TSPV四步教学在妇科腹腔镜手术技能培训中的应用实践

刘成; 王莹; 洪莉; 汤剑明; 洪莎莎; 李秉枢

doi:10.3760/cma.j.cn116021-20201210-01190

您当前的位置：

首页 >

文章列表页 >

TSPV四步教学在妇科腹腔镜手术技能培训中的应用实践

继续医学教育 | 更新时间：2023-04-14

- TSPV四步教学在妇科腹腔镜手术技能培训中的应用实践
- Application of TSPV 4-step teaching in skill training of gynecologic laparoscopic surgery
- 中华医学教育探索杂志 2023年22卷第2期页码：272-275
- 作者机构：
  
  1.武汉大学人民医院妇二科，武汉　430060
  2.华中科技大学同济医学院附属武汉中心医院麻醉科，武汉　430014
- 作者简介：
  
  洪莉，Email：2013103020057@whu.edu.cn
- 基金信息：
  
  中华国际医学交流基金会全国县级医院腹腔镜手术培训专项基金
- DOI：10.3760/cma.j.cn116021-20201210-01190
  中图分类号： R615
- 纸质出版日期：2023-02-20，
  
  收稿日期：2020-12-10，
扫描看全文
刘成, 王莹, 洪莉, 等. TSPV四步教学在妇科腹腔镜手术技能培训中的应用实践[J]. 中华医学教育探索杂志, 2023, 22(2): 272-275.

Liu Cheng, Wang Ying, Hong Li, et al. Application of TSPV 4-step teaching in skill training of gynecologic laparoscopic surgery[J]. Chinese Journal of Medical Education Research, 2023,22(2):272-275.
刘成, 王莹, 洪莉, 等. TSPV四步教学在妇科腹腔镜手术技能培训中的应用实践[J]. 中华医学教育探索杂志, 2023, 22(2): 272-275. DOI： 10.3760/cma.j.cn116021-20201210-01190.

Liu Cheng, Wang Ying, Hong Li, et al. Application of TSPV 4-step teaching in skill training of gynecologic laparoscopic surgery[J]. Chinese Journal of Medical Education Research, 2023,22(2):272-275. DOI： 10.3760/cma.j.cn116021-20201210-01190.

摘要

目的

探讨TSPV[即theoretical teaching（理论教学）、simulated surgical skills training（模拟操作训练）、practical surgery training（临床实践训练）、video-based review（手术录像点评）的英文首字母缩写]四步教学在妇科腹腔镜手术技能培训中的应用及教学效果。

方法

30名参加妇科腹腔镜手术培训的学员被分为两组，每组15人。试验组采取TSPV四步教学，对照组接受传统带教，分期完成培训及考核。对比分析两组学员一般资料、培训考核成绩、教学反馈及满意度调查情况。采用SPSS 20.0进行

检验和卡方检验。

结果

两组学员在年龄、性别分布、学历、临床工作年限等一般资料上差异无统计学意义。两组理论考核成绩差异无统计学意义[（85.3±4.6） vs. （83.4±4.3），

=0.252）]。试验组模拟操作考核[（91.7±5.2） vs. （72.4±5.9），

0.001]、临床实践考核成绩[（88.5±4.8） vs. （82.7±6.7），

=0.011]优于对照组。试验组对教学满意度总体评价更好。

结论

TSPV四步教学是一种更优化且受欢迎的妇科腹腔镜培训模式，建议在教学中进一步推广验证。

Abstract

Objective

To explore the application and teaching effect of TSPV (short for theoretical teaching

simulated surgical skills training

practical surgery training

and video-based review) 4-step teaching in skill training of gynecologic laparoscopic surgery.

Methods

A total of 30 trainees who participated in gynecologic laparoscopic surgery training were randomly divided into two groups

with 15 in each group. The experimental group received TSPV 4-step teaching

while the control group adopted traditional teaching and completed training and assessment in stages. The general data

training assessment results

teaching feedback and satisfaction survey of the two groups were compared and analyzed. SPSS 20.0 was used for

-test and Chi-square test.

Results

There was no statistical difference in age

gender distribution

education background

clinical working experiences and other general data between the two groups. There was no significant difference in the theoretical examination scores between the two groups [(85.3±4.6) vs. (83.4±4.3)

=0.252]. The scores of simulated operation assessment [(91.7±5.2) vs. [(72.4±5.9)

0.001] and clinical practice assessment [(88.5±4.8) vs. (82.7±6.7)

=0.011] in the experimental group were better that those in the control group. In addition

the experimental group had a better overall evaluation of teaching satisfaction.

Conclusion

TSPV 4-step teaching is a more optimized and popular gynecologic laparoscopic training mode

which is recommended to further promote the validation in teaching.

关键词

妇科腹腔镜手术技能教学方法基础培训

Keywords

Gynecologic laparoscopySurgery skillTeaching methodPrimary training

references

赵仁峰，韦仕洋. 妇科微创技术的应用研究现状[J]. 微创医学， 2019， 14（2）： 121-124. DOI: 10.11864/j.issn.1673.2019.02.01http://dx.doi.org/10.11864/j.issn.1673.2019.02.01.

张霄，杨建华. PBL联合腹腔镜手术在妇科教学中的应用[J]. 中华医学教育探索杂志，2018， 17（9）： 938-941. DOI: 10.3760/cma.j.issn.2095-1485.2018.09.016http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2018.09.016.

赵旸，祝洪澜，吴燕，等. 循环式临床技能培训体系在妇产科临床实习中的构建与应用[J]. 中华医学教育探索杂志， 2012， 11（9）： 940-943. DOI: 10.3760/cma.j.issn.2095-1485.2012.09.021http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2012.09.021.

王炼炼，徐红兵，漆洪波. 妇产科临床教学中的知识难点剖析和应对策略[J]. 中华医学教育探索杂志， 2016， 15（4）： 407-409. DOI: 10.3760/cma.j.issn.2095-1485.2016.04.021http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2016.04.021.

Guilbaud T, Birnbaum DJ, Berdah S, et al. Learning curve in laparoscopic liver resection, educational value of simulation and training programmes: a systematic review [J]. World J Surg, 2019, 43(11): 2710-2719. DOI: 10.1007/s00268-019-05111-xhttp://dx.doi.org/10.1007/s00268-019-05111-x.

李秉枢，程丽薇，洪莉，等. “医学沙龙式”教学在妇产科住院医师规范化培训中的应用[J]. 中华医学教育探索杂志， 2019， 18（8）： 830-833. DOI: 10.3760/cma.j.issn.2095-1485.2019.08.018http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2019.08.018.

Oussi N, Enochsson L, Henningsohn L, et al. Trainee performance after laparoscopic simulator training using a blackbox versus Lapmentor [J]. J Surg Res, 2020(250): 1-11. DOI: 10.1016/j.jss.2019.12.039http://dx.doi.org/10.1016/j.jss.2019.12.039.

王雨艳，黄鑫. 腹腔镜模拟培训在妇产科研究生教学中的应用研究[J]. 中国继续医学教育， 2018， 10（19）： 13-15. DOI: 10.3969/j.issn.1674-9308.2018.19.007http://dx.doi.org/10.3969/j.issn.1674-9308.2018.19.007.

朱苏月，张轩，陈萍，等. 仿真腹腔镜培训系统在普外科技能教学中的应用[J]. 中华医学教育探索杂志， 2020， 19（2）： 234-237. DOI: 10.3760/cma.j.issn.2095-1485.2020.02.027http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2020.02.027.

Rindos NB, Wroble-Biglan M, Ecker A, et al. Impact of video coaching on gynecologic resident laparoscopic suturing: a randomized controlled trial [J]. J Minim Invasive Gynecol, 2017, 24(3): 426-431. DOI: 10.1016/j.jmig.2016.12.020http://dx.doi.org/10.1016/j.jmig.2016.12.020.

浏览量

下载量

CSCD

文章被引用时，请邮件提醒。

提交

工具集

关联资源

BOPPPS联合多种教学方法在小儿传染病学见习课程中的应用

北京协和医学院“4+4”试点班整合课程教学方法现状及提高途径探析

婴幼儿营养状况评价全流程虚拟仿真实验的建设与教学探索

CBL在医学影像技术专业规范化培训图像后处理教学中的应用

儿科专业基地指导教师床旁教学现状调查及对策