| 高博,吕亚琳,丁子毅,等.基于自主研发临床决策辅助教学系统在脊柱外科规培教学中的应用评价.骨科,2026,17(3): 263-268. |
| 基于自主研发临床决策辅助教学系统在脊柱外科规培教学中的应用评价 |
| Construction and application evaluation of a teaching model based on a self-developed clinical decision support system for spine surgery resident training |
| 投稿时间：2026-02-26 |
| DOI：10.3969/j.issn.1674-8573.2026.03.011 |
| 中文关键词: 脊柱外科 规培带教 临床教学 学习软件 |
| 英文关键词: Spine surgery Standardized residency training Clinical teaching Educational software |
| 基金项目:国家自然科学基金面上项目（82572806）；陕西省重点研发项目（2024SF-ZDCYL-04-03） |
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| 中文摘要: |
| 目的 评价自主研发的脊柱外科临床辅助教学系统在脊柱外科住院医师规范化培训（规培）临床实践教学中的应用效果及优势。方法 选取2024年9月至2025年6月在我院轮转且已取得医师资格证的43名规培医师作为研究对象，其中25名规培医师纳入试验组（应用辅助软件教学），18名规培医师纳入对照组（传统教学）。出科时，通过脊柱外科教学Mini-CEX评估量表、终末病历质量评分及问卷调查（软件满意度与体验）对两组规培医师进行考核与评价。结果 试验组Mini-CEX评估量表得分[（49.24±4.34）分 vs. （38.83±8.61）分]、总体评价及终末病历分析评分[（85.88±4.71）分 vs. （80.11±4.80）分]均优于对照组，差异具有统计学意义（P＜0.001）。问卷显示试验组规培医师对系统的感知有用性、感知易用性及持续使用意愿评价较高。结论 在本研究中，应用研发的临床决策辅助教学系统可在规培轮转期内促进脊柱外科专科化诊疗能力与病历质量提升，并具有较好的可接受性，可作为传统带教的补充工具进一步优化与推广。 |
| 英文摘要: |
| Objective To evaluate the effectiveness and advantages of a self-developed clinical decision-support teaching system for spine surgery in standardized residency training, particularly in clinical practice education. Methods A total of 43 resident physicians who had obtained medical licensure and were rotating in our department between September 2024 and June 2025 were enrolled. Among them, 25 residents were assigned to the intervention group (receiving teaching assisted by the clinical support system), while 18 residents were assigned to the control group (receiving conventional teaching). At the completion of the rotation, both groups were assessed using the mini-clinical evaluation exercise (Mini-CEX) scale for spine surgery, final medical record quality scores, and a questionnaire survey evaluating software satisfaction and user experience. Results The intervention group achieved significantly higher Mini-CEX scores (49.24±4.34 vs. 38.83±8.61) as well as overall evaluation and final medical record quality scores (85.88±4.71 vs. 80.11±4.80) compared with the control group, with statistically significant differences (P＜0.001). Questionnaire results indicated that residents in the intervention group reported higher perceived usefulness, perceived ease of use, and intention for continued use of the system. Conclusion The application of the developed clinical decision-support teaching system during residency rotation can enhance specialized diagnostic and therapeutic competencies in spine surgery and improve the quality of medical documentation. The system demonstrates good acceptability and may serve as a valuable adjunct to traditional teaching methods, with potential for further optimization and broader implementation. |
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