基于“PACS 平台” 提高骨科医学实习生读片能力教学模式的探索与实践.docVIP

基于“PACS平台”提高骨科医学实习生读片能力教学模式的探索与实践 高绪仁 郭开今 薛加强 袁宝强 陆召军 徐凯 梁茜 王立群 江苏省徐州医学院附属医院骨科221002 通讯作者：高绪仁 gaoxuren@ 159 5218 1876 [摘要] 目的：探索“PACS平台”对提高医学实习生骨科读片能力的作用。方法：将2010年9月至2011年6月来我院骨科实习的100名医学生，随机分为对照组（传统带教组）和实验组（传统代教+“PACS平台”读片训练组）。对照组和实验组各50人。每位实习生在骨科实习两周。进科的第一天上午，进行骨科读片能力测试。采用100分制。在骨科实习的最后一天下午，再次进行骨科读片能力测试。采用100分制。分别记录每位学生的得分。采用SPSS17.0软件，成绩分别用均数±标准差表示，采用单因素方差分析，比较实验组与对照组进骨科实习前后成绩的改变。结果：实验组入科成绩：40.5 ± 3.8分。对照组入科成绩：40.6± 3.6分 。实验组与对照组入科成绩比较P 0.05。表明入科时两组学生读片能力差别无统计学意义。实验组出科成绩：93.8 ± 4.9分。.对照组出科成绩：60.6 ± 5.8分。实验组与对照组入科成绩比较P 0.05。表明出科时两组学生读片能力差别有统计学意义。实验组读片能力明显高于对照组。对照组出科成绩（60.6 ± 5.8分）与入科成绩（40.6± 3.6分）相比P 0.05。表明对照组出科成绩和入科成绩相比，具有统计学意义。实验组出科成绩（93.8 ± 4.9分）与入科成绩（40.5 ± 3.8分）相比P 0.05。表明实验组出科成绩和入科成绩相比，具有统计学意义。结论：在骨科读片临床实习过程中，如果能很好地利用PACS平台系统，将会为实习同学的学习带来更多的方便和主动，更好更快地掌握骨科读片的基本知识和诊断技能，能够有效地提高骨科医学实习生的读片能力。 [关键词] PACS；医学实习医师；骨科；读片；能力；教学模式 Abstract Purpose: To explore the effect of using PACS（picture archiving and communication system) to improve the interns’ ability of reading radiographs. Methods: From September 2010 to June 2011,100 interns who came to learn in our department of orthopedics were divided at random in to the control group (traditional training) and the experimental group (traditional training and PACS training). Each group had 50 students. Every intern was tested of the ability of reading radiographs at the first and the last day of the 2-week. learning period. Results: The beginning score of the experimental group was 40.5 ?3.8 points. The beginning score of the control group was 40.6?3.6 points. There was not difference between the two group (P 0.05). The end score of the experimental group was 93.8 ?4.9 points. The end score of the control group was 60.6 ?5.8 points. There was significant difference between the two group (P 0.05).Conclusion: With the help of PACS training, the interns can effectively improve their ability of reading radiographs. Key words: PACS; intern; department of orthopedics; reading radiograph; ability; teaching model