3D打印技术在骨科住院医师规范化培训中的应用
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摘要
目的观察3D打印技术在骨科住院医师规范化培训中的应用效果,并探讨其应用的可行性及有效性。方法选取2016级50名于西安交通大学第二附属医院骨一科进行规范化培训的住院医师作为研究对象,随机将其分为3D打印教学组和传统教学组。两组住院医师均按照规范化培训教学大纲要求进行教学培训,其中3D打印教学组在传统教学的基础上,利用3D打印模型加深对骨关节疾病的理解,掌握相关的诊断和治疗方法。结果 3D打印模型有助于规培医师在短时间内理解并掌握骨关节疾病的影像学特点、诊断和治疗方法,并对手术方案和手术技巧有基本理解,3D打印教学组医师理论和临床实践技能考核成绩均优于传统教学组,差异有统计学意义(P <0.05)。结论 3D打印技术引入骨科住院医师规范化教学培训中的效果良好,有助于提高住院医师的临床思维和临床实践操作能力,具有良好的应用和推广前景。
Objective To observe the application effect of 3 D printing in the standardized training of residents in orthopedics, and to explore the feasibility and effectiveness of its application. Methods A total of 50 residents were enrolled in the study who attending the standardized training in the First Department of Orthopaedics of The Second Affiliated Hospital of Xi'an Jiaotong University in 2016, and were randomly divided into 3 D printing teaching group and traditional teaching group. The two groups had received the teaching and training according to the requirements of the standardized training syllabus, in which the 3 D printing teaching group had used the 3 D printing model to deepen the understanding of bone and joint diseases and master relevant diagnosis and treatment methods on the basis of the traditional teaching. Results The 3 D printing model was helpful for standard-trained residents to understand and master the imaging characteristics, diagnosis and treatment of bone and joint diseases in a short time, and had a basic understanding of the surgical scheme and surgical skills. The 3 D printing teaching group performed better in examination achievement of the theoretical and clinical practice skills than the traditional teaching group, and the difference was statistically significant(P < 0.05). Conclusion The introduction of 3 D printing into the standardized training of residents in orthopedics has a good application effect, which is helpful to improve the clinical thinking and clinical practice ability of residents, and has a good application and promotion prospect.
Objective To observe the application effect of 3 D printing in the standardized training of residents in orthopedics, and to explore the feasibility and effectiveness of its application. Methods A total of 50 residents were enrolled in the study who attending the standardized training in the First Department of Orthopaedics of The Second Affiliated Hospital of Xi'an Jiaotong University in 2016, and were randomly divided into 3 D printing teaching group and traditional teaching group. The two groups had received the teaching and training according to the requirements of the standardized training syllabus, in which the 3 D printing teaching group had used the 3 D printing model to deepen the understanding of bone and joint diseases and master relevant diagnosis and treatment methods on the basis of the traditional teaching. Results The 3 D printing model was helpful for standard-trained residents to understand and master the imaging characteristics, diagnosis and treatment of bone and joint diseases in a short time, and had a basic understanding of the surgical scheme and surgical skills. The 3 D printing teaching group performed better in examination achievement of the theoretical and clinical practice skills than the traditional teaching group, and the difference was statistically significant(P < 0.05). Conclusion The introduction of 3 D printing into the standardized training of residents in orthopedics has a good application effect, which is helpful to improve the clinical thinking and clinical practice ability of residents, and has a good application and promotion prospect.
引文
[1]国家卫生计生委.国家卫生计生委等7部门关于建立住院医师规范化培训制度的指导意见[EB/OL].(2013-12-31)[2018-01-23].http://www.nhfpc.gov.cn/qjjys/s3593/201401/032c8cdf2eb64a369cca4f9b76e8b059.shtml.
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[4]胡俊霞,薛立文.住院医师规范化培训的临床教学思考[J].继续医学教育,2018,32(6):43-44.
[5]王禅,马晓静,焦庆仕,等.住院医师规范化培训中的问题及国际经验启示[J].中国医院管理,2017,37(9):50-52.
[6]卢冰,鲜爱明,王跃.3D打印技术在骨科学教学中的应用[J].中华医学教育杂志,2018,38(2):257-260.
[7]Awan OA,Sheth M,Sullivan I,et al.Efficacy of 3D Printed Models on Resident Learning and Understanding of Common Acetabular Fracturers[J].Acad Radiol,2019,26(1):130-135.
[8]王波,孟开,张玲,等.我国住院医师规范化培训制度现状研究[J].中国卫生事业管理,2016,33(10):780-781.
[9]Putnam MD,Kinnucan E,Adams JE,et al.On orthopedic surgical skill prediction--the limited value of traditional testing[J].J Surg Educ,2015,72(3):458-470.
[10]张明,吴媛,王睿智,等.3D打印互动教学在神经外科医师规范化培训中的应用[J].基础医学教育,2016,18(11):927-931.
[11]郭艳玲,王琳,蒲小猛.3D打印技术在口腔医学中的应用及人才培养策略[J].中国继续医学教育,2017,9(29):37-38.
[12]Andolfi C,Plana A,Kania P,et al.Usefulness of ThreeDimensional Modeling in Surgical Planning,Resident Training,and Patient Education[J].J Laparoendosc Adv Surg Tech A,2017,27(5):512-515.
[13]孙伟,薛骋,唐先业,等.3D打印模型在骨科住院医师规范化培训中的应用[J].中国继续医学教育,2018,10(28):3-5.
[14]Lim PK,Stephenson GS,Keown TW,et al.Use of 3D Printed Models in Resident Education for the Classification of Acetabulum Fractures[J].J Surg Educ,2018,75(6):1679-1684.
[2]朱思,钱稳吉,黄葭燕.政策工具视角下的住院医师规范化培训政策研究[J].中国医院管理,2018,38(9):20-23.
[3]姚隆,曾闽榕,李华,等.我国住院医师规范化培训的现状与对策[J].海南医学,2018,29(11):1612-1614.
[4]胡俊霞,薛立文.住院医师规范化培训的临床教学思考[J].继续医学教育,2018,32(6):43-44.
[5]王禅,马晓静,焦庆仕,等.住院医师规范化培训中的问题及国际经验启示[J].中国医院管理,2017,37(9):50-52.
[6]卢冰,鲜爱明,王跃.3D打印技术在骨科学教学中的应用[J].中华医学教育杂志,2018,38(2):257-260.
[7]Awan OA,Sheth M,Sullivan I,et al.Efficacy of 3D Printed Models on Resident Learning and Understanding of Common Acetabular Fracturers[J].Acad Radiol,2019,26(1):130-135.
[8]王波,孟开,张玲,等.我国住院医师规范化培训制度现状研究[J].中国卫生事业管理,2016,33(10):780-781.
[9]Putnam MD,Kinnucan E,Adams JE,et al.On orthopedic surgical skill prediction--the limited value of traditional testing[J].J Surg Educ,2015,72(3):458-470.
[10]张明,吴媛,王睿智,等.3D打印互动教学在神经外科医师规范化培训中的应用[J].基础医学教育,2016,18(11):927-931.
[11]郭艳玲,王琳,蒲小猛.3D打印技术在口腔医学中的应用及人才培养策略[J].中国继续医学教育,2017,9(29):37-38.
[12]Andolfi C,Plana A,Kania P,et al.Usefulness of ThreeDimensional Modeling in Surgical Planning,Resident Training,and Patient Education[J].J Laparoendosc Adv Surg Tech A,2017,27(5):512-515.
[13]孙伟,薛骋,唐先业,等.3D打印模型在骨科住院医师规范化培训中的应用[J].中国继续医学教育,2018,10(28):3-5.
[14]Lim PK,Stephenson GS,Keown TW,et al.Use of 3D Printed Models in Resident Education for the Classification of Acetabulum Fractures[J].J Surg Educ,2018,75(6):1679-1684.