神经外科重症监护病房住院医师规范化培训教育的思考

Exploration and thinking of standardized residency training education for the residents in the intensive care unit of neurosurgery department

重症神经外科是神经外科住院医师规范化培训的难点和重点之一。通过对重庆医科大学附属第一医院神经外科重症监护病房的住院医师进行以急救技能培训、理论与实践相辅相成的多模态病例分析、神经影像学及电生理知识的拓展、手术操作及围手术期管理的专科知识培训、定期病例讨论等方式构成的系统性、规范化的培训,他们的临床思维更加地成熟,对神经外科重症监护病人管理方法的掌握时间明显地缩短,参与临床实践的主动性也较前明显地增加,对神经外科患者围手术期管理的方法有了更深刻的认识,有效地提升了神经外科重症监护室的带教成效。

Critical neurosurgery is one of the difficulties and key points in the standardized residency training of neurosurgery.Through the systematic and standardized training of the residents of the Intensive Care Unit of Neurosurgery Department in The First Affiliated Hospital of Chongqing Medical University,consisting of first aid skills training,multi-modal case analysis with complementary theory and practice,expansion of neuroimaging and electrophysiological knowledge,specialized knowledge training in surgical operation and perioperative management,and regular case discussion,their clinical thinking becomes more mature,the time to master the management methods of neurosurgical intensive care patients is significantly shortened,the initiative to participate in clinical practice is also significantly increased,and the perioperative management methods of neurosurgical patients are more deeply understood.These trainings have effectively improved the teaching effect of neurosurgery intensive care unit.