Implementation effect and thought of the basic essential surgical training course of laparoscopic skills

Wu Chao; Zhou Xueliang; Shao Yanfei; Hong Xizhou; Zhang Luyang; Xue Pei; Wang Jiayu; Sun Jing; Ma Junjun; Pan Ruijun; Zheng Minhua

doi:10.3760/cma.j.cn116021‐20211012‐01422

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Implementation effect and thought of the basic essential surgical training course of laparoscopic skills

Standardized Residency Training | 更新时间：2023-10-12

- Implementation effect and thought of the basic essential surgical training course of laparoscopic skills
- Chinese Journal of Medical Education Research Vol. 22, Issue 9, Pages: 1373-1377(2023)
- 作者机构：
  
  1.上海交通大学医学院附属瑞金医院普外科/上海市微创外科临床医学中心，上海 200025
  2.上海交通大学瑞金临床医学院外科学教研室，上海　200025
  3.上海交通大学医学院附属瑞金医院医学教育处/上海交通大学瑞金临床医学院，上海　200025
  4.上海交通大学瑞金临床医学院医学模拟教研室，上海　200025
- 作者简介：
  
  Pan Ruijun, Email: prj11522@rjh.com.cn
- 基金信息：
  
  Shanghai Municipal Commission of Science and Technology 2022 "Science and Technology Innovation Action Plan" Biomedical Technology Support Special Project(22S31904000)
- DOI：10.3760/cma.j.cn116021‐20211012‐01422
  CLC： R-05
- Published：20 September 2023，
  
  Received：12 October 2021，
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吴超, 周雪亮, 邵岩飞, 等. 腹腔镜基础技能模拟培训BEST课程的实施效果与思考[J]. 中华医学教育探索杂志, 2023, 22(9): 1373-1377.

Wu Chao, Zhou Xueliang, Shao Yanfei, et al. Implementation effect and thought of the basic essential surgical training course of laparoscopic skills. [J]. Chinese Journal of Medical Education Research 22(9):1373-1377(2023)
吴超, 周雪亮, 邵岩飞, 等. 腹腔镜基础技能模拟培训BEST课程的实施效果与思考[J]. 中华医学教育探索杂志, 2023, 22(9): 1373-1377. DOI： 10.3760/cma.j.cn116021.

Wu Chao, Zhou Xueliang, Shao Yanfei, et al. Implementation effect and thought of the basic essential surgical training course of laparoscopic skills. [J]. Chinese Journal of Medical Education Research 22(9):1373-1377(2023) DOI： 10.3760/cma.j.cn116021‐20211012‐01422.

摘要

目的

分析总结近10年腹腔镜基础技能模拟培训课程实施效果及课程内容与模具更新的实践经验。

方法

收集2012年至2022年参加腹腔镜基础技能模拟培训（basic essential surgical technique training，BEST）课程的学员的课前评估问卷、腹腔镜基本操作考核成绩及课后评估问卷等信息。按照课程建设的时间段分为两组，即参加前期使用单一培训系统课程的学员（传统组）和后期课程模具更新后使用多种培训系统整合课程的学员（试验组）。比较两组学员完成轨道移圈、穿隧道和高低柱3项操作的客观成绩及学员对课程设置、实施效果方面的主观课程反馈评价。研究依照数据类型使用SPSS 13.0分别进行

检验、Wilcoxon检验或卡方检验。

结果

150名传统组学员完成轨道移圈、穿隧道和高低柱3项的用时分别是1.08 min（0.81 min，1.60 min）、2.20 min（1.60 min，3.27 min）和4.86 min（3.28 min，6.36 min），而75名试验组学员对应用时为1.27 min（0.87 min，1.83 min）、2.57 min（1.58 min，4.07 min）和4.35 min（2.90 min，6.42 min），差异均无统计学意义（

0.05）。学员对课程评价方面，试验组学员在课堂环境氛围、授课方式安排、培训设备器械、培训练习机会、助力临床工作及符合课前预期这6项的主观评价满意百分率均高于传统组。

结论

不断更新的BEST课程可保证学员的培训质量并获得学员们对课程更高的满意度，而本课程对临床实际中的获益可通过对这些培训学员进行长期随访而进一步验证。

Abstract

Objective

To analyze and summarize the implementation effect of basic essential surgical training (BEST) course of laparoscopic skills over the past 10 years and the practical experience in updating course content and models.

Methods

The pre-class assessment questionnaires

basic laparoscopic operation assessment results

and post-class assessment questionnaires of the students who participated in the BEST course of laparoscopic skills were collected. According to the period of the course construction

the students were divided into two groups

namely students who used the course of single training system in the early stage (traditional group) and students who used the course integrating a variety of training systems after the course model was updated in the later stage (test group). The two groups were compared for the scores of track circle moving

tunnel crossing

and high and low columns

as well as their subjective evaluation of course setting and implementation effect. The

-test

Wilcoxon test

or chi-square test was conducted according to the data type using SPSS 13.0.

Results

The time for 150 traditional group students to complete track circle moving

tunnel crossing

and high and low columns was 1.08 min (0.81 min

1.60 min)

2.20 min (1.60 min

3.27 min)

and 4.86 min (3.28 min

6.36 min)

respectively

while the time for 75 test group students to complete the three operations was 1.27 min (0.87 min

1.83 min)

2.57 min (1.58 min

4.07 min)

and 4.35 min (2.90 min

6.42 min)

respectively

with no significant difference between the two groups (

0.05). In terms of students' subjective evaluation of the course

a higher percentage of the test group students were satisfied with classroom environment

teaching method arrangement

training equipment

training opportunities

helping clinical work

and meeting pre-class expectations than those in the traditional group.

Conclusion

The constantly updated BEST course can ensure the training quality of trainees and obtain their higher satisfaction. The benefits of this course in clinical practice can be further verified through long-term follow-up of these trainees.

关键词

腹腔镜模拟教学腹腔镜基础技能模拟培训课程技能培训

Keywords

LaparoscopySimulated teachingBEST courseSkill training

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