引用本文:陈子民,李智涵,郑粤兰,吴宙光.腹腔镜规范化培训在儿童普外科住院医师规培教学中的运用探讨[J].中华医学教育探索杂志,2023,22(2):353-358
腹腔镜规范化培训在儿童普外科住院医师规培教学中的运用探讨
Implementation and curriculum evaluation of a series of teaching reforms of "Community Nursing": taking the third edition as an example
DOI:
中文关键词:  腹腔镜  儿童普外科  住院医师  规培教学
英文关键词:Community nursing  Teaching reform  Curriculum evaluation
基金项目:深圳市医疗卫生三名工程(SZSM201812055)
作者单位E-mail
陈子民* 深圳市儿童医院普外二科 ziminchen@126.com 
李智涵   
郑粤兰   
吴宙光 深圳市儿童医院普外二科 szwilliam@yeah.net 
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中文摘要:
      目的 探讨腹腔镜规范化培训在儿童普外科住院医师规培教学过程中的运用。方法 2017年1月至2019年12月在我院儿童普外科参加住院医师规范化培训的住陪轮转医师36名,接受腹腔镜规范化培训教学。培训内容包括腹腔镜理论知识、腹腔镜手术视频、模拟操作系统的技能操作等的学习和训练。在培训前后分别进行考核,统计学分析前后成绩的差异。并对学员学习效率的自我评价和任课教师的满意度进行问卷调查。结果 接受儿童普外科住陪医师培训后,36名医师学员对腹腔镜的理论知识和在儿童普外科手术运用的认知方面有了显著的提高,体外模拟箱模拟操作训练的各项技能在培训后用时明显减少,差异有统计学意义(P<0.05)。问卷调查显示,在儿童普外科腹腔镜规范化培训教学过程中,学员对学习效率自我评价的满意度为97.22%,对任课教师的满意度为94.44%,对教学课程设置的满意度为100%。结论 腹腔镜规范化培训能够有效的提高儿童普外科住院规培医师的临床实践能力,值得推广。
英文摘要:
      Objective To explore the effect of the teaching reform of "Community Nursing" in our school in different grades of nursing undergraduates. Methods A total 174 nursing students in Grade 2009, 2010 and 2013, from School of Nursing at Shanghai Jiao Tong University were selected. Various teaching methods were carried out, including continuously carding teaching content, gradually adopting a community assessment approach, participating in community health education, and developing family health education plans and student-centered teaching methods. At the end of the course, all students completed the self-design curriculum evaluation questionnaires. By comparing the evaluation of teaching reform in different grades, the effect of the teaching reform scheme was analyzed. One-way analysis of variance and student Newman Keuls method were performed to compare the differences among different grades with SPSS 19.0 software. Results The scores of the five dimensions of "curriculum organization", "teaching content", "teaching form", "teaching evaluation" and "teaching arrangement" were much higher in Grade 2013 and 2010 than in Grade 2009 (P<0.05). After the teaching reform, students' satisfaction with the curriculum organization was improved; simplifying the teaching content reduced the repetition between courses; implementing the diversified teaching form enhanced students' participation; adopting a diversified teaching evaluation system expanded students' understanding of learning content; integrating different teaching locations and equipment brought real service experience to students. Conclusion The series of teaching reforms of "Community Nursing" have achieved positive results in adjusting the curriculum framework, focusing on community nursing, improving students' participation, combining varied assessment methods and developing multiple teaching points and have been recognized by the students, so that the results may provide a reference for the next teaching rounds of "Community Nursing" with the fourth edition.
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