进阶式教学模式在超声内镜培训中的初步应用

Preliminary discussion on progressive modules in the EUS training program

摘要:

目的 超声内镜已经成为诊治胆胰系统疾病及消化道疾病不可或缺的手段之一，但这项操作技术仍具有相当的难度。目前，我国超声内镜专家数量远远低于医疗需求，有关培训课程匮乏，培训形式不同，相关研究更为缺乏。针对超声内镜学习规律，结合进阶式教学的理念，我们提出了超声内镜进阶式培训模式，旨在研究该方法与传统长程培训方法相比，学员的超声内镜能力是否提升更为明显。方法 我们将超声内镜学习分为3个阶段，6个层次，分层次阶段学习。纳入无超声内镜基础但熟练掌握胃肠镜的10名学员，总的学习时间为1年，随机分两组，一组接受传统的长期培训，另一组接受进阶式培训模式。对比两组学员对超声内镜知识及技术的掌握程度。结果 进阶式教学模式在最终考核中超声内镜能力明显大于传统教学组，但因两组人数均较少，还无法进行统计学之间的比较。此外，进阶式教学模式的学员离岗时间明显缩短，在国内各医院相对人手缺乏的情况下更具有优势。结论 进阶式教学模式教学优势显著，应大力推广。

Abstract:

Objectives Endoscopic ultrasonography (EUS) has become an indispensable diagnostic modality for the diagnosis and management of panreatobiliary and gastrointestinal disease, however, it is still an challenging technology for trainee. As far, EUS experts in our country are far below the rising demands, we have to face the scarcity of training courses and the variety of training forms. What’s more, researches focusing on the EUS training are rare. According to the learning curve for EUS, we have generated the idea of progressive modules in EUS to meet the needs of various levels of EUS training. We aimed to verify that trainees’ ability of mastering EUS would increase a lot from this new training pattern after comparing with traditional long-term training. Methods We divided the EUS learning courses into 3 stages and 6 levels. 10 learners who have achieved competence in routine endoscopic procedures but without any knowledge and skills on EUS procedures were enrolled. Overall learning time was 1 year. 10 trainees were randomly distributed into 2 groups, one is the traditional long-term training program, the other is progressive modules. The proficiency of EUS knowledge and skills in the 2 groups would be compared. Results At the final examination, the proficiency of learners on EUS is obviously higher in progressive modules group than in traditional long-term training group, however, we didn’t have a statistical comparison owing to the few numbers of trainees. Conclusions Progressive modules are superior than the traditional training form, it should be advocated.