基础医学与临床 ›› 2018, Vol. 38 ›› Issue (6): 890-894.

• 医学教育 • 上一篇    下一篇

血管腔内模拟器教学提升医学生的血管外科学操作技能及兴趣

来志超1,邱宸阳2,赵哲维1,谢智博3,赵一4,王文达2,刘暴1,潘慧3   

  1. 1. 中国医学科学院北京协和医院
    2. 北京协和医院
    3. 中国医学科学院 北京协和医学院 北京协和医院
    4. 北京协和医学院
  • 收稿日期:2018-01-18 修回日期:2018-04-23 出版日期:2018-06-05 发布日期:2018-05-25
  • 通讯作者: 刘暴 E-mail:liubao72@yahoo.com.cn
  • 基金资助:
    血管外科腔内操作模拟教学课程的设计及推广

Utility of endovascular simulation to improve technical performance and stimulate interest of medical students in vascular surgery

  • Received:2018-01-18 Revised:2018-04-23 Online:2018-06-05 Published:2018-05-25
  • Supported by:
    Design and Popularization of Vascular Surgery Operation Simulation Teaching Course

摘要: 目的:对医学生进行血管腔内模拟器培训,确定腔内模拟器教学是否能提升医学生的操作教学效果并提升医学生的职业兴趣。方法:对30名医学生进行血管腔内模拟器教学培训。培训前后均进行血管腔内模拟器操作考试,通过标准化量表进行量化评分,学生在培训前后使用主观量表对教学效果评分。对比培训前后的评分量表,评价腔内模拟器课程的教学效果。结果:根据评分量表,学生在培训后对疾病、操作技术的认识、处理能力及对射线及造影剂的用量等方面较培训前明显改善。学生培训后对血管外科专业的兴趣明显提升,对介入及射线的恐惧等负面态度明显降低。结论:使用血管腔内模拟器教学可以提高医学生的血管介入操作技能,使学生对血管外科工作产生职业兴趣。

关键词: 血管外科, 腔内治疗, 血管腔内模拟器, 教学, 医学生

Abstract: Objective Endovascular simulation has been promoted as an educational tool for vascular surgeons in a safe environment and improve basic technical skills. But it has not been used in the training of medical students. We sought to determine whether an established endovascular training course for medical students could increase technical proficiency, enhance interest in vascular surgery. Methods We recruited 30 3rd year medical school students from Peking Union Medical School prospectively. We gave these students an eight-week course with a structured curriculum comprised of weekly simulator sessions and theoretical lessons. A test of iliac artery balloon dilatation was conducted in pre- and post-course. Performance was assessed by experts using a standardized global endovascular rating scale and objective procedural metrics collected from the simulator. Demographics and subjective survey data, including interest in vascular surgery were obtained pre- and post-course from the students too. Results Parameters measured on the standardized global endovascular rating scale, including angiography skills, wire handling and interventional criteria as well as simulator-generated metrics such as fluoroscopy time and volume of contrast used significantly improved from pre- to post-course values for the medical students(p<0.05) All the students agreed or strongly agreed that the simulation course increased their interest in vascular surgery. Conclusions A simulation-based endovascular course provides an educational tool that improves basic technical performance and increases interest in vascular surgery among medical students. The simulator has big potential in the medical students training programs.

Key words: Vascular surgery, Endovascular therapy, Endovascular Simulation, Education, Medical student