基础医学与临床 ›› 2022, Vol. 42 ›› Issue (4): 696-700.doi: 10.16352/j.issn.1001-6325.2022.04.013

• 医学教育 • 上一篇    

学习金字塔模型理论的短期半浸入式培训提高识别早期胃癌能力

陈希1△, 庞海玉2, 秦春迪3, 郭元红4, 杨爱明1, 赖雅敏1*   

  1. 中国医学科学院 北京协和医学院 北京协和医院 1.消化内科, 2.医学科学研究中心,北京100730;
    3.黑龙江省第二医院 消化内科, 黑龙江 哈尔滨 150010;
    4.成都市第五人民医院 消化内科, 四川 成都 611130
  • 收稿日期:2020-10-22 修回日期:2021-02-02 出版日期:2022-04-05 发布日期:2022-04-01
  • 通讯作者: * gracemin_1001@163.com
  • 作者简介:第一作者现工作单位为郑州颐和医院

Short-term semi-immersion training based on a learning pyramid model theory can improve the capacity building to find early gastric cancer

CHEN Xi1△, PANG Hai-yu2, QIN Chun-di3, GUO Yuan-hong4, YANG Ai-ming1, LAI Ya-min1*   

  1. 1. Department of Gastroenterology; 2. Medical Science Research Center, Peking Union Medical College Hospital, CAMS & PUMC,Beijing 100730;
    3. Department of Gastroenterology, the Second Hospital of Heilongjiang Province, Harbin 150010;
    4. Department of Gastroenterology, Chengdu Fifth People's Hospital, Chengdu 611130, China
  • Received:2020-10-22 Revised:2021-02-02 Online:2022-04-05 Published:2022-04-01
  • Contact: * gracemin_1001@163.com

摘要: 目的 探究基于学习金字塔模型理论的短期半浸入式教学培训对提高消化内镜医师识别早期胃癌(早癌)能力的效果。方法 从本中心随机选取30名消化进修医生作为培训学员,进行4周的半浸入式培训。培训前、理论课后和培训4周后分别测试培训学员识别早癌能力,比较测试的正确率。结果 培训前、理论课后及培训4周后测试正确率分别为44.58%±16.39%、48.54%±16.95%和68.75%±12.06%,培训4周后测试正确率高于培训前及理论课后(P<0.001),理论课后测试正确率高于培训前(P<0.05)。按既往胃镜检查例数分组时,培训前及理论课后,高经验组测试正确率均高于低经验组(P<0.01),培训4周后两组测试正确率相当;随着培训时间的延长,测试正确率逐渐升高(P<0.001);且分组与培训时间间存在交互作用(P<0.001)。相关性分析时,既往胃镜检查例数与培训前、理论课后测试正确率均呈正相关(r=0.668,P<0.001;r=0.581,P<0.01)。结论 基于学习金字塔模型理论的半浸入式培训可有效提高消化内镜医师识别早癌能力。

关键词: 识别早期胃癌能力, 学习金字塔模型理论, 半浸入式教学培训

Abstract: Objective To explore the effect of short-term semi-immersion teaching and training based on the learning pyramid model to improve the capacity building of to find early gastric cancer by digestive endoscope physicians. Methods Thirty digestive refresher doctors were randomly selected from our center for 4-week semi-immersion training. The capacity of the trainees to recognize early gastric cancer was tested before and after 4 weeks of training, and the accuracy of the test was compared. Results The accuracy of the test before training, after theoretical lesson and after 4 weeks of training were 44.58%±16.39%, 48.54%±16.95% and 68.75%±12.06% respectively. The test accuracy after theory lesson plus 4 weeks of training was higher than that before training and after only theoretical lesson (P<0.001).The test accuracy after theoretical lesson was higher than that before the training(P<0.05). When grouping by the number of cases in previous gastroscopy, no matter before training or after theoretical lesson, the test accuracy with experience in testing was higher than group with less experience. However, the test accuracy of the two groups almost reached a same level after 4 weeks of training(P<0.01). With the extension of training time, the test accuracy gradually increased (P<0.001). There was an interaction between grouping and training time (P<0.001).In the correlation analysis, the number of cases of the previous gastroscopy performance was positively correlated with the test accuracy before training and after theoretical lesson (r=0.668,<0.001,r=0.581, P<0.01). Conclusions Semi-immersion training guided by the learning pyramid model can effectively improve the capacity of digestive endoscope physicians to recognize early gastric cancer.

Key words: diagnosis capacity of early gastric cancer, learning pyramid model theory, semi-immersion teaching training

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