医学情景模拟教学结合CBL教学模式在麻醉技能培训教学中的应用

Application of Medical Scenario Simulation Teaching Combinedwith CBL Teaching Mode in Anesthesia Skill Training Teaching

目的 研究以学生为主体、典型病例为依托、教师为主导、基于案例的教学法(CBL)结合情景模拟教学(SST)法在麻醉技能培训教学中的应用效果。方法 将24名2022级吉林大学第一医院麻醉科专业基地培训医生随机分为C组(接受CBL)和SC组(接受SST结合CBL),每组12人,比较两组医生完成教学培训后的理论考核、实践技能考核及能力问卷调查的差异。结果 两组一般资料差异无统计学意义(P>0.05);与C组相比,SC组理论考核成绩及技能考核中动脉穿刺、中心静脉穿刺成绩显著提高,差异有统计学意义(P<0.05);在能力调查问卷中,两组比较差异无统计学意义(P>0.05)。结论 在麻醉技能培训教学中,SST结合CBL的模式与单独应用CBL的教学模式相比,可显著提高理论及技能操作中动脉穿刺和中心静脉穿刺考核成绩,建议在实际麻醉学教学工作中加以推广。

Objective To study the effect of case based teaching(CBL)method combined with situational simulation teaching(SST)method in anesthesia skill training teaching with students as the main body,typical cases as the support,teachers as the leading,and teachers as the leading.Methods A total of 24 trainees in the anesthesiology professional base of the First Hospital of Jilin University in 2022 were randomly divided into C group(accepted CBL)and SC group(accepted SST combined with CBL),with 12 doctors in each group.The differences in theoretical assessment,practical skill assessment and ability questionnaire survey after the completion of teaching training were compared between the two groups.Results There was no significant difference in general data between the two groups(P>0.05);SC group showed significantly higher scores of arterial puncture and central venous puncture in theoretical examination results and skill assessment compared with C group,and the difference was statistically significant(P<0.05);in the ability questionnaire,there was no significant difference between the two groups(P>0.05).Conclusion Compared with CBL alone,SST combined with CBL can significantly improve the evaluation results of arterial puncture and central venous puncture in theoretical and skill operation in anesthesia skill training teaching,and it is recommended to be popularized in practical anesthesiology teaching work.