我国临床医学生腹腔镜技能培训体系构建

Construction of laparoscopic operation skill training system for clinical medical students in China

伴随着医学精准化、微创化及智能化发展,腹腔镜技能操作技术是微创外科医师需常规学习与掌握的腹腔镜基本操作技能。国外已经形成了课程模式全面化、培训模式规范化、培训内容多样化、培训结果可视化及考核模式标准化的多维的技能培训体系,而国内医学院将大部分精力投入技能考核的操作训练而忽视了腹腔镜技能的系统培训,导致国内外腹腔镜技能培训模式及培训成效存在较大差距。本文通过完善课程模式改革、健全培训模式改革、丰富培训内容改革、可视培训过程改革及全面考核模式改革5个方面行腹腔镜技能培训模式的改革,以构建出适合我国临床医学生的“多维递进式”腹腔镜技能培训体系,以培养具备优良医学素养、扎实操作基本功的全能医学人才。

With the development of precision,minimally invasive and intelligent of medicine,minimally operation skill technology is required for minimally invasive surgery to routinely learn and master basic laparoscopic operation skills.Foreign countries have formed a multi-dimensional skill training system with comprehensive curriculum model,standardized training model,diversified training content,visualization of training results,and standardized assessment model,while domestic medical colleges put most of their energy into the operation training of skill assessment while ignoring the systematic training of laparoscopic skill.As a result,there is a big gap between the training mode and effectiveness of laparoscopy skill at home and abroad.In this paper,the reform of laparoscopic operation skill training mode is carried out through five aspects,including the reform of curriculum mode,the reform of training mode,the reform of enriching training content,the reform of visual training process,and the reform of comprehensive examination mode,so as to construct a“multidimensional and progressive”laparoscopic skill training system suitable for Chinese clinical medical students.In order to cultivate all-round medical talents with excellent medical literacy and solid operational basic skills.