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Application of the TBL teaching model in microsurgery technology training which provides standardize training for surgical residents

Published on Aug. 25, 2021Total Views: 4454 timesTotal Downloads: 1902 timesDownloadMobile

Author: Xian-Shun HAN Qian-Jin ZHENG Xiang HU Sheng-Xiang TAO

Affiliation: Department of Trauma and Micro-orthopedics, Zhongnan Hospital of Wuhan University, Wuhan 430071, China

Keywords: TBL teaching mode The microsurgery technology The standardized training of sur-gical residents

DOI: 10.12173/j.issn.1004-5511.202011001

Reference: Han XS, Zheng QJ, Hu X, Tao SX. Application of the TBL teaching model in microsurgery technology training which provides standardize training for surgical residents[J]. Yixue Xinzhi Zazhi, 2021, 31(4): 316-322. DOI: 10.12173/j.issn.1004-5511.202011001.[Article in Chinese]

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Abstract

Objective  Aiming at to evaluate the standardized training for surgical resident students, this paper discusses the effect of the team based learning (TBL) teaching model applied to microsurgical technology train-ing. 

Methods  48  surgical resident trainees undergoing standardized training in Zhong Nan Hospital of Wuhan University from 2018 to 2019 were trained in microsurgery technology using the TBL teaching model. The training content included three parts: small vessel anastomosis training, cadaveric demonstration of tissue flap transplantation and clinical operation teaching. A questionnaire survey was administered before and after the training covering the training of small vessel anastomosis and the demonstration of tissue flap transplantation cadavers which included the understanding of relevant knowledge. The practices of the technical operation of small vessel anastomosis and clinical microsurgical operations performed by the trainees before and after the training were also assessed and scored. 

Results  The number of trainees who fully understood the small vessel anastomosis technology and tissue flap trans-plantation technology increased from 0 before training to 48 after training; the number of trainees who felt it was very difficult and were unable to grasp it decreased from 24 to 3 after training. After training, the average total score of small vessel anastomosis technique operation (11.54±1.88 vs. 7.40 ±1.65, P<0.05) and the average total score of clinical surgery teaching (11.45±1.76 vs. 7.52±1.41, P<0.05) were all significantly higher than those before training. 

Conclusion  The application of the TBL teaching model has a good effect on improving the teaching of the microsur-gical technology module of standardized training for surgical resident students.

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References

1.罗灏. 显微外科手术治疗股骨头无菌性坏死分析[J]. 中国继续医学教育, 2019, 11(18): 93-95. DOI: 10.3969/j.issn.1674-9308.2019.18.041. [Luo H. Analysis of microsurgical treatment of sterile ne-crosis of femoral head[J]. China Continuing Medical Education, 2019, 11(18): 93-95.]

2.刘瑞鹏, 李华阳. 显微外科手术治疗高血压脑出血[J]. 中国继续医学教育, 2016, 8(7): 90-91. DOI: 10.3969/j.issn.1674-9308.2016.07.060. [Liu RP, Li HY. Microsurgical treatment for hypertensive intracerebral hemorrhage[J]. China Continuing Medical Education, 2016, 8(7): 90-91.]

3.管清霞. 显微外科手术治疗斜视的临床疗效分析[J].中国继续医学教育, 2015, 7(8): 64-65. DOI: 10.3969/j.issn.1674-9308.2015.08.055. [Guan QX. Clinical analysis of curative effect of microsur-gical operation for the treatment of strabismus[J]. China Continuing Medical Education, 2015, 7(8): 64-65.]

4.陈敏, 张杰. 耳鼻咽喉专科医师培训[J]. 继续医学教育, 2016, 30(7): 1-2. DOI: 10.3969/j.issn.1004-67 63.2016.07.001. [Chen M, Zhang J. Training of otolaryngologists[J]. Continuing Medical Educa-tion, 2016, 30(7): 1-2.]

5.彭喆, 穆籣, 周庆环, 等. 显微外科技术培训的调查与思考[J]. 中国高等医学教育, 2015, (2): 27-28. DOI: 10.3969/j.issn.1002-1701.2015.02.015. [Peng Z, Mu L, Zhou QH, et al. Investigation and consid-eration of microsurgical training[J]. China Higher Medical Education, 2015, (2): 27-28.]

6.Larry K, Michaelsen L, Knight AB, et al. Team-Based learning: a transformative use of small groups in C college teaching[M]. London: Greenwood Publishing Group, 2002. 

7.于述伟, 王玉孝. LBL、PBL、TBL 教学法在医学教学中的综合应用[J]. 中国高等医学教育, 2011, 340(5): 100-102. DOI: 10.3969/j.issn.1002-1701.2011.05.050. [Yu SW, Wang YX. Integrated application of LBL, PBL and TBL teaching methods in medical education[J]. China Higher Medical Educa-tion, 2011, 340(5): 100-102.]

8.Emke AR, Butler AC, Larsen DP. Effects of team-based learning on short-term and long-term retention of factual knowledge[J]. Med Teach, 2016, 38(3): 306-311. DOI: 10.3109/0142159X.2015.1034663.

9.Ofstad W, Brunner LJ. Team-based learning in pharmacy education[J]. Am J Pharm Educ, 2013, 77(4): 70. DOI: 10.5688/ajpe77470.

10.Zgheib NK, Simaan JA, Sabra R. Using team-based learning to teach clinical pharmacology in medical school: student satisfaction and improved performance[J].J Clin Pharmacol, 2011, 51(7): 1101-1111. DOI: 10.1177/0091 270010375428.

11.Johnson C. Team-based learning for health professions education: a guide to using small groups for improving learning[J]. J Chiropr Educ, 2008, 23(1): 169-170. DOI:10.3946/kjme.2013.25.2.169.

12.Burgess AW, Ramsey-Stewart G, May J, et al. Team-based learning methods in teaching topographical anatomy by dissection[J]. ANZ J Surg, 2012, 82(6): 457-460. DOI: 10.1111/j.1445-2197.2012.06077.x.

13.Haidet P, Kubitz K, Mc Cormack WT. Analysis of the team-based learning literature: TBL comes of age[J]. J Excell Coll Teach, 2014, 25(3-4): 303-333.

14.吴娟,栗河舟,齐欣欣.探讨PBL、CBL、TBL三种教学模式相结合在超声科教学中的应用研究[J].航空航天医学杂志, 2018, 29(6): 699-701. DOI: 10.3969/j.issn.2095-1434.2018.06.027. [Wu J, Li HZ, Qi XX. Objective to explore the application of PBL, CBL and TBL in ultrasound teaching[J]. Journal of Aerospace Medicine, 2018, 29(6): 699-701.]

15.侯明如, 姚敏红, 梁仕兰, 等. 以团队为基础的学习联合情境模拟教学在精神科临床教学中的应用[J]. 中华现代护理杂志, 2017, 23(5): 715-719. DOI: 10.3760/cma.j.issn.1674-2907.2017.05.031. [Hou MR, Yao MH, Liang SL, et al. Application of team based learning combined with situational simula-tion teaching in psychiatric clinical teaching[J]. Journal of Modern Nursing, 2017, 23(5): 715-719.]

16.Wiener H, Plass H, Marz R. Team-based learning in intensive course  format for first-year medical students[J].Croat Med J, 2009, 50(1): 69-76. DOI: 10.3325/cmj.2009. 50.69.

17.Bleske BE, Remington TL, Wells TD, et al. A randomized crossover comparison of team-based learning and lecture format on learning outcomes[J]. AM J Pharm Educ, 2016, 80(7): 120. DOI: 10.5688/ajpe807120.

18.Inuwa IM. Perceptions and attitudes of first-year medical students on a modified team-based learning (TBL) strategy in anatomy[J]. Sultan Qaboos Univ Med J, 2012, 12(3): 336-343. DOI: 10.12816/0003148.

19.Alimoglu MK, Yardım S, Uysal H. The effectiveness of TBL with real patients in neurology edu-cation in terms of knowledge retention, in-class engagement, and learner reactions[J]. Adv Physiol Educ, 2017, 41(1): 38-43. DOI: 10.1152/advan.00130.2016.

20.王凯,荣良群,魏秀娥. TBL+LBL 联合 PDCA 循环教学在神经病学临床教学中的应用[J]. 中华医学教育探索杂志, 2017, 16(2): 170-173. DOI: 10.3760/cma.j.issn.2095-1485.2017.02.016. [Wang K, Rong LQ, Wei XE. Application of team-based learning and lecture-based learning combined with PDCA circle teaching in clinical teaching of neurology[J]. Chinese Journal of Medical Education Re-search, 2017, 16(2): 170-173.]

21.Aslami MK, Suleman AT, Shah OA. Problem-based learning as an efficient teaching modality: improvements proposed by UK medical students[J]. Adv Med Educ Pract, 2018, (9): 657-660. DOI: 10.2147/AMEP.S176178.