《中国康复理论与实践》

《中国康复理论与实践》

• 康复教育 • 上一篇    下一篇

联合教学模式对研究生临床能力的影响①

张军卫1a,2，洪毅1a,2，唐和虎1a,2，陈世铮1a,2，吕振1a,2，刘舒佳1a,2，王强1b,2   

  1. 1. 中国康复研究中心北京博爱医院，a. 脊柱脊髓外科；b. 麻醉科，北京市100068；2. 首都医科大学康复医学院，北京市100068。
  • 出版日期:2016-11-25 发布日期:2016-12-05

Effect of Co-disciplinary Teaching on Clinical Ability of Postgraduates: Experience in Intraoperative Neurophysiologic Monitoring

ZHANG Jun-wei1a,2, HONG Yi1a,2, TANG He-hu1a,2, CHEN Shi-zheng1a,2, LÜ Zhen1a,2, LIU Shu-jia1a,2, WANG Qiang1b,2   

  1. 1. a. Department of Spine and Spinal Cord; b. Department of Anesthesiology, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068; 2. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
  • Published:2016-11-25 Online:2016-12-05

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摘要： 目的通过术中神经电生理监测的教学过程，探讨联合教学模式对提高研究生临床能力的影响。方法2010 年1 月~2016 年3 月，康复治疗学专业研究生36 名随机分成S组(n=18)和SA组(n=18)。S组由脊柱脊髓外科医生进行术中神经电生理监测教学，SA组由同一脊柱外科医生与一名麻醉医生共同进行术中神经电生理监测教学。观察两组在脊柱脊髓外科手术中承担术中神经电生理监测的能力。结果SA组神经电生理监测能力总分显著高于S 组(t=4.704, P<0.001)，主要表现为预防和排除神经电生理监测干扰因素能力提高。结论联合教学模式能够有效提高研究生临床能力。

关键词: 联合教学模式, 术中脊髓电生理监测, 脊柱脊髓外科, 麻醉科

Abstract: Objective To explore the effect of co-disciplinary teaching on clinical ability of postgraduates in the practice of intraoperative neurophysiologic monitoring (IONM). Methods From January, 2010 to March, 2016, 36 postgraduates of rehabilitation therapy were randomly assigned into group S (n=18) and group SA (n=18), who were taught IONM by a doctor of Department of Spine and Spinal Cord or the same doctor and another anesthesiologist. The IONM ability of the postgraduates in both groups in the spine and spinal cord surgery was evaluated. Results The IONM ability of postgraduates was significantly stronger in group SA than in group S (t=4.704, P<0.001), especially in the prevention and settlement of the disturbance. Conclusion The co-disciplinary teaching is effective on the clinical ability of postgraduates.

Key words: co-disciplinary teaching, intraoperative neurophysiologic monitoring, spine and spinal cord surgery, anesthesiology