分层递进式教学在国家卒中血管超声示范中心培训中的应用 Application of Hierarchical and Progressive Teaching in the Training of the National Stroke Vascular Ultrasound Demonstration Center

摘要： 目的 探索分层递进式教学模式在血管超声专业对进修医师的培训效果。 方法 纳入2021年1月—2023年3月于首都医科大学宣武医院血管超声科进修的医师124人，根据入科时医师对血管超声和TCD技术的掌握水平进行分层，分为单技术组和颈-脑一体化技术组，采用分层递进式教学模式培训满6个月后，进行理论及实践考核。 结果 单技术组及颈-脑一体化技术组在入科时理论考核成绩和上机操作考核成绩差异无统计学意义。通过分层递进式教学培训后，单技术组的理论考核成绩[（83.8±6.9）分 vs.（65.2±9.6）分，P＜0.001]和上机操作考核成绩[（93.2±4.5）分 vs.（91.4±4.3）分，P＜0.001]均有提高。颈-脑一体化技术组理论考核成绩提高[（86.9±7.7）分 vs.（67.7±6.4）分，P＜0.001]。 结论 分层递进式教学模式在血管超声专业对进修医师具有较好的教学效果和较高的教学满意度。 Abstract: Objective To explore the training effect of hierarchical and progressive teaching mode on continuing educational physicians in the field of vascular ultrasound. Methods A total of 124 physicians studying in Vascular Ultrasound Department of Xuanwu Hospital, Capital Medical University from January 2021 to March 2023 were included. They were divided into the single technique group and the integrated technique group based on their mastery of vascular ultrasound and TCD technology at the beginning. After 6 months of training with hierarchical and progressive teaching mode, the theoretical and operat