王波　沈继全　陈红燕　何世杰　范秋平　季卫平

[關键词] 骨科;临床医学;创新能力;教学改革

[中图分类号] R687.4          [文献标识码] B          [文章编号] 1673-9701（2021）23-0161-04

Research on the cultivation of innovative ability of interns in total hip replacement based on SuperPATH and Hardinge approach

WANG Bo1   SHEN Jiquan1   CHEN Hongyan2   HE Shijie1   FAN Qiuping1   JI Weiping1

1.Department of Orthopedics，The Sixth Affiliated Hospital of Wenzhou Medical University， Lishui City People′s Hospital，The First Affiliated Hospital of Lishui University，Lishui   323000，China;2.Section of Education and Training，The Sixth Affiliated Hospital of Wenzhou Medical University， Lishui City People′s Hospital，The First Affiliated Hospital of Lishui University，Lishui   323000，China

[Abstract] Objective To investigate the innovative teaching and practice effects in total hip replacement based on SuperPATH and Hardinge approach in clinical orthopedic practice of medical college. Methods A total of 60 clinical medical undergraduate interns admitted to our hospital from January to December 2019 were selected as teaching objects，and they were randomly divided into the experimental group and the control group.In the experimental group，total hip replacement technology based on SuperPATH and Hardinge approach was adopted.Typical cases were taken as examples，combined with video interpretation，operation principle explanation and anatomical key points review. Conventional teaching was adopted in the control group. After the internship，the students were assessed from five aspects，which were innovative thinking，teaching satisfaction，literature retrieval ability，operation ability and theoretical examination results. Results The students′ innovative thinking was （93.5±3.1 vs 82.1±5.6） points，teaching satisfaction was （95.5±2.3 vs 86.4±4.2） points，literature retrieval ability was （92.1±4.3 vs 70.6±8.6） points and operation ability was （92.3±5.9 vs 72.5±6.2） points， in which the experimental group （the former） was totally superior to the control group （the later）. There was no statistically significant difference between the two groups in the theoretical examination scores of （88.6±5.5 vs 86.5±6.3） points. Conclusion In the undergraduate clinical interns teaching，the innovative teaching practice of total hip replacement technology based on SuperPATH and Hardinge approach shows obvious advantages，which is beneficial to stimulate students′ innovative potential，enhance their interest in learning and broaden their mind.

[Key words] Orthopedics; Clinical medicine; Innovative ability; Teaching reform

骨科学是一门理论性和实践性均很强的临床学科[1-2]，涉及的学科知识广泛，与生物力学、病理生理、局部解剖学、材料学、文献检索等密切相关[3-4]。骨科专科越来越细化，本科书本教学内容相对基础，如何让医学生快速有效的掌握骨科各专科理论及实践技能，将所学的知识更好的应用到临床实践中[3-7]，在临床实习中验证书本上所学，是骨科临床教学中的重点和基本要求。在总结前人经验的同时，不断开拓创新，提出自己的新观点，甚至是新的发明创造，是我们教学的更高目标。目前国内外对于医学生创新能力的培养进行了许多有益的探索[8-13]。

如何让学生快速有效的掌握核心知识要点，并在较短的时间内掌握具有较强创新能力的教学方式是我们教学组一直以来探索的重点。本文基于SuperPATH及Hardinge入路全髋置换技术，探讨对实习生创新能力的培养。

1 对象与方法

1.1研究对象

选取2019年1—12月在我院实习的60名临床医学本科实习生为教学对象。纳入标准：愿意参加教学改革研究，完成入科成绩摸底并合格者，愿意服从课题组安排参加课程学习及相关考核;排除标准：不愿意参加教学改革，时间上有冲突不能完成全部研究计划;入科考核成绩不合格者。采用随机双盲法将其分为试验组和对照组，每组各30名。研究组男12名，女18名;年龄（21.1±1.9）岁;对照组男13名，女17名;平均年龄（21.3±2.3）岁。……