儿童脑电图医师分阶段培训模式的设计和实施

The design and implementation of phased model in the training of child-EEG physicians

在儿童脑电图医师培训中,针对学员常存在'零基础'和学习时间有限等问题,我中心将儿童脑电图医师培训分为理论学习、操作实践、阅图判读三阶段.在理论学习阶段,通过全面传授脑电图基本知识,夯实学员理论基础;在操作实践阶段,通过实际安置电极、操作脑电图仪、完成完整的脑电图监测、解决监测过程中的脑电伪差、观察临床发作与实时脑电图等训练,让学员掌握脑电图操作重要技能;在阅图判读阶段,学员在上级医师的指导下大量阅读和报告脑电图、分析疑难脑电图资料、学习脑电图正确的判读方法.三阶段分别设置笔试、技能考试、机考等,以客观评价学习效果.

Electroencephalography (EEG) is an important instrument for the evaluation of brain function, and an irreplaceable diagnostic technique for nervous system diseases. At present, China still lacks professional child-EEG talents. Therefore, it is a task of great priority to establish an effective and practical training method and foster more child-EEG physicians. As most trainees have not learned EEG before and only have limited time for learning, we divide the child-EEG training into three phases, includ-ing theory learning, practice training, and EEG reading and interpretation on the basis of the general rules in learning EEG. In the theory learning phase, basic EEG knowledge is taught comprehensively to form a solid foundation for future study. In practice training phase, the trainees acquire important skills of EEG by carrying out complete EEG monitoring, eliminating EEG artifacts, observing seizures, and read real-time EEG. In the phase of EEG reading and interpretation, the trainees learn to analyze EEG gradually by read-ing and report EEG under the guidance of the senior physician. Strict examination is arranged for each phase to evaluate study results objectively. The phased model is designed to implement a step-by-step training of child-EEG and foster the trainee's independent ability to carry out EEG inspection.