放式-在线-答疑"、"培训前后-考试评价"等一系列方法建立优化的培训模式,并评价教学效果。结果共有808名学员参加培训课程,培训前摸底考试通过率为44%(316/717),培训后结业考试通过率为88.2%(713/808)。其中627名学员同时完成摸底考试和结业考试,进行配对t检验分析,培训前成绩(55.7±19.3)分,培训后成绩提高到(73.7±10.5)分,成绩相差(18±21)分(P<0.001)。培训前成绩和培训后成绩无显著相关性(R=0.105,P>0.05)。结论血流动力学短期培训优化模式有助提高短期培训效果,但关于如何提高学员血流动力学的临床应用能力需要进一步研究。

Objective To investigate the influence of optimized mode for the hemodynamics short-term training course on the training effectiveness. Methods From 2016 to 2017,an optimized training mode was used in the hemodynamics 2-day training course in Peking Union Medical College Hospital,and the training effectiveness was evaluated.The optimized training mode included optimized course structure,opened-on-line answer questions,pre-training and posttraining examination. Results A total of 808 clinical doctors participated in the hemodynamic training courses,and627 participators finished both pre-training and post-training examinations. The percent of the pass of the examination was 44% at the baseline,and the percent of the pass of the examination was 88. 2% after the training course. The post-training score was significantly higher than the pre-training score in the subgroup of 627 participators（ pair-t-test,pre-training score 55. 7±19. 3 vs. post-training score 73. 7±10. 5,difference 18±21,P〈0. 001）. Moreover,there was no relationship between pre-training score and post-training score. Conclusions The optimized mode of the hemodynamics short-term training course can improve the short-term training effectiveness. However,further studies are needed to improve the application of hemodynamics in the clinical practice.