Application of the flipped classroom combined with learning curves in training on Shikani laryngoscope-guided endotracheal intubation
10.3760/cma.j.cn116021-20250219-02058
- VernacularTitle:翻转课堂联合学习曲线在Shikani喉镜引导气管插管培训中的应用
- Author:
Mingya WANG
1
;
Hua ZHANG
;
Yinglun FANG
;
Yang ZHOU
;
Mao XU
;
Xiangyang GUO
;
Yongzheng HAN
Author Information
1. 北京大学第三医院麻醉科，北京 100191
- Publication Type:Journal Article
- Keywords:
Shikani;
Tracheal intubation;
Learning curve;
Flipped classroom
- From:
Chinese Journal of Medical Education Research
2025;24(9):1253-1258
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the learning patterns of resident physicians in anesthesiology when performing tracheal intubation guided by Shikani laryngoscope, and provide a reference for the skill training of clinical anesthesiologists.Methods:From August 2023 to December 2024, a total of 19 resident physicians specializing in anesthesiology participated in this study at Peking University Third Hospital. All resident physicians received standardized training on clinical skills. None of them had received specialized training in Shikani laryngoscope-guided tracheal intubation. The relevant theoretical teaching and practical guidance were provided by the same senior attending physician throughout the study. A flipped-classroom teaching model was adopted, and each student was instructed by the teaching physician to perform the procedure on 15 cases in chronological order, resulting in a total of 285 cases. The cumulative sum (CUSUM) value for each tracheal intubation was calculated, and the learning curve was plotted using R software. A fourth-order polynomial nonlinear regression model was used to fit the curve and estimate the 95% confidence interval of the learning curve. The first-order derivative function of the regression model was further analyzed to reveal the dynamic changes in proficiency with the number of training sessions. The CUSUM curve was segmented using the maximum statistics test to identify the optimal breakpoint.Results:The maximum selection test revealed that the breakpoint for the increase in CUSUM level was at the eighth attempt.Conclusions:Resident physicians in anesthesiology can master Shikani laryngoscope-guided tracheal intubation after eight standardized training sessions. Moreover, the participants showed high satisfaction with the flipped-classroom teaching model.
