Application of a step-by-step training model in endotracheal intubation skills for residents training

Xixi Jia, Chang-yi Wu, Jun Wang, Min Li, Mao Xu
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Abstract

Objective To explore the effective model to improve the skill of tracheal intubation and solve the trainees' skill heterogeneity. Methods Fourty-two trainees who scheduled for training in endotracheal intubation skills at Department of Anesthesiology, Peking University Third Hospital, during August 2016 to August 2017 were randomly divided into step-by-step training model group (n=21) and the traditional training model group (n=21). The endotracheal intubation skill of the two groups of trainees were assessed before and after the one year study. A questionnaire survey was conducted to obtain the satisfaction degree of the trainees in the two groups. Results The endotracheal intubation assessment score of step-by-step training model group and traditional training model group before the study were (52.8 ± 10.7, 53.1 ± 11.2, t=0.092, P>0.05), after the different model training, the score were (89.4±3.7, 77.1 ± 6.5, t=-7.526, P<0.05), the questionnaire survey showed that the trainees in the step-by-step training model group consider that the step-by-step training model is more favorable than the traditional training model in improving the teaching effect of endotracheal intubation. Conclusions The step-by-step training model can improve the trainees skill of tracheal intubation and solve the skill heterogeneity due to the different trainees source and ability. Key words: Step-by-step training model; Anesthesiology; Endotracheal intubation; Homogenization
分步训练模式在住院医师气管插管技能培训中的应用
目的探讨提高气管插管技能的有效模式,解决学员技能异质性问题。方法选取2016年8月~ 2017年8月在北京大学第三医院麻醉科接受气管插管技术培训的学员42人,随机分为分步训练模型组(n=21)和传统训练模型组(n=21)。在为期一年的研究前后,对两组学员的气管插管技术进行评估。通过问卷调查,了解两组学员的满意度。结果研究前分步训练模型组与传统训练模型组气管插管评估评分分别为(52.8±10.7,53.1±11.2,t=0.092, P>0.05),不同模型训练后评分分别为(89.4±3.7,77.1±6.5,t=-7.526, P<0.05);问卷调查显示,分步训练模式组学员认为分步训练模式比传统训练模式更有利于提高气管插管教学效果。结论分步训练模式能提高学员的气管插管技能,解决学员来源和能力不同导致的技能异质性问题。关键词:分步训练模式;麻醉学;气管插管;均质化
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