Abstract:The development and popularization of digestive endoscopy technology has brought a new level of the diagnosis and treatment for digestive system diseases. The demand for gastroenterologist is gradually increasing. Currently, the training of digestive endoscopy lacks standardized programs. The traditional training mode based on patient is no longer suitable for the rapid development of digestive endoscopy. In this paper, a training model nominated “teaching model sequential clinical practice” is presented. According to the trainees′ situation, the teaching mode is divided into three training stages: primary, intermediate and advanced stage. The primary stage teaching models are self-made model and endoscope training machine. Intermediate and advanced training model are in vitro and living animal models. The trainees can only enter the specified clinical practice after passing the examination in each practice stage, which aims at attaining quantification, refinement and individualized training for digestive endoscopy specialists.
郭春梅 吴静 刘红. 教学模型序贯临床实践在不同阶段消化内镜专科医生培训中的应用体会[J]. 中国医药导报, 2018, 15(36): 170-173.
GUO Chunmei WU Jing LIU Hong. Application experience of teaching model sequential clinical practice in gastroenterologist training in different stages. 中国医药导报, 2018, 15(36): 170-173.
[1] 张澍田,李鹏,王文海.消化内镜进展及其诊治早期肿瘤的意义[J].中华消化杂志,2015,35(1):15-17.
[2] 陈思文,吴本俨,徐世平,等.消化内镜医师培训的现状及计算机模拟训练系统的应用[J].医学与哲学,2013,34(479):80-85.
[3] 杜奕奇,王宇欣,王东,等.“五步七评法”教学模式在消化内镜培训中的应用[J].中国高等医学教育,2015(1):97-98.
[4] 杜奕奇,王宇欣,王东,等.消化内镜培训新模式的建立与探索[J].继续医学教育,2014,28(1):1-3.
[5] 王拥军,鲁力锋,张澍田.“四站式个体化培训法”在内镜医师培训中的应用[J].中华消化内镜杂志,2016,33(12):874-876.
[6] Harpham-Lockyer L,Laskaratos FM,Berlingieri P,et al. Role of virtual reality simulation in endoscopy training [J]. World J Gastrointest Endosc,2015,7(18):1287-1294.
[7] 刘揆亮,吴静.不同阶段消化内科临床教学中融入消化内镜教学的思考[J].继续医学教育,2017,31(7):75-77.
[8] 王沧海,林香春,吴静,等.第二阶段住院医师消化内镜培训方法初探[J].西北医学教育,2013,21(1):198-201.
[9] 周巧直,吕富靖,王拥军,等.阶梯式消化内镜模拟训练在上消化道内镜初级培训中的应用[J].中华医学教育探索杂志,2016,15(6):585-588,589.
[10] 李鹏,张澍田.消化内镜医师培训的目标及方法[J].中华消化内镜杂志,2009,26(9):453-454.
[11] Matsuda K,Hawes RH,Sahai AV,et al. The role of simulators,models,phantoms. Where′s the evidence? [J]. Endoscopy,2006(38 Suppl 1):S61-S64.
[12] Ekkelenkamp VE,Koch AD,de Man RA,et al. Training and competence assessment in GI endoscopy:a systematic review [J]. Gut,2016,65(4):607.
[13] 俞力,李鹏,陈炳琪,等.内镜模拟训练在上消化道内镜培训中的作用研究[J].中华消化内镜杂志,2008,25(7):359-361.
[14] 徐雷鸣.阶梯式培训模式在消化专业研究生内镜教学中的应用探讨[J].广州医科大学学报,2017,45(3):97-98.
[15] Memorandum regarding changes in minimum requirements for laparoscopy and endoscopy [EB/OL] Accreditation Council for Graduate Medical Education,2015. http://www.acgme.org/.
[16] Lee SH,Chung IK,Kim SJ,et al. An adequate level of training for technical competence in screening and diagnostic colonoscopy:A prospective multicenter evaluation of the learning curve [J]. Gastrointest Endose,2008,67:683-689.
[17] 国家卫生计生委印发《内镜诊疗技术临床应用管理暂行规定》和普通外科等10个专业内镜诊疗技术管理规范[J].中国医药生物技术,2014,9(1):25.
[18] 郭月昆.EMR及ESD手术中粘膜下注射剂的对照研究[D].哈尔滨:哈尔滨医科大学,2010.
[19] Gerson LB,Van Dam J. Technology review:the use of simulators for training in GI endoscopy [J]. Gastrointest Endosc,2004,60(6):992-1001.
[20] 林寒,王洛伟,李兆申.消化内镜专科医师整合培养模式的研究[J].中国医学前沿杂志:电子版,2014,6(6):178-180.
[21] 杨均,陈东风.提高消化内镜培训质量的综合措施及临床实践[J].重庆医学,2011,40(15):1547-1548.
[22] 史海涛,刘娜,赵菊辉,等.消化内镜培训的现状及虚拟现实内镜模拟器的应用[J].医学教育研究与实践,2018,26(2):356-361.
[23] 魏志,董伟,孙自勤,等.消化内镜医师规范化培训中的常见问题及对策[J].中国基层医药,2015,22(8):1260-1262.