腹腔镜培训在儿童普外科住院医师规范化培训教学中的应用研究

Application of laparoscopic training in the standardized residency training of pediatric general surgery

目的探讨腹腔镜培训在儿童普外科住院医师规培教学过程中的应用效果。方法选取2017年1月至2019年12月在深圳市儿童医院普外科参加住院医师规范化培训的轮转医师36名,接受腹腔镜培训教学。培训内容包括腹腔镜理论知识、腹腔镜手术视频、模拟操作系统的技能操作等的学习和训练。在培训前后分别进行考核,统计分析前后成绩的差异;并对学员学习效率的自我评价和任课教师的满意度进行问卷调查。采用SPSS 20.0进行配对t检验。结果接受儿童普外科住院医师规范化培训后,36名医师学员在腹腔镜的理论知识和在对儿童普外科手术运用的认知水平方面有了提高,体外模拟箱模拟操作训练的各项技能在培训后用时明显减少,差异有统计学意义(P<0.05)。问卷调查显示,在儿童普外科腹腔镜培训教学过程中,学员对学习效率自我评价的满意度为97.22%(35/36),对任课教师的满意度为94.44%(34/36),对教学课程设置的满意度为100.00%(36/36)。结论腹腔镜培训能够有效地提高儿童普外科住院规培医师的临床实践能力,值得推广。

Objective To explore the application of laparoscopic training in the standardized residency training of pediatric general surgery.Methods A total of 36 rotating residents who received the standardized residency training in the department of pediatric general surgery of Shenzhen Children's Hospital from January 2017 to December 2019 were selected for laparoscopic training.The training content includes the study and training of laparoscopic theory knowledge,laparoscopic surgery video,skills operation of simulated operating system.Assessment was conducted before and after the training,and statistical analysis was performed to compare the difference of scores before and after the training.The self-evaluation of resident's learning efficiency and the satisfaction with teachers were investigated by questionnaires.SPSS 20.0 was used for paired t-test.Results After receiving the standardized residency training of pediatric general surgery,the theoretical knowledge and cognition of the application on pediatric general laparoscopic surgery were significantly improved among the 36 residents.The time that the skills spent in vitro simulation box during the simulated operation training was significantly reduced after training,with a statistically significant difference(P<0.05).According to the questionnaire survey,resident's satisfaction with self-evaluation of learning efficiency was 97.22%(35/36),their satisfaction with teachers was 94.44%(34/36),and their satisfaction with teaching curriculum was 100.00%(36/36).Conclusion Laparoscopic training can effectively improve the clinical practice ability of pediatric general surgery residents,which is worthy of promotion.