目的

研究问题式学习（PBL）结合手术视频教学在普通外科专科医师规范化培训中的应用效果。

方法

回顾性分析2017年1月至2022年12月进行专科医师规范化培训的42名学员，将其分为对照组（传统PBL组，n=22例）和试验组（PBL+手术视频剪辑教学组n=20例）。采用SPSS 16.1统计学软件对数据进行分析。理论考试成绩和手术操作考试成绩用（x± s）表示，采用独立样本t检验，临床工作时间采用χ²检验。 P＜0.05表示差异有统计学意义。

结果

第1年试验组学员理论成绩低于对照组（P=0.57），第2年考试成绩高于对照组（P＜0.05）；第1～2年试验组学员手术操作考试成绩均高于对照组（P＜0.05）；试验组学员手术操作亚组分析中手术设计（t=3.877，P＜0.001），重要解剖显露（t=3.452，P=0.002）和手术时长（t=2.956，P=0.032）均优于对照组。

结论

PBL结合手术视频剪辑教学在普通外科专科医师规范化培训中取得了较好的效果，能够作为一种新的临床教学形式。

Objective

To study the application effect of problem-based learning （PBL） combined with surgical video teaching in the standardized training of general surgery specialists.

Methods

A retrospective analysis was performed on 42 trainees who received standardized training of specialist physicians from January 2017 to December 2022， and they were divided into control group （traditional PBL group， n=22 cases） and experimental group （PBL+ surgical video clip teaching group， n=20 cases）.SPSS 16.1 statistical software was used to analyze the data.Theoretical test scores and surgical operation test scores were expressed as （x± s），independent sample t test was used， and clinical work time was used as χ² test.P＜0.05 indicated that the difference was statistically significant.

Results

The theoretical scores in the first year of experimental group were lower than those in the control group （P=0.57）， and the test scores in the second year were higher than those in the control group （P＜0.05）.In the first two years， the test scores of the experimental group were higher than those of the control group （P＜0.05）.Surgical design （t=3.877， P＜0.001）， significant anatomical exposure（t=3.452， P=0.002） and surgical duration （t=2.956， P=0.032） of the experimental group were better than those of the control group.

Conclusion

PBL combined with surgical video clip teaching has achieved good results in the standardized training of general surgery specialists， and can be used as a new form of clinical teaching.