模拟医学教育在介入放射学教学中的应用
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摘要
介入放射学是继内科、外科之后的新兴临床学科,以其微创、精确、见效快等特点受到了国内外医学界的高度重视,在国内得到迅猛发展。然而,各地介入从业医师诊疗水平却存在明显发展不平衡的现状,传统以患者为实践对象的介入医师培训模式学习曲线较长,在当前医患关系紧张的环境下,这种培训方式显然已经难以为继。培训方式从以病人为中心向以受训者为中心的模式转变已成为迫切需要。模拟医学教育以其安全性、可重复性、真实性等优势逐渐被应用于介入治疗等外科手术技能的培训,并获得了满意的效果。
Interventional radiology is a new clinical subject besides internal medicine and surgery.Since it's minimally invasive,accurate and effective,it is highly valued by medical specialists at home and abroad and has developed rapidly in China.However,there are obvious development imbalances in the level of interventional physicians among different regions.The interventional physicians have long learning curves in traditional training model with patients as the object of the practice.Especially in the current situation of tense doctor-patient relationship,this training method is obviously hard to continue.The shift from a patient-centered approach to a trainee-centered model has become an urgent need.Medical simulation education are gradually applied to interventional therapy and other surgical skills training for its safety,repeatability,fidelity and other advantages,and achieved satisfactory results.
Interventional radiology is a new clinical subject besides internal medicine and surgery.Since it's minimally invasive,accurate and effective,it is highly valued by medical specialists at home and abroad and has developed rapidly in China.However,there are obvious development imbalances in the level of interventional physicians among different regions.The interventional physicians have long learning curves in traditional training model with patients as the object of the practice.Especially in the current situation of tense doctor-patient relationship,this training method is obviously hard to continue.The shift from a patient-centered approach to a trainee-centered model has become an urgent need.Medical simulation education are gradually applied to interventional therapy and other surgical skills training for its safety,repeatability,fidelity and other advantages,and achieved satisfactory results.
引文
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[14]穆永旭,何俊峰,胡晓燕,等.经子宫动脉介入诊疗模拟系统在教学中的应用评价[J].中国继续医学教育,2014(8):3-4.
[2]Grenvik A,Schaefer J.From Resusci-Anne to Sim-Man:the evolution of simulators in medicine[J].Critical Care Medicine,2004,32(2Suppl):56-57.
[3]Stephen A,Clark A P,Denson J S,et al.Anesthesiological training simulator A[P].US:US 3520071,1970-07-14.
[4]Halsted W S.The Training of the Surgeon[J].British Medical Journal,1936,1(3918):268.
[5]Bradley P.The history of simulation in medical education and possible future directions[J].Medical Education,2006,40(3):254.
[6]Davis D.Does CME work?An analysis of the effect of educational activities on physician performance or health care outcomes[J].International Journal of Psychiatry in Medicine,1998,28(1):21.
[7]Dawson D L,Meyer J,Lee E S,et al.Training with simulation improves residents’endovascular procedure skills[J].Journal of Vascular Surgery,2007,45(1):149-154.
[8]Andreatta P,Chen Y,Marsh M,et al.Simulation-based training improves applied clinical placement of ultrasoundguided PICCs[J].Supportive Care in Cancer,2011,19(4):539-543.
[9]Patel R,Dennick R.Simulation based teaching in interventional radiology training:is it effective[J]?Clinical Radiology,2017,72(3):266.
[10]Freiman M,Joskowicz L,Broide N,et al.Carotid vasculature modeling from patient CT angiography studies for interventional procedures simulation[J].International Journal of Computer Assisted Radiology&Surgery,2012,7(5):799-812.
[11]王亚冰,焦力群,谌燕飞,等.血管介入手术模拟训练系统在缺血性脑血管病神经介入教学培训中的应用[J].转化医学杂志,2016,5(4):247-248.
[12]蒋天鹏,王黎洲,周石.介入教学模拟系统在训练介入医师肝动脉插管技能中的作用分析[J].中国医药指南,2015(10):3-4.
[13]曹莉明,王杰,李依明,等.经肝动脉介入诊疗模拟系统在教学中的应用评价[J].介入放射学杂志,2012,21(10):869-872.
[14]穆永旭,何俊峰,胡晓燕,等.经子宫动脉介入诊疗模拟系统在教学中的应用评价[J].中国继续医学教育,2014(8):3-4.