基础医学与临床 ›› 2018, Vol. 38 ›› Issue (5): 739-741.

• 医学教育 • 上一篇    下一篇

优化血流动力学短期培训模式提高培训效果

何怀武1,隆云1,刘大为2,周翔3   

  1. 1. 中国医学科学院北京协和医院
    2. 北京协和医院
    3. 北京协和医院ICU
  • 收稿日期:2018-01-15 修回日期:2018-03-20 出版日期:2018-05-05 发布日期:2018-04-28
  • 通讯作者: 刘大为 E-mail:lliudawei@sina.com
  • 基金资助:
    北京协和医学院2016年“基础临床课程改革-基于器官间及重症临床思维的课程建设”

Improvement the training effectiveness with optimized mode for the hemodynamics short-term training course

  • Received:2018-01-15 Revised:2018-03-20 Online:2018-05-05 Published:2018-04-28

摘要: 目的 研究血流动力学短期培训优化模式对培训效果的影响。方法 于2016-2017年,先后举办2期为期2d的血流动力学培课程中,采用“优化课程结构”、“开放式-在线-答疑”、“培训前后-考试评价”等一系列方法建立优化的培训模式,并评价教学效果。结果 共有808名学员参加培训课程,培训前摸底考试通过率为44%(316/717),培训后结业考试通过率为88.2%(713/808)。其中627名学员同时完成摸底考试和结业考试,进行配对t检验分析,培训前成绩(55.7+19. 3)分,培训后成绩提高到(73.7+10.5)分,成绩相差 (18+21)分(P<0.001)。培训前-成绩和培训后-成绩无显著相关性(R=0.105,P>0.05)。结论 血流动力学短期培训优化模式有助提高短期培训效果,但关于如何提高学员血流动力学的临床应用能力需要进一步研究。

关键词: 重症医学, 血流动力学, 培训效果, 优化培训模式

Abstract: Objective Investigate the influence of optimized mode for the hemodynamics short-term training course on the training effectiveness. Methods From 2016 to 2017, an optimized training mode was used in the hemodynamics 2-day training course, and the training effectiveness was evaluated.The optimized training mode included optimized course structure, opened-on-line answer questions, pre-training and post-training examination. Results A total of 808 clinical doctors participated in the hemodynamic training courses, and 627 participators finished both pre-training and post-training examinations. The percent of the pass of the examination was 44% at the baseline, and the percent of the pass of the examination was 88.2% after the training course. The post-training score was significantly higher than the pre-training score in the subgroup of 627 participators(Pair-t-test, pre-training score 55.7+19.3 vs. post-training score 73.7+10.5, difference 18+21, P<0.001). Moreover, there was no relationship between pre-training score and post-training score. Conclusions the optimized mode for the hemodynamics short-term training course can improve the short-term training effectiveness. However, further studies are required to investigate how to improve the ability to use hemodynamics in the clinical practice.

Key words: ritical care medicine, hemodynamics, training effectiveness, optimized training mode