分层次多单元多轮次膝关节镜模拟教学探索

Exploration of the Application of Multi-Level,Multi-Unit,and Multi-Round Knee Arthroscopy Simulation Training

目的探讨分层次多单元多轮次膝关节镜模拟教学法的教学效果,为骨科膝关节镜的临床教学提供参考依据。方法选择2023年2月1日-2023年8月31日在某院接受膝关节镜模拟手术培训的住院医师29人作为实验组,应用分层次多单元多轮次膝关节镜模拟教学法,选取上一年度同时间段参加膝关节镜培训的住院医师25人为对照组,采用传统临床膝关节镜培训教学法。2组均采用手术模拟系统进行考核,比较2组学员的模拟手术操作完成时间及教学满意度。结果实验组考核半月板基本疾病模拟手术操作完成时间分别为径向撕裂(18.2±4.1)分、纵向撕裂(17.6±4.0)分、瓣状撕裂(17.6±2.7)分、部分盘状(19.0±3.0)分,均短于对照组,差异有统计学意义。实验组学习兴趣(8.72±0.84)分、独立操作能力(8.28±0.59)分、师生沟通(8.17±0.85)分及总体满意度(8.90±0.86)分,均高于对照组,P<0.05。结论分层次多单元多轮次膝关节镜模拟教学法可以提高外科住院医师膝关节镜手术独立操作能力、学习兴趣、师生沟通及总体满意度,值得推广和应用。

Objectives This study aims to explore the teaching effect of multi-level,multi-unit,and multi-round knee arthroscopy simulation teaching methods,and provide a reference for the clinical teaching of orthopedic knee arthroscopy.Methods A total of 29 residents who received knee arthroscopy simulation surgery training in a certain hospital from February 1,2023 to August 31,2023 were selected as the experimental group.The multi-level multi-unit and multi-round knee arthroscopy simulation teaching method was applied.A total of 25 resident physicians who participated in knee arthroscopy training in the same period of the previous year were selected as the control group,and the traditional clinical knee arthroscopy training method was adopted.An operation simulation system was used to evaluate the two groups,and the completion time and teaching satisfaction of the two groups of students were compared.Results The completion times of simulated operations for basic meniscus diseases in the experimental group were 18.2±4.1 for radial tear,17.6±4.0 for longitudinal tear,17.6±2.7 for valvular tear,and 19.0±3.0 for partial disc tear,which were significantly shorter than those in the control group,and the differences were statistically significant.The experimental group's learning interest score(8.72±0.84),independent operation ability score(8.28±0.59),teacher-student communication score(8.17±0.85),and overall satisfaction score(8.90±0.86)were significantly higher than those of the control group(P<0.05).Conclusions The multi-level,multi-unit,and multi-round knee arthroscopy simulation teaching method can improve the independent operation ability,learning interest,teacher-student communication,and overall satisfaction of surgical residents,and is worthy of promotion and application.