病例教学联合分级式带教在妇产科超声教学中的作用

The role of case-based teaching combined with hierarchical teaching in ultrasound education of obstetrics and gynecology

传统的理论学习及临床实践操作训练指导是目前妇产科超声的主要教学模式,随着疾病诊治难度的增加及医患关系复杂化的进展,此模式面临如患者不配合、产科胎儿体位不固定、胎儿先天性疾病诊断难度大及孕妇条件限制等问题。本研究设计并准备了异常病例影像学数据库,根据教学对象的不同学习阶段配备相应等级的带教教师,26名入组学员接受培训并进行理论及临床操作考核,结果显示入组学员均能达到北京市住院医师规范化培养标准水平。病例教学联合分级式带教在妇产科超声临床教学中具有相互融合、逐级提升的优势,对于提高学生未来临床实践沟通技能具有积极的影响。

Traditional theoretical learning and clinical practice training are currently the main teaching model for ultrasound in obstetrics and gynecology,and with the increase in the difficulties in the diagnosis and treatment of related diseases and the complicated doctor-patient relationship,this model is facing many problems,such as noncooperation of patients,change in position of the fetus,difficult diagnosis of fetal congenital diseases,and limited conditions of pregnant women.This study designs and prepares an imaging database of abnormal cases,and teachers of corresponding levels are equipped according to the different learning stages of students.A total of 26 students received training and the evaluation of theoretical knowledge and clinical operation skills,and the results showed that all the students reached the level of standardized residency training in Beijing.The combination of case-based teaching and hierarchical teaching has the advantages of mutual integration and step-by-step promotion in the clinical teaching of ultrasound in obstetrics and gynecology,which has a positive impact on improving the communication skills of students in future clinical practice.