在西藏高原完成持续3个月产前超声培训项目可行性评估

Feasibility evaluation of the three-month training program of China Birth Defects Foundation in Plateau

目的 对西藏山南产前超声培训基地首次承担2020年中国出生缺陷基金会持续3个月高原培训项目完成情况进行可行性评估。方法 ①组建中国产前超声领域强大的师资团队;②按照中国出生缺陷基金会培训大纲,结合高原学员特点,编制理论授课教材与实际操作训练方法,学员上机训练采用带教老师手把手带教的方式;③线上与线下培训相结合;④建立严格培训管理制度和编制培训手册,记录每位学员的学习轨迹;⑤建立适合高原超声医生的理论考试题库和实际操作考试方法。结果 此次培训学员34名,第一阶段理论培训74.5h,上机训练160h;第二阶段线上复习每位学员自主学习时长平均28h;第三阶段提交中孕期系统筛查和妇科标准扫查病例,每名学员8份,共计272份;学员理论考试、实际操作考试,出勤率达到了预期目标,综合考试成绩:优秀(≥90分)13人,占比38.2%,良好(80~89分)14人,占比41.2%,及格(60~79分)7人,占比20.6%,全部获得结业证书。结论 本次培训是中国产前超声专家以志愿者身份参加中国出生缺陷基金会持续3个月高原培训项目。制定适合高原医生产前超声理论培训教材与全套的实际操作训练方法,是逐渐在西藏自治区推广普及产前超声规范标准指南、完成基础训练的重要保证。本项目的师资组建、严格管理体系、编制教材及实际训练方法、线下与线上授课交融的培训方式和获得的培训效果均展示了我们所建立的高原培训模式是可行的,圆满完成了3个月高原培训任务。

Objective In 2020,the feasibility of the completion of the 3-month plateau training project undertaken by Shannan Prenatal Ultrasound Training Base was evaluated,which was a project of China Birth Defects Foundation.Methods(1) Establish a strong team of teachers in the field of prenatal ultrasound in China;(2)According to the training program of China Birth Defects Foundation and the characteristics of plateau students,the theoretical teaching materials and practical operation training methods are compiled,and the students’ practical operation training was carried out by the teacher hand in hand;(3)Combine online and offline training;(4)Establish strict training management system and compile training manual to record the learning track of each student;(5)Establish a theoretical examination question bank and practical operation examination method suitable for plateau sonographer.Results A total of 34 trainees have been trained.The first stage of theoretical training is 74.5 hours,and the operation training is 160 hours.In the second stage,the average self-learning time of trainees is 28 hours.In the third phase,a total of 272 cases were submitted for systematic screening in the middle pregnancy and gynecological standard screening,8 cases per trainee;The students’ theoretical examination,practical operation examination and attendance rate have reached the expected goal.The examination results:13 students are excellent (≥90 points),accounting for 38.2%;14 students are good(80-89 points),accounting for 41.2%;7 students are passing(60-79 points),accounting for 20.6%;all of them have obtained the certificate of completion.Conclusion This training is the sixth time for Chinese antenatal ultrasound experts to visit Tibet as volunteers for five consecutive years.The establishment of a plateau antenatal training base is the basis for completing the long-term training.It is an important guarantee to popularize the standard guide of prenatal ultrasound and complete the basic training in Tibet Autonomous Region to formulate the training materials and a full set of practical training methods suitable for plateau doctors.This project shows that the altitude training model established by us is feasible from the aspects of teacher establishment,strict management system,compilation of teaching materials and practical training methods,the training method combining offline and online teaching,and the training results obtained,and the 3-month altitude training task is successfully completed.