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中华脑血管病杂志(电子版) ›› 2026, Vol. 20 ›› Issue (04) : 440 -445. doi: 10.3877/cma.j.issn.1673-9248.2026.04.013

教学园地

国家级继续医学教育项目“脑血管超声培训班”的教学效果评价
刘彩燕1, 胡英环1, 李明利2, 徐蔚海1,()   
  1. 1 100730 北京,中国医学科学院北京协和医学院,北京协和医院神经科
    2 100730 北京,中国医学科学院北京协和医学院,北京协和医院放射科
  • 收稿日期:2026-04-27 出版日期:2026-08-01
  • 通信作者: 徐蔚海
  • 基金资助:
    国家科技重大专项课题(2025ZD0546201)

Evaluation of the instructional efficacy of a national continuing medical education program: the "Cerebrovascular Ultrasound Training Course"

Caiyan Liu1, Yinghuan Hu1, Mingli Li2, Weihai Xu1,()   

  1. 1 Department of Neurology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
    2 Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2026-04-27 Published:2026-08-01
  • Corresponding author: Weihai Xu
引用本文:

刘彩燕, 胡英环, 李明利, 徐蔚海. 国家级继续医学教育项目“脑血管超声培训班”的教学效果评价[J/OL]. 中华脑血管病杂志(电子版), 2026, 20(04): 440-445.

Caiyan Liu, Yinghuan Hu, Mingli Li, Weihai Xu. Evaluation of the instructional efficacy of a national continuing medical education program: the "Cerebrovascular Ultrasound Training Course"[J/OL]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2026, 20(04): 440-445.

目的

评价国家级继续医学教育项目“脑血管超声培训班”的教学效果。

方法

通过对2021—2025年培训班学员进行横断面问卷调查,问卷内容包括基本资料、教学效果评价、培训前后自评比较、转化应用情况及培训改进建议等,采用李克特(Likert)五分量表法进行评分。采用配对样本t检验比较培训前后能力自评变化,并采用独立样本t检验和单因素方差分析分别比较不同医院级别、职称及职业类别学员的培训效果差异。

结果

本研究共回收问卷127份,有效问卷126份(99.2%)。在126例学员中,女性99例(78.6%),年龄35~54岁者102例(81.0%),临床医师65例(51.6%),参加近3年培训者98例(77.8%)。教学效果评价包括脑血管疾病超声诊断与临床分析能力提升、经颅多普勒超声规范操作与结果判读能力提升、技术推广信心增强、临床应用场景认识拓展、学术视野拓宽5个方面,评分分别为(4.54±0.57)、(4.57±0.53)、(4.49±0.59)、(4.52±0.56)和(4.49±0.58)分。学员培训后的各项核心能力自评评分均显著高于培训前,差异均有统计学意义(P均<0.05)。95.2%的学员已将培训内容不同程度应用于临床工作,57.1%的学员认为所在单位原有项目更加规范,19.8%的学员新开展了相关项目。不同医院级别、职称及职业类别学员培训效果比较,差异均无统计学意义(P均>0.05)。

结论

“脑血管超声培训班”在提升学员脑血管超声相关能力、促进临床应用、推广技术、拓宽学术视野方面发挥了积极作用,具备良好继续医学教育价值。

Objective

To evaluate the instructional efficacy of the national continuing medical education program, the "Cerebrovascular Ultrasound Training Course".

Methods

A cross-sectional questionnaire survey was conducted among trainees who attended the course from 2021 to 2025. The questionnaire covered demographic information, perceived teaching effectiveness, self-assessed competency before and after training, clinical application of acquired knowledge, and suggestions for improvement. A five-point Likert scale was used for scoring. Paired-samples t test was used to compare changes in self-assessed core competencies before and after training. Independent-samples t test and one-way analysis of variance (ANOVA) were used to analyze differences in training effectiveness among trainees according to hospital level, professional title, and occupational category, respectively.

Results

Of the 127 questionnaires distributed 126 were valid, with an effective response rate of 99.2%. Among the 126 trainees, 99 were female (78.6%), 102 were aged 35–54 years (81.0%), 65 were clinicians (51.6%), and 98 had attended the course within the past three years (77.8%). Teaching effectiveness was evaluated across five domains: (1) improvement in the ultrasound diagnosis and clinical analysis of cerebrovascular diseases (4.54±0.57); (2) enhancement of standardized operation and result interpretation for transcranial Doppler (4.57±0.53); (3) increased confidence in technology promotion dissemination (4.49±0.59); (4) expanded understanding of clinical application scenarios (4.52±0.56); (5) broadened academic perspectives, with scores 4.49±0.58. Post-training self-assessed scores for all core competencies were significantly higher than pre-training scores (all P<0.05). Furthermore, 95.2% of the trainees had applied the training content to clinical practice to varying degrees; 57.1% reported that existing programs in their institutions had become more standardized, and 19.8% had newly initiated related programs. No significant differences in training effectiveness were observed among trainees from different hospital levels, professional titles, or occupational categories (all P>0.05).

Conclusion

The "Cerebrovascular Ultrasound Training Course" has demonstrated significant positive impact on improving trainees' cerebrovascular ultrasound-related competencies, promoting clinical application and technology dissemination, and broadening academic perspectives. This program represents a high-value continuing medical education initiative with broad applicability across diverse clinical settings.

表1 126例参加“脑血管超声培训班”学员基本资料
表2 126例参加“脑血管超声培训班”学员在培训前后能力自评评分比较(分,
±s
图1 126例参加“脑血管超声培训班”学员在培训后转化应用情况。图a为培训后学员将所学内容应用于临床工作的情况;图b为培训后学员所在单位脑血管超声相关项目开展情况
图2 126例参加“脑血管超声培训班”学员认为最有价值(图a)和最需要加强(图b)的培训内容
表3 126例参加“脑血管超声培训班”不同特征学员培训效果评分比较
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