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“D3-teaching”教学新模式赋能眼科手术技能提升的应用探讨
Application of the new "D3-teaching" mode in enhancing ophthalmic surgery skills
- 中华医学教育探索杂志 2025年24卷第11期 页码：1561-1566
- 作者机构：
浙江大学医学院附属第二医院眼科中心/全省重要致盲眼病防治技术研究重点实验室/浙江省眼部疾病临床医学研究中心/眼部疾病浙江省工程研究中心，杭州 310009
- 作者简介：
马健，Email：jian_ma@zju.edu.cn
- 基金信息：浙江省自然科学基金(LY24H120001)
DOI：10.3760/cma.j.cn116021-20240802-02033
中图分类号： R33收稿：2024-08-02，
纸质出版：2025-11-20
- 稿件说明：
移动端阅览
鱼音慧, 乔越, 杨起, 等. “D3-teaching”教学新模式赋能眼科手术技能提升的应用探讨[J]. 中华医学教育探索杂志, 2025, 24(11): 1561-1566.
Yu Yinhui, Qiao Yue, Yang Qi, et al. Application of the new "D3-teaching" mode in enhancing ophthalmic surgery skills[J]. Chinese Journal of Medical Education Research, 2025, 24(11): 1561-1566.
鱼音慧, 乔越, 杨起, 等. “D3-teaching”教学新模式赋能眼科手术技能提升的应用探讨[J]. 中华医学教育探索杂志, 2025, 24(11): 1561-1566. DOI： 10.3760/cma.j.cn116021-20240802-02033.
Yu Yinhui, Qiao Yue, Yang Qi, et al. Application of the new "D3-teaching" mode in enhancing ophthalmic surgery skills[J]. Chinese Journal of Medical Education Research, 2025, 24(11): 1561-1566. DOI： 10.3760/cma.j.cn116021-20240802-02033.
摘要
目的
2
探讨和评估“D
3
-teaching”教
学新模式在眼科住院医师规范化培训中的手术教学效果。
方法
2
选取2020年9月至2024年6月在浙江大学医学院附属第二医院眼科中心接受浙江省住院医师规范化培训的40名学员作为“D
3
-teaching”教学组，采用数字化资源（Digital）、三维教学（Dimension）和模拟平台（Dry Lab）相结合的新型手术教学模式；另选取2018级和2019级已完成规范化培训的42名学员作为传统教学组，其接受的是理论授课、图文教学及视频播放的传统培训方法。比较两组学员的考核通过率、ICO-OSCAR技能掌握比例、学习周期以及满意度调查，评价2种教学模式的应用效果。
结果
2
教学后，2组学员的考核通过率差异无统计学意义；然而，“D
3
-teaching”教学组的技能掌握比例显著高于传统教学组（28/40，70.00% vs. 15/42，35.71%，
χ
2
=9.66，
P
=0.002），且学习周期明显缩短[（13.14±5.91）个月 vs. （21.33±7.73）个月，
t
=3.88，
P
<
0.001
]
。此外，“D
3
-teaching”教学组学员对各项教学参数的满意度评分显著优于传统教学组，差异具有统计学意义。
结论
2
“D
3
-teaching”教学新模式作为眼科住院医师规范化培训的创新手术教学方法，显著提升了学员的技能掌握能力和培训成效，缩短了学习周期，并获得学员的高度认可，具有较高的推广价值。
Abstract
Objective
2
To explore and evaluate the effectiveness of the new "D
3
-teaching" mode in surgical training for ophthalmology standardized residency training.
Methods
2
A total of 40 residents at the Eye Center of The Second Affiliated Hospital of Zhejiang University School of Medicine who participated in the standardized residency training program in Zhejiang Province from September 2020 to June 2024 were selected as the "D
3
-teaching" group. This group received an innovative surgical training mode integrating digital resources
three-dimensional teaching
and dry lab simulation. Moreover
another 42 residents who had completed the standardized training program in the 2018 and 2019 were selected as the traditional teaching group. This group received traditional teaching methods involving theoretical lectures
text- and image-based teaching
and video demonstrations. The effectiveness of both teaching modes was assessed by comparing the pass rates of examinations
ICO-OSCAR skill mastery rates
learning periods
and satisfaction survey.
Results
2
After training
there was no significant difference in the pass rates between the two groups. However
the skill mastery rate in the "D
3
-teaching" group was significantly higher than that of the traditional teaching group (28/40
70.00% vs. 15/42
35.71%
χ
2
=9.66
P
=0.002). Additionally
the learning period in the "D
3
-teaching" group was significantly shorter than that of the traditional teaching group [(13.14±5.91) months vs. (21.33±7.73) months
t
=3.88
P
<
0.001
]
. Furthermore
the scores for satisfaction with all teaching parameters in the "D
3
-teaching" group were significantly higher than those in the traditional teaching group.
Conclusions
2
The "D
3
-teaching" mode is an innovative surgical teaching method in ophthalmology standardized residency training that significantly improves trainees' skill acquisition
enhances training outcomes
shortens the learning period
and has received high recognition from trainees. This mode is worthy of wider application and promotion.
关键词
Keywords
references
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