浏览全部资源
扫码关注微信
基于PACS的案例学习结合组内复片教学对提高麻醉规培医师床旁经胸超声检查能力的研究
A study on the effectiveness of PACS-based case-oriented learning combined with intra-group re-reading teaching for enhancing point-of-care transthoracic echocardiography skills among anesthesiology residents
- 中华医学教育探索杂志 2025年24卷第7期 页码：985-989
- 作者机构：
重庆医科大学第一附属医院麻醉科，重庆 400016
- 作者简介：
吴彬，Email：7835416@qq.com
- 基金信息：重庆医科大学教育教学研究项目(JY200303)
DOI：10.3760/cma.j.cn116021-20240811-02074
中图分类号： R-05收稿日期：2024-08-11，
纸质出版日期：2025-07-20
- 稿件说明：
移动端阅览
秦珮珮, 吴彬. 基于PACS的案例学习结合组内复片教学对提高麻醉规培医师床旁经胸超声检查能力的研究[J]. 中华医学教育探索杂志, 2025, 24(7): 985-989.
Qin Peipei, Wu Bin. A study on the effectiveness of PACS-based case-oriented learning combined with intra-group re-reading teaching for enhancing point-of-care transthoracic echocardiography skills among anesthesiology residents[J]. Chinese journal of medical education research, 2025, 24(7): 985-989.
秦珮珮, 吴彬. 基于PACS的案例学习结合组内复片教学对提高麻醉规培医师床旁经胸超声检查能力的研究[J]. 中华医学教育探索杂志, 2025, 24(7): 985-989. DOI： 10.3760/cma.j.cn116021-20240811-02074.
Qin Peipei, Wu Bin. A study on the effectiveness of PACS-based case-oriented learning combined with intra-group re-reading teaching for enhancing point-of-care transthoracic echocardiography skills among anesthesiology residents[J]. Chinese journal of medical education research, 2025, 24(7): 985-989. DOI： 10.3760/cma.j.cn116021-20240811-02074.
摘要
目的
2
探讨基于PACS的案例学习结合组内复片教学在麻醉规培医师床旁经胸超声培训中的应用价值。
方法
2
选取60名规培的麻醉住院医师规范化培训学员，将其随机分为试验组和对照组，每组各30名。试验组采取基于PACS的案例学习结合组内复片教学进行临床教学，对照组采取传统教学，比较教学效果及满意度情况。采用SPSS 23.0进行t检验、Wilcoxon检验、卡方检验或Fisher确切概率法。
结果
2
两组医师在年龄、性别及年级分布上差异无统计学意义。培训后，试验组医师理论考核成绩明显优于对照组[（88.50±4.22 ） vs. （80.57±3.36）；
t
=8.05，
P
<
0.001
]
。同时，试验组医师技能考核成绩也优于对照组[（85.10±3.32） vs. （73.80±3.70）；
t
=12.46，
P
<
0.001
]
。问卷调查结果显示，试验组医师学习主动性、临床思维能力、临床应用能力及总体满意度均优于对照组，差异有统计学意义（
P
<
0.05）。
结论
2
基于PACS的案例学习结合组内复片教学有助于学员更有效地掌握床旁经胸超声检查，值得在麻醉住院医师规范化培训中推广应用。
Abstract
Objective
2
To investigate the application value of PACS-based case-oriented learning combined with intra-group re-reading teaching method for training anesthesiology residents in point-of-care transthoracic echocardiography.
Methods
2
Sixty anesthesiology physicians who underwent standardized residency training were selected and randomly divided into an experimental group and a control group
with 30 trainees in each group. The experimental group received PACS-based case-oriented learning combined with intra-group re-reading teaching method
while the control group received the traditional teaching method. Teaching effectiveness and satisfaction were compared between the two groups. SPSS 23.0 was used for
t
test
Wilcoxon test
chi-square test
and Fisher's exact test.
Results
2
There were no significant differences between the two groups of physicians regarding age
sex
and year of study. After training
the experimental group had significantly higher theoretical examination scores than the control group [(88.50±4.22) vs. (80.57±3.36)
t
=8.05
P
<
0.001
]
. Additionally
the experimental group performed better in practical skill examination compared to the control group [(85.10±3.32) vs. (73.80±3.70)
t
=12.46
P
<
0.001
]
. The questionnaire survey indicated that the experimental group outperformed the control group in terms of learning initiative
clinical thinking ability
clinical application ability
and overall satisfaction
with statistically significant differences (
P
<
0.05).
Conclusions
2
PACS-based case-oriented learning combined with intra-group re-reading teaching method assisted trainees in more effectively mastering point-of-care transthoracic echocardiography. This approach is worthy of promotion and application in the standardized training of anesthesia residents.
关键词
Keywords
references
Galderisi M , Cosyns B , Edvardsen T , et al . Standardization of adult transthoracic echocardiography reporting in agreement with recent chamber quantification, diastolic function, and heart valve disease recommendations: an expert consensus document of the European Association of Cardiovascular Imaging [J ] . Eur Heart J Cardiovasc Imaging , 2017 , 18 ( 12 ): 1301 - 1310 . DOI: 10.1093/ehjci/jex244 http://dx.doi.org/10.1093/ehjci/jex244 .
何建斌 ， 张博 ， 罗耀文 . 超声心动图四切面法在麻醉学住院医师规范化培训教学工作中的实效性探索研究 [J ] . 国际麻醉学与复苏杂志 ， 2021 ， 42 （ 4 ）： 394 - 397 . DOI: 10.3760/cma.j.cn321761-20200811-00261 http://dx.doi.org/10.3760/cma.j.cn321761-20200811-00261 .
Kratz T , Steinfeldt T , Exner M , et al . Impact of focused intraoperative transthoracic echocardiography by anesthesiologists on management in hemodynamically unstable high-risk noncardiac surgery patients [J ] . J Cardiothorac Vasc Anesth , 2017 , 31 ( 2 ): 602- 609. DOI: 10.1053/j.jvca.2016.11.002 http://dx.doi.org/10.1053/j.jvca.2016.11.002 .
张海霞 ， 徐佳 ， 乔昌龙 ， 等 . 经皮二尖瓣缘对缘修复术的围手术期管理 [J ] . 国际麻醉学与复苏杂志 ， 2024 ， 45 （ 1 ）： 72 - 76 . DOI: 10.3760/cma.j.cn321761-20230826-00965 http://dx.doi.org/10.3760/cma.j.cn321761-20230826-00965 .
Conlin F , Roy Connelly N , Raghunathan K , et al . Focused transthoracic cardiac ultrasound: a survey of training practices [J ] . J Cardiothorac Vasc Anesth , 2016 , 30 ( 1 ): 102 - 106 . DOI: 10.1053/j.jvca.2015.05.111 http://dx.doi.org/10.1053/j.jvca.2015.05.111 .
魏逸 ， 翟建 ， 范莉芳 ， 等 . PCMC教学法联合PACS在影像实验课教学中的应用 [J ] . 皖南医学院学报 ， 2022 ， 41 （ 5 ）： 490 - 492 .
胡昊 ， 廖伟雄 . 移动PACS在医学影像教学中的应用研究 [J ] . 中华医学教育探索杂志 ， 2020 （ 7 ）： 798 - 801 . DOI: 10.3760/cma.j.cn116021-20190904-00178 http://dx.doi.org/10.3760/cma.j.cn116021-20190904-00178 .
Yao J , Fu R , Zhu M , et al . Modelling the case-based learning preferences of undergraduate nursing students using a discrete choice experiment in China [J ] . Nurse Educ Today , 2023 , 129 : 105893 . DOI: 10.1016/j.nedt.2023.105893 http://dx.doi.org/10.1016/j.nedt.2023.105893 .
Yao J , Zhang X , Xue H , et al . The experiences of nursing master’s students with dialogic case-based learning in an evidence-based nursing course: a qualitative study [J ] . Nurse Educ Today , 2022 , 114 : 105395 . DOI: 10.1016/j.nedt.2022.105395 http://dx.doi.org/10.1016/j.nedt.2022.105395 .
张金山 ， 邓咏梅 ， 李园 ， 等 . 基于网络资源的CBL教学在核医学住培教学中的应用 [J ] . 中华医学教育探索杂志 , 2023 , 22 ( 11 ): 1698 - 1701 . DOI: 110.3760/cma.j.cn116021-20211211-01494 http://dx.doi.org/110.3760/cma.j.cn116021-20211211-01494 .
何志兵 ， 陈敏 ， 杨峰 ， 等 . 基于图像储存与传输系统的比较影像学联合案例教学法在医学影像学教学中的应用 [J ] . 广西医学 ， 2020 ， 42 （ 15 ）： 2057 - 2059 . DOI: 10.11675/j.issn.0253-4304.2020.15.38 http://dx.doi.org/10.11675/j.issn.0253-4304.2020.15.38 .
0
浏览量
1
下载量
0
CSCD
- 网络PDF下载
- WORD下载
- Meta-XML下载
- BibTeX下载
- Endnote下载
- RefMan 下载
- NoteExpress下载
- NoteFirst下载
关联资源
相关文章
相关作者
相关机构
- 技术支持由北京北大方正电子有限公司提供 京ICP备09064830号-19
京公网安备11010802024621 - 本系统建议在Chrome、 IE9+ 以上版本浏览器阅读本站内容，360浏览器请切换至极速模式
- Cookies帮助我们提供服务并提供个性化体验。使用本网站，即表示您同意我们使用Cookies
