CAJ | 학술논문

目的评价麻醉住院医师培训中采用GAS MAN软件辅助教学对吸入麻醉药理论学习的作用.方法将2010年至2012年进入华西医院麻醉科进行第一阶段二级学科培训的32名住院医师随机分为试验组(S组)和对照组(C组),各16人.两组在接受吸入麻醉药理论授课后进行理论测试1.之后S组采用GAS MAN软件开展计算机模拟教学(computer-based simulation,CBS),并自学参考书;C组仅自学参考书.结束后两组住院医师同时完成理论测试2;S组住院医师完成问卷.另纳入培训教师34名,参加GAS MAN课程后完成问卷.采用SPSS 16.0软件进行统计分析,住院医师年龄及理论测试得分以均数±标准差(x±s)表示,行Student's-t检验,性别比行x2检验.结果 S组和C组测试1成绩比较差异无统计学意义(P=0.64);S组测试2成绩(81.3±13.6)分,明显高于C组(61.3±15.4)分(P=0.001).100％ (16/16)的S组住院医师认为GAS MAN软件有利于吸入麻醉药理论学习;93.8％(15/16)的住院医师认为在自学时使用GASMAN模拟软件比单纯看书更易理解概念.97.1％(33/34)的教师认为采用GAS MAN进行的CBS有助于理论难点讲授;91.2％(31/34)的教师认为有助于住院医师提高学习效率.结论采用GASMAN进行的CBS应用于麻醉住院医师培训,有助于提高学员理论测试成绩、学习兴趣和效率,被住院医师和培训教师认可,应作为常规课堂教学的有效辅助方法.
목적 평개마취주원의사배훈중채용GAS MAN연건보조교학대흡입마취약이론학습적작용.방법 장2010년지2012년진입화서의원마취과진행제일계단이급학과배훈적32명주원의사수궤분위시험조(S조)화대조조(C조),각16인.량조재접수흡입마취약이론수과후진행이론측시1.지후S조채용GAS MAN연건개전계산궤모의교학(computer-based simulation,CBS),병자학삼고서;C조부자학삼고서.결속후량조주원의사동시완성이론측시2;S조주원의사완성문권.령납입배훈교사34명,삼가GAS MAN과정후완성문권.채용SPSS 16.0연건진행통계분석,주원의사년령급이론측시득분이균수±표준차(x±s)표시,행Student's-t검험,성별비행x2검험.결과 S조화C조측시1성적비교차이무통계학의의(P=0.64);S조측시2성적(81.3±13.6)분,명현고우C조(61.3±15.4)분(P=0.001).100％ (16/16)적S조주원의사인위GAS MAN연건유리우흡입마취약이론학습;93.8％(15/16)적주원의사인위재자학시사용GASMAN모의연건비단순간서경역리해개념.97.1％(33/34)적교사인위채용GAS MAN진행적CBS유조우이론난점강수;91.2％(31/34)적교사인위유조우주원의사제고학습효솔.결론 채용GASMAN진행적CBS응용우마취주원의사배훈,유조우제고학원이론측시성적、학습흥취화효솔,피주원의사화배훈교사인가,응작위상규과당교학적유효보조방법.
Objective To explore the effect of GAS MAN assisted instruction on theory learning of volatile anesthetics in anesthesiology residency training.Methods A total of 32 residents in the first stage of anesthesiology training were enrolled and randomly assigned to either study(S) or control (C) group.Theory-test l(Test-1) was conducted for all residents after the lecture-based learning (LBL).Next,reference book self-reading strategy was used in both groups while computer-based simulation(CBS) using GAS MAN was only developed in S group.Then,theory-test 2(Test-2)was conducted for residents in both groups and residents in S group completed the questionnaire smvey.In addition,thirty-four resident teachers observed the CBS courses and completed the questionnaire smvey.Results The mean scores of Test-1 did not differ significantly between the two groups(P=0.64).However,the mean Test-2 score of S group(81.3 ± 13.6) was significantly higher than that of C group(61.3 ± 15.4) (P=0.001).100％(16/16) residents believed that CBS was beneficial to the theoretical study of volatile anesthetics,93.8％(15/16) residents considered GAS MAN could help understand the concepts and improve efficiency during self-learning.97.1％ (33/34) and 91.2％ (31/34)resident teachers agreed that CBS was helpful for analyzing complex concepts and improving study effectiveness,respectively.Conclusions CBS using GAS MAN improves theory knowledge and study effectiveness for anesthesia residents.Both residents and resident teachers find GAS MAN highly ac ceptable.Therefore,GAS MAN has the potential to be the assistant teaching tool for LBL in anesthesiology residency-training program.