An exploration of the application of a new training mode of special coronary artery bypass grafting in postgraduate education
10.3760/cma.j.issn.2095-1485.2019.02.015
- VernacularTitle:冠脉搭桥专项手术技能培训新模式在研究生教育中的应用探讨
- Author:
Yongchun CUI
1
;
Bo LI
;
Fuliang LUO
;
Weimin YUAN
;
Xiaokang LUO
;
Lei QI
;
Bin LI
;
Yue TANG
Author Information
1. 北京协和医学院/中国医学科学院阜外医院心血管在体实验及评价中心/国家心血管病中心/心血管疾病国家重点实验室/心血管植入材料临床前研究评价北京市重点实验室 100037
- Keywords:
Cardiovascular surgery;
Clinical graduate;
Training mode
- From:
Chinese Journal of Medical Education Research
2019;18(2):172-176
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effects between the dual-cycle intensive training mode (DCITM) of "teaching-in vitro-in vivo-summary-in vitro-in vivo-assessment" and the single-cycle basic training mode (BTM) of "teaching-in vitro-tn vivo-assessment" on training graduate students majoring in cardiovascular surgery.Methods Eight graduate students majoring in cardiovascular surgery received the basic training of coronary artery bypass vascular anastomosis under the mode of BTM or DCITM.Then the training effects were evaluated by scoring of experts.Besides,SPSS 17.0 statistical software was used to analyze the evaluation results.Results Compared with students who received BTM,the postgraduates trained by DCITM became more skilled in vascular anastomosis.In vitro,the average number of anastomosis completed by trainee increased significantly [(2.0 ± 1.0) vs.(5.0 ± 1.5),P＜0.05] over a specified period of time,the vascular leakage rate was significantly reduced [(92 ± 5)％ vs.(30 ± 2)％,P＜0.05],and the average time per anastomosis was significantly shorter [in vitro:(20.1 ± 2.5) min vs.(12.6 ± 3.3) min,P＜0.05].There was also a statistically significant difference in the average time of each anastomosis in miniature pigs with coronary vascular anastomosis [in vivo:(30 ± 2) min vs.(21 ± 3) min,P＜0.05].Conclusion Taken into together,DCITM is a highly efficient mode for promoting the quality of cardiovascular-surgery-teaching and enhancing the effectiveness of training in clinical surgical skills.
