上消化道早癌诊断规范化培训在胃镜教学中的实践与思考

张炳兰; 张秉强

doi:10.3760/cma.j.cn116021-20201210-01192

您当前的位置：

首页 >

文章列表页 >

上消化道早癌诊断规范化培训在胃镜教学中的实践与思考

继续医学教育 | 更新时间：2023-04-14

- 上消化道早癌诊断规范化培训在胃镜教学中的实践与思考
- Practice and thinking of standardized training on the diagnosis of early upper gastrointestinal cancer in gastroscopy teaching
- 中华医学教育探索杂志 2023年22卷第2期页码：280-283
- 作者机构：
  
  重庆医科大学附属第一医院消化内科，重庆　400016
- 作者简介：
  
  张秉强，Email：zhbingqiang@163.com
- 基金信息：
  
  国家自然科学基金青年项目(81703057)
- DOI：10.3760/cma.j.cn116021-20201210-01192
  中图分类号： R-05
- 纸质出版日期：2023-02-20，
  
  收稿日期：2020-12-10，
扫描看全文
张炳兰, 张秉强. 上消化道早癌诊断规范化培训在胃镜教学中的实践与思考[J]. 中华医学教育探索杂志, 2023, 22(2): 280-283.

Zhang Binglan, Zhang Bingqiang. Practice and thinking of standardized training on the diagnosis of early upper gastrointestinal cancer in gastroscopy teaching[J]. Chinese Journal of Medical Education Research, 2023,22(2):280-283.
张炳兰, 张秉强. 上消化道早癌诊断规范化培训在胃镜教学中的实践与思考[J]. 中华医学教育探索杂志, 2023, 22(2): 280-283. DOI： 10.3760/cma.j.cn116021-20201210-01192.

Zhang Binglan, Zhang Bingqiang. Practice and thinking of standardized training on the diagnosis of early upper gastrointestinal cancer in gastroscopy teaching[J]. Chinese Journal of Medical Education Research, 2023,22(2):280-283. DOI： 10.3760/cma.j.cn116021-20201210-01192.

摘要

上消化道早癌筛查技能教学是目前内镜教学培训的空缺点和难点。本研究以来自基层已掌握基本胃镜操作技术的进修内镜医师为教学对象，建立了关于上消化道早癌诊断的规范化培训方案。培训周期共12周；教学内容包括理论培训、早癌意识培训、规范的胃镜操作技术、早期食管癌的内镜诊断、早期胃癌的内镜诊断，以及理论和技能结业考核；考核通过后进行早癌病例比赛。通过问卷调查，100%（15/15）的学员认为上消化道早癌诊断规范化培训用于提高上消化道早癌检出率是必要的，且能明显提高学员上消化道早癌的诊断水平。因此，本研究上消化道早癌诊断规范化培训流程总体设置合理，值得进一步推广。

Abstract

Early upper gastrointestinal cancer screening skills teaching is the vacancy and difficulty of endoscopic teaching and training. In this study

a standardized training program was set up for endoscopic physicians who had mastered the basic gastroscopy techniques. The training period was 12 weeks

including theoretical training

early cancer awareness training

standardized gastroscopy operation technology

endoscopic diagnosis of early esophageal and gastric cancer

and theoretical and skill examination. After passing the examination

trainees can participate in early cancer case competition. According to questionnaire survey

100%(15/15) of trainees thought that standardized training was necessary for improving the detection rate of early upper gastrointestinal cancer

and it could significantly improve the trainees' diagnosis level. Therefore

the overall setting of the standardized training process for the diagnosis of early upper gastrointestinal cancer in our center is generally reasonable

which is worthy of further promotion.

关键词

上消化道早癌规范化培训胃镜教学

Keywords

Early upper gastrointestinal cancerStandardized trainingGastroscopyTeaching

references

Hahn KY, Park CH, Lee YK, et al. Comparative study between endoscopic submucosal dissection and surgery in patients with early gastric cancer [J]. Surg Endosc, 2018, 32(1): 73-86. DOI: 10.1007/s00464-017-5640-8http://dx.doi.org/10.1007/s00464-017-5640-8.

Park CH, Kim EH, Kim HY, et al. Clinical outcomes of endoscopic submucosal dissection for early stage esophagogastric junction cancer: a systematic review and meta-analysis [J]. Dig Liver Dis, 2015, 47(1): 37-44. DOI: 10.1016/j.dld.2014.10.011http://dx.doi.org/10.1016/j.dld.2014.10.011.

Ren W, Yu J, Zhang ZM, et al. Missed diagnosis of early gastric cancer or high-grade intraepithelial neoplasia [J]. World J Gastroenterol, 2013, 19(13): 2092-2096. DOI: 10.3748/wjg.v19.i13.2092http://dx.doi.org/10.3748/wjg.v19.i13.2092.

潘杰，朱丽明，林介军，等. 新型胃癌筛查评分系统在医院就诊人群中的应用[J]. 中华消化内镜杂志， 2019， 36（7）： 487-490. DOI: 10.3760/cma.j.issn.1007-5232.2019.07.006http://dx.doi.org/10.3760/cma.j.issn.1007-5232.2019.07.006.

周巧直，吕富靖，王拥军，等. 阶梯式消化内镜模拟训练在上消化道内镜初级培训中的应用[J]. 中华医学教育探索杂志， 2016， 15（6）： 585-589. DOI: 10.3760/cma.j.issn.2095-1485.2016.06.010http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2016.06.010.

Hosokawa O, Tsuda S, Kidani E, et al. Diagnosis of gastric cancer up to three years after negative upper gastrointestinal endoscopy [J]. Endoscopy, 1998, 30(8): 669-674. DOI: 10.1055/s-2007-1001386http://dx.doi.org/10.1055/s-2007-1001386.

Mori M, Adachi Y, Matsushima T, et al. Lugol staining pattern and histology of esophageal lesions [J]. Am J Gastroenterol, 1993, 88(5): 701-705.

Oyama T, Inoue H, Arima M, et al. Prediction of the invasion depth of superficial squamous cell carcinoma based on microvessel morphology: magnifying endoscopic classification of the Japan Esophageal Society [J]. Esophagus, 2017, 14(2): 105-112. DOI: 10.1007/s10388-016-0527-7http://dx.doi.org/10.1007/s10388-016-0527-7.

Inoue H, Kaga M, Ikeda H, et al. Magnification endoscopy in esophageal squamous cell carcinoma: a review of the intrapapillary capillary loop classification [J]. Ann Gastroenterol, 2015, 28(1): 41-48.

Yao K, Anagnostopoulos GK, Ragunath K. Magnifying endoscopy for diagnosing and delineating early gastric cancer [J]. Endoscopy, 2009, 41(5): 462-467. DOI: 10.1055/s-0029-1214594http://dx.doi.org/10.1055/s-0029-1214594.

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

基于口腔全科病例库的CBL教学在口腔全科住培中的应用

规范化培训阶段医师职业成长认同度调查研究

基于虚拟仿真系统的口腔局部神经阻滞麻醉实验课教学改革

以“住-专一体化”为导向的分级带教模式在口腔颌面外科基地的实践研究

建立放射治疗师规范化培训体系的临床需求、培养目标与实施方案