医学教育管理 ›› 2019, Vol. 5 ›› Issue (5): 455-460.doi: 10.3969/j.issn.2096-045X.2019.05.015

• 毕业后教育 • 上一篇    下一篇

阅片列表对培训耳外科进修医师阅读颞骨CT片能力的作用

吴旋,庄惠文,陈垲钿,熊观霞,江广理,文卫平   

  1. 中山大学附属第一医院耳鼻咽喉科医院 / 中山大学耳鼻咽喉科学研究所 , 广州 510080
  • 收稿日期:2019-06-11 出版日期:2019-10-20 发布日期:2019-12-27
  • 通讯作者: 文卫平
  • 基金资助:
    1.2018 年中山大学本科教学改革研究课题 - 耳鼻咽喉科教学团队建设项目(80000-18832601);2. 2018 年中山大学附属第一医院本科教学质量工程类立项建设子项目(80000-18832601)

Effect of reading list on reading ability of temporal bone CT for refresher otologists

Wu Xuan, Zhuang Huiwen, Chen Kaitian, Xiong Guanxia, Jiang Guangli, Wen Weiping   

  1. Otolaryngology Hospital,the First Affiliated Hospital of Sun Yat-sen University/Institute of Otolaryngology, Sun Yat-sen University, Guangzhou 510080, China
  • Received:2019-06-11 Online:2019-10-20 Published:2019-12-27

摘要: 目的 探索应用阅片列表对提高耳外科进修医师阅读颞骨 CT 片能力的作用。方法 选取 2016 年 1 月及 2017 年 12 月在中山大学附属第一医院耳鼻咽喉科进行耳外科进修培训 66 名进修医师为研究对象,分为实验组和对照组。2016 年级 30 名学员为对照组,带教过程阅读颞骨 CT 片时没有采用阅片列表;2017 年级 36 名学员为实验组,带教过程阅读颞骨 CT 片时采用阅片列表,每位学员在耳外科进修培训前后都进行颞骨 CT 阅片能力测试考试,培训后均进行问卷调查,比较两组成绩差异及问卷调查评价。结果 两组学员在年龄、性别、培训前颞骨 CT 阅片成绩等方面差异均无统计学意义 (P > 0.05)。耳外科培训结业后颞骨 CT 阅片考试成绩,实验组学员优于对照组学员,差异具有统计学意义 (P < 0.05)。实验组学员对应用阅片列表教学模式在学习兴趣、阅片效率、阅片条理系统性、准确阅片自信心、手术风险评估能力、医患沟通能力、两种教学模式的满意程度评价均优于对照组学员,差异具统计学意义 (P < 0.05)。结论 利用阅片列表进行颞骨 CT 阅片教学,可培养规范、系统阅片习惯,有助于提升学习兴趣,有效提高进修医师颞骨 CT 阅片能力。

Abstract: Objective To explore the effect of reading list to improve refresher otologists’ ability to read temporal bone CT.Methods 66 trainees from the otology department of the First Affiliated Hospital, Sun Yat-sen University, from January 2016 to December 2017, were selected as subjects, and divided into experimental group and control group. Thirty students in Team 2016 were in the control group, while 36 students in Team2017 were in the experimental group. Before and after the training of otology,each student was tested for the reading ability of temporal bone CT. Questionnaires were conducted to compare the difference of the two groups’ performance and the evaluation of the questionnaires. Results There was no significant difference in age, gender, or scores of temporal bone CT examination before training between the two groups (P>0.05). After the completion of otology training,the scores of temporal bone CT examination in the experimental group were better than those in the control group, with statistical significance (P<0.05). This study compared the two groups in terms of learning interest, reading efficiency, systematic reading,accurate self-confidence, surgical risk assessment ability, doctor-patient communication ability and satisfaction degree, and found that the experimental group was better than the control group, with statistically significant (P<0.05)difference. Conclusion Reading list can cultivate standardized and systematic reading habitsin teaching temporal bone CT reading, and can help to enhance learning interest, and effectively improve the ability of refresher physicians to read temporal bone CT.