混合教学模式在脊柱内镜手术培训中的应用

The application of a hybrid teaching mode in the training of endoscopic spinal surgery

目的探讨混合教学模式在脊柱内镜手术培训中的应用效果。方法采用问卷调查方法,选择2020年1月至6月在北京大学第三医院疼痛科进修脊柱内镜手术技术的21位学员为研究对象,对其进行随访调查,探讨混合教学模式的效果、学员的满意度和疫情对进修学习的影响程度。结果调查发现,经过3个月的进修学习并返回原单位工作之后,42.9%(9/21)的学员可以独立开展脊柱内镜手术,57.1%(12/21)的学员未能独立开展手术,其原因从高到低排列依次为:手术器械缺乏、科室不支持、患者缺乏信任以及缺乏病源,在未能独立开展手术的学员中有10名学员有信心独立开展内镜手术。所有学员对疫情期间混合教学模式满意度高,90.5%(19/21)学员认为疫情对本次学习未造成较大影响,57.2%(12/21)的学员认为观摩手术视频帮助最大。结论混合教学模式在脊柱内镜手术培训中取得很好的效果,具有受疫情影响小、学员满意度高和可重复学习的特点,是一种值得借鉴和推广的教学模式。

Objective To explore the effect of a hybrid teaching mode in the training of endoscopic spinal surgery.Methods A questionnaire survey was adopted.Twenty-one learners,who were trained for endoscopic spinal surgery skills in pain medicine department of Peking University Third Hospital from January to June in 2020,were included in this survey to investigate the teaching effect of the hybrid teaching mode,the satisfaction of learners,and the impact of COVID-19's pandemic on the training.Results The hybrid teaching methods consisted of invasive surgery video,online teaching,simulating training and clinical practices of minimally invasive surgery.The results of survey showed that 42.9%(9/21)of the trainees were able to carry out endoscopic spinal surgery independently,and the remaining 57.1%(12/21)of the learners failed to do that even after 3 months of training.The reasons to explain this result limited resources of surgical instruments support from director of department,poor trust from patients and less clinical cases.Among the trainees who were not able to perform the surgery independently,ten of them do have the confidence to carry out endoscopic surgery on their own.All the trainees were satisfied with the hybrid training mode and 90.5%(19/21)of them thought that the COVID-19's pandemic had no significant impact on this training.Among the four teaching methods,57.2%(12/21)of trainees thought that observation of surgery videos was the most helpful method.Conclusions The hybrid training mode during COVID-19's pandemic achieved a good result in endoscopic spinal surgery training.It was characterized by few negative impacts from COVID-19 pandemic,high satisfaction from trainees and repeatable training method.