耳鼻咽喉科住院医师耳内镜外科技术规范化培训实践

Standardized training practice of otoendoscopic surgery for otolaryngologists

耳内镜外科技术在当今耳科疾病诊治中具有非常重要的作用。结合耳内镜技术临床教学和住院医师规范化培训工作,分析耳内镜技术培训教学过程出现的一些问题,采用四阶段教学法及精细程序化手术教学法,循序渐进提高住院医师耳内镜外科技术操作能力;采用以问题为基础的学习法(problem-based learning,PBL)结合案例教学法(case-based learning,CBL)提高住院医师临床思维能力;以求促进住院医师主动学习,多渠道培养和提高住院医师临床科研能力,探索出一套具备耳内镜技术专业特色教学方法,为住院医师耳内镜技术规范化培训教学提供参考。

Endoscopic otology plays an important role in the diagnosis and treatment of otological diseases.Based on the characteristics of clinical teaching of otoendoscopy and the experience of standardized resident training,this paper analyzed some problems in the teaching process of otoendoscopy training.Four-stage teaching method and elaborate procedural surgery teaching method were adopted to gradually improve resident otoendoscopy surgery operation ability.Problembased learning method(PBL)combined with case-based learning method(CBL)was adopted to improve the residents’clinical thinking ability,to promote the residents’active learning,to cultivate and improve the residents’clinical scientific research ability through multiple channels,and to explore a set of teaching methods with the characteristics of otoendoscopy technology specialty,with an aim to provide reference for the residents’standardized training and teaching of otoendoscopy technology.