Miller金字塔教学法在麻醉危机演练中的应用研究

Application of Miller Pyramid Teaching Method in Training of Anesthesia Crisis

目的探讨在麻醉危机演练培训中应用Miller金字塔教学法的效果。方法选取2020年6月-2021年6月广东医科大学麻醉专业的60名硕士研究生为研究对象,按随机数字表法分为对照组(n=30)和试验组(n=30)。2组均在广东医科大学附属医院麻醉科住培基地完成住院医师规范化培训,对照组采用常规的麻醉危机演练培训方案,试验组在麻醉危机演练培训中应用Mil er金字塔教学法。培训结束后,对2组学生进行麻醉危机管理能力考核,学生通过教学目标、教学过程、教学方式、教学效果等综合教学指标对课程的满意度进行评价。结果试验组麻醉危机理论评分为(88.45±8.94)分、麻醉危机观察能力评分为(87.32±7.48)分、情景模拟操作评分为(92.21±8.87)分、应急配合能力评分为(90.11±8.97)分、团队合作能力评分为(94.66±7.58)分,均高于对照组的(79.57±8.48)分、(81.27±6.99)分、(83.19±8.39)分、(82.04±7.76)分、(82.34±6.77)分,差异有统计学意义(P<0.05)。试验组学生对课程的满意度(93.33%)高于对照组(73.33%),差异有统计学意义(P<0.05)。结论Miller金字塔教学法能提高麻醉专业硕士研究生在麻醉危机演练培训中的临床岗位胜任能力,并且提升其对课程的满意度。

Objective To explore the effect of Miller pyramid teaching method in training of anesthesia crisis.Methods From June 2020 to June 2021,a total of 60 postgraduates who majored in anesthesia from the Affiliated Hospital of Guangdong Medical University were selected for the study,and were randomly divided into control group(n=30)and experimental group(n=30).Both groups of students received standardized training as resident physicians at the anesthesiology department residential training base of the Affiliated Hospital of Guangdong Medical University.The control group adopted the conventional anesthesia crisis training program,and the experimental group applied the Miller Pyramid teaching method in the anesthesia crisis training.After the training,the anesthesia crisis management ability of the students in the two groups was assessed,and the students'satisfaction with the course was evaluated from the comprehensive teaching indicators such as teaching objectives,teaching processes,teaching methods and teaching effects.Results The scores of anesthesia crisis theory was(88.45±8.94)points,observation ability of anesthesia crisis was(87.32±7.48)points,situation simulation operation was(92.21±8.87)points,emergency cooperation ability was(90.11±8.97)points,team cooperation ability was(94.66±7.58)points in the experimental group,which were higher than those in the control group[(79.57±8.48)points,(81.27±6.99)points,(83.19±8.39)points,(82.04±7.76)points,(82.34±6.77)points],the difference was significant(P<0.05).The satisfaction degree of the experimental group(93.33%)was higher than that of the control group(73.33%),the difference was significant(P<0.05).Conclusion Miller pyramid teaching method can improve the clinical competence level of postgraduates majoring in anesthesia in training of anesthesia crisis,and improve their satisfaction with the course.