乳腺仿真体模在超声专业住院医师规范化培训教学中的应用

目的探讨将乳腺仿真体模应用于超声专业住院医师规范化培训(以下简称住培)教学中的可行性。方法选取2018年12月在我院培训的21名住培医师作为试验组,其中一年级9名,二年级6名,三年级6名;另选8名进修医师作为对照组。将乳腺仿真体模应用于住培教学,并进行进阶式理论及操作手法培训。通过操作考试、理论考试、课后问卷调查等方式分析教学效果。结果试验组培训后理论考试成绩为(68.10±8.14)分,对照组为(50.00±10.69)分,两者比较差异有统计学意义(P<0.05)。在试验组的3个年级中,一年级培训当天和1周后理论及操作考试均较培训前有所提高,差异均有统计学意义(均P<0.05),二年级3次理论及操作考试成绩比较差异均有统计学意义(均P<0.05)。问卷调查中100%学员认为在此次培训中获益。讨论乳腺仿真体模应用于超声住培教学的优点在于授课时便于住培医师理解解剖关系,方便男学员进行敏感部位操作练习;缺点在于病变图像及位置固定,不利于高年级的业务能力提升。

Application of mammary simulation model in the teaching of standardized training for resident doctors in ultrasound department

Objective To investigate the feasibility of using the breast simulation phantom in the teaching of standardized training for resident doctors in ultrasound department.Methods Twenty-one resident doctors who were trained in our hospital in December 2018 were selected as the experimental group(9 in grade 1,6 in grade 2,6 in grade 3),and 8 refresher doctors were selcted as the control group.The breast simulation phantom was applied on the standardized training for resident doctors,the advanced theory and operation techniques were trained.The teaching effect was analyzed through the operation test,theoretical test,after-school questionnaire survey,etc.Results After the training,the theoretical test scores were 68.10±8.14 in the experimental group,and 50.00±10.69 in the control group,there was statistically significant(P<0.05).In the three grades of the experimental group,the theoretical and operational test scores were significantly increased on the day of training and a week later in the grade one(all P<0.05),there were statistically significant differences in the results of the theoretical and operational tests in the grade two(all P<0.05).100%of the participants in the questionnaire believed that they benefited from the relevant study.Conclusion The advantages of breast simulation phantom in the ultrasound standardized training for resident doctors include that it is convenient for the doctors to understand the anatomical relationship during the teaching,and it is convenient for the boys to practise the sensitive parts.The disadvantage is that the image and position of the lesion are fixed,which is not benifit for the students in senior grade to improve the professional ability.