欢迎来到OAJRC平台！

期刊栏目

投稿

审稿

期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据：

当前位置：麻醉学与疼痛管理 > 2025年 1卷 (1)期

Open Access Article

Anesthesiology and Pain Management. 2025; 1: (1) ; 9-13 ; DOI: 10.12208/j.apm.20250003.

Research on the utilization of multimodal active learning for fiberoptic orotracheal intubation in the standardized training of anesthesiology residents: a prospective randomized control trial
多模态主动学习在纤维支气管插管麻醉住院医师规范化培训中的应用研究：一项前瞻性随机对照试验

作者： Junbei Wu *

南京医科大学第一附属医院麻醉科江苏南京

*通讯作者： Junbei Wu,单位：南京医科大学第一附属医院麻醉科江苏南京；

发布时间: 2025-06-19 总浏览量: 185

PDF 全文下载引用本文

摘要

目的以纤维气管插管（FOI）为研究对象，评价麻醉住院医师的培训效果，并观察住院医师在过程模拟过程中对多模式主动学习（翻转课堂结合佩顿四步教学法）的满意度。方法招募住院医师规范化培训研究生72名住院医师。居民被随机分配到单模态组或多模态组。两个小组计划的信息自由讲习班的时间是相同的，由三个站点组成。教师采用翻转课堂作为多模式组的教育策略。在训练过程中，佩顿的四步法被使用。在信息自由程序、多项选择题（MCQ）和标准化培训后问卷上的表现被用于评估Kirkpatrick模型的前两个层次。通过直接观察程序技能（DOPS）来评估FOI程序的表现。结果多模式组的训练设计和满意度得分均显著高于单模式组（p < 0.05）。第二个水平显示，在多模式组中，FOI程序（DOPS）和理论知识（MCQ）的表现显著增加。结论与传统的单模态学习相比，程序性学习的多模态主动学习策略具有更好的学习效果。

关键词： Kirkpatrick模型；标准化住院医师培训；纤维气管插管；本科后教育

Abstract

Objective With regard to fiberoptic orotracheal intubation (FOI), the study aimed to evaluate the training efficiency of anesthesiology residents as well as observations of the residents' satisfaction with multimodal active learning (flipped classroom combined with Peyton's 4-step teaching approach during procedural simulation).
Methods A total of 72 residents who were in their postgraduate year (PGY) of standardized residency training were recruited. Residents were randomly allocated to either a single-modal or a multimodal group. The duration of the planned FOI workshop was the same for both groups and consisted of three stations. Teachers employed the flipped classroom as an educational strategy with the multimodal group. During the training sessions, Peyton's 4-step approach was used. Performance on the FOI procedure, multiple choice questions (MCQ), and a standardized post-training questionnaire were applied to assess the first 2 levels of Kirkpatrick's model. The performance of the FOI procedure was evaluated by direct observation of procedural skills (DOPS).
Results The scores of training design and satisfaction were significantly higher in the multimodal group than that in the single-modal group (p < 0.05). The second level revealed a significant increase in the performance of FOI procedure (DOPS) and knowledge of theory (MCQ) in the multimodal group.
Conclusion When compared to traditional single-modal learning, a multimodal active learning strategy of procedural learning produces greater learning outcomes.

Key words： Kirkpatrick model; Standardized residency training; Fiberoptic orotracheal intubation; Post undergraduate education

参考文献 References

[1] Bamford, R., Langdon, L., Rodd, C. A., Eastaugh-Waring, S., & Coulston, J. E. (2018). Core trainee boot camp-A method for improving technical and non-technical skills of novice surgical trainees. A before and after study. International Journal of Surgery (London, England), 57, 60-65,

[2] Chancey, R. J., Sampayo, E. M., Lemke, D. S., & Doughty, C. B. (2018). Learners' Experiences during Rapid Cycle Deliberate Practice Simulations: A Qualitative Analysis. Simulation in Healthcare, 14(1), 18-28,

[3] Chen, F., Lui, A. M., & Martinelli, S. M. (2017). A systematic review of the effectiveness of flipped classrooms in medical education. Med Educ, 51(6), 585-597,

[4] Freeman, S., Eddy, S. L., Mcdonough, M., Smith, M. K., Okoroafor, N., Jordt, H., & Wenderoth, M. P. Active learning increases student performance in science, engineering, and mathematics.

[5] Kurup, V., & Sendlewski, G. (2020). The Feasibility of Incorporating a Flipped Classroom Model in an Anesthesia Residency Curriculum-Pilot Study. Yale J Biol Med, 93(3), 411-417,

[6] Lund, F., Schultz, J. H., Maatouk, I., Krautter, M., Möltner, A., Werner, A., Weyrich, P., Jünger, J., & Nikendei, C. (2012). Effectiveness of IV cannulation skills laboratory training and its transfer into clinical practice: a randomized, controlled trial. PLoS One, 7(3), e32831.

[7] Wragg, A., Wade, W., Fuller, G., Cowan, G., & Mills, P. (2003). Assessing the performance of specialist registrars. Clinical Medicine, 3(2), 131-134.

[8] Li, J., Chen, X., Yue, Y., Wang, Y., & Wang, T. (2022). Simulation-based training improves knowledge, confidence, and performance of fiber-optic bronchoscopy-guided nasotracheal intubation in novice clinicians: A randomized controlled trial. BMC Medical Education, 2022, 22(1), 1-7.

[9] Tuncalp, D., Turhan, E. M., & Iskit, A. B. (2021). Efficiency of fiber-optic intubation training program on novice anesthesia resident's performance and confidence levels. Journal of Anesthesia, 2021, 35(4), 445-452.

[10] Yan, J., Lu, J., Zhao, L., Li, F., & Zhi, M. (2020). Simulation-based bronchoscopic intubation training system enhances the performance of trainees. Computer Methods and Programs in Biomedicine, 2020, 194, 105522.

[11] Aoyama, K., & Ishibe, T. (2019). Modified apprenticeship model for training fiberoptic bronchoscopy: An alternative to current methods. Journal of Bronchology & Interventional Pulmonology, 2019, 26(2), 107-113.

引用本文

JunbeiWu, 多模态主动学习在纤维支气管插管麻醉住院医师规范化培训中的应用研究：一项前瞻性随机对照试验[J]. 麻醉学与疼痛管理, 2025; 1: (1) : 9-13.

入驻平台

回到首页

搜索文章:

期刊栏目

投稿

审稿

期刊订阅

摘要

Abstract

参考文献 References

引用本文