“培训–反馈”模式在专培结肠镜教学中的探索与实践

Exploration and Practice of the “Training-Feedback” Model in the Teaching of Colonoscopy in the Standardisation Training of Specialist Physicians

摘要: 结肠镜既是结直肠癌早期筛查的有效手段，也是目前公认的诊断“金标准”。当前，在我国专科医师培训体系下，传统的结肠镜教学模式已难以应对日益增长的临床需求。基于这一情况，本研究结合大型内镜中心的实际经验，构建出一套系统化的“培训–反馈”教学模式。该模式整合了理论学习、病房轮转、仿真训练、病例实践、综合评估及追踪评价六个核心环节，并在过程中多次向学员反馈质控情况和学习效果。近年实践显示，采用该模式后，结肠镜培训合格率达98%，学员认可度超99%，95%以上的毕业学员操作质控指标在结业2至3年后仍保持稳定，教学效果良好。

Abstract: Colonoscopy is a key modality for colorectal cancer detection in high-risk populations and remains the gold standard for diagnosis. However, within Specialty Physician Standardized Training Program in China, traditional colonoscopy training fails to meet increasing clinical demands. To address this challenge, we developed a systematic “training-feedback” educational model based on clinical experience from specialty departments and large-scale endoscopy centers. This model integrates six core components: theoretical instruction, clinical rotations, simulation-based training, supervised procedural practice, competency-based assessment, and follow-up. It provides feedback to participants on QC and learning outcomes several times during the process. Over recent years, implementation of this model has yielded favorable outcomes, including a pass rate of 98%, trainee satisfaction exceeding 99%, and sustained procedural competence in over 95% of trainees at 2~3 years post-training, demonstrating its effectiveness as a standardized framework for endoscopy training.