耳鼻咽喉科住院医师耳内镜外科技术规范化培训实践
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摘要
耳内镜外科技术在当今耳科疾病诊治中具有非常重要的作用。结合耳内镜技术临床教学和住院医师规范化培训工作,分析耳内镜技术培训教学过程出现的一些问题,采用四阶段教学法及精细程序化手术教学法,循序渐进提高住院医师耳内镜外科技术操作能力;采用以问题为基础的学习法(problem-based learning,PBL)结合案例教学法(case-based learning,CBL)提高住院医师临床思维能力;以求促进住院医师主动学习,多渠道培养和提高住院医师临床科研能力,探索出一套具备耳内镜技术专业特色教学方法,为住院医师耳内镜技术规范化培训教学提供参考。
Endoscopic otology plays an important role in the diagnosis and treatment of otological diseases. Based on the characteristics of clinical teaching of otoendoscopy and the experience of standardized resident training, this paper analyzed some problems in the teaching process of otoendoscopy training. Four-stage teaching method and elaborate procedural surgery teaching method were adopted to gradually improve resident otoendoscopy surgery operation ability. Problembased learning method(PBL) combined with case-based learning method(CBL) was adopted to improve the residents' clinical thinking ability, to promote the residents' active learning, to cultivate and improve the residents' clinical scientific research ability through multiple channels, and to explore a set of teaching methods with the characteristics of otoendoscopy technology specialty, with an aim to provide reference for the residents' standardized training and teaching of otoendoscopy technology.
Endoscopic otology plays an important role in the diagnosis and treatment of otological diseases. Based on the characteristics of clinical teaching of otoendoscopy and the experience of standardized resident training, this paper analyzed some problems in the teaching process of otoendoscopy training. Four-stage teaching method and elaborate procedural surgery teaching method were adopted to gradually improve resident otoendoscopy surgery operation ability. Problembased learning method(PBL) combined with case-based learning method(CBL) was adopted to improve the residents' clinical thinking ability, to promote the residents' active learning, to cultivate and improve the residents' clinical scientific research ability through multiple channels, and to explore a set of teaching methods with the characteristics of otoendoscopy technology specialty, with an aim to provide reference for the residents' standardized training and teaching of otoendoscopy technology.
引文
[1]Daniele Marchioni,Domenico Villari,Francesco Mattioli,et al.Endoscopic Management of Attic Cholesteatoma[J].Otolaryngologic Clinics of North America,2013,46(2):201-209.
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[3]Daniele Marchioni,Davide Soloperto,Maria C.Guarnaccia,et al.Endoscopic assisted cochlear implantation in ear malformations[J].European Archives of OtoRhino-Laryngology,2015,272(10):2643-2652.
[4]汪照炎,贾欢,杨洁,等.显微镜内镜联合技术在桥小脑角区手术中的应用[J].中华耳鼻咽喉头颈外科杂志,2017,52(2):85-88.
[5]成功,黄源,秦超,等.PBL教学在泌尿外科进修生腹腔镜教学中的应用效果评价[J].南京医科大学学报(社会科学版),2016,75(4):336-338.
[6]王梓敬,邢志敏,王旻,等.鼻内镜技术临床医师培训方法探讨[J].中国耳鼻咽喉头颈外科,2017,24(1):55-56.
[7]王明婕,周兵,崔顺九,等.耳鼻咽喉头颈外科住院医师鼻内镜手术教学模式的探索[J].医学教育管理,2017,3(4):281-283.
[8]熊观霞,陈枫虹,张伟红.新形势下耳鼻咽喉科住院医师规范化培训的再思考[J].中华临床医师杂志:电子版,2016,10(17):2680-2682.
[9]程雯,杨敏京,王以新,等.医学硕士专业学位研究生科研能力培养的现状与对策[J].中华医学教育杂志,2015,35(3):367-368.
[10]吴旋,张伟红,文卫平.对鼻专科医师培训系统化鼻内镜技术的带教体会[J].西北医学教育,2013,21(2):396-398.
[2]Yadav SP,Aggarwal N,Julaha M,et al.Endoscope-assisted myringo-plasty[J].Singapore Medical Journal,2009:50(5):510-512.
[3]Daniele Marchioni,Davide Soloperto,Maria C.Guarnaccia,et al.Endoscopic assisted cochlear implantation in ear malformations[J].European Archives of OtoRhino-Laryngology,2015,272(10):2643-2652.
[4]汪照炎,贾欢,杨洁,等.显微镜内镜联合技术在桥小脑角区手术中的应用[J].中华耳鼻咽喉头颈外科杂志,2017,52(2):85-88.
[5]成功,黄源,秦超,等.PBL教学在泌尿外科进修生腹腔镜教学中的应用效果评价[J].南京医科大学学报(社会科学版),2016,75(4):336-338.
[6]王梓敬,邢志敏,王旻,等.鼻内镜技术临床医师培训方法探讨[J].中国耳鼻咽喉头颈外科,2017,24(1):55-56.
[7]王明婕,周兵,崔顺九,等.耳鼻咽喉头颈外科住院医师鼻内镜手术教学模式的探索[J].医学教育管理,2017,3(4):281-283.
[8]熊观霞,陈枫虹,张伟红.新形势下耳鼻咽喉科住院医师规范化培训的再思考[J].中华临床医师杂志:电子版,2016,10(17):2680-2682.
[9]程雯,杨敏京,王以新,等.医学硕士专业学位研究生科研能力培养的现状与对策[J].中华医学教育杂志,2015,35(3):367-368.
[10]吴旋,张伟红,文卫平.对鼻专科医师培训系统化鼻内镜技术的带教体会[J].西北医学教育,2013,21(2):396-398.