A Novel Model for in-vivo Training of Postgraduates on Cardiac Electrical Conduction System Mapping Skills

doi:10.12300/j.issn.1674-5817.2022.059

Abstract

Abstract:

Objective StandardizationTo explore a novel special technique intensive mode (STIM) of teaching cardiac conduction system mapping skills. This method includes theoretical lecture, in vivo operation, 5-whys methods of analyses, intensive-problem oriented trainings, and assessments. Methods Ten post-graduates majoring in cardiology who have equivalent education backgrounds and technical levels were randomly divided into two groups (n=5 per group). All participants underwent a skill training on cardiac electrophysiology mapping, with one group training under the STIM and the other group under the traditional "theory-practice-test" (TPT) mode. The effect of these two educational techniques were evaluated at the end of the training. Results Postgraduates in the STIM group had a more solid grasp of the anatomical position and structure of the cardiac conduction system than those in the TPT group. During in-vivo operation, the students in the STIM group reconstructed and interpreted the electroanatomical maps, voltage maps, electric excitation maps, and electric conduction maps more accurately and quickly than those in the TPT group. Conclusion The STIM teaching mode more effectively improved the basic surgical skills of postgraduates, stimulated the students' learning initiative, and improved the quality of education. STIM is a kind of intensive teaching mode of special skills, and is worth widely implementing in the education of postgraduates majoring in cardiovascular diseases.

Key words: Cardiovascular surgery, Animal experiment, Postgraduates, Teaching mode, Cardiac electrical conduction system

CLC Number:

R-332

Xiaokang WANG, Ruojin ZHAO, Yunhui LÜ, Guangxin YUE, Shangyu LIU, Ting HE, Peng PENG, Liang MENG, Jubo LI, Baojie ZHANG, Chen SHEN, Yongchun CUI, Xin WANG. A Novel Model for in-vivo Training of Postgraduates on Cardiac Electrical Conduction System Mapping Skills[J]. Laboratory Animal and Comparative Medicine, 2022, 42(5): 466-471.

Figures/Tables 4

References 7

1	ZHENG Z, XU B, ZHANG H, et al. Coronary artery bypass graft surgery and percutaneous coronary interventions in patients with unprotected left main coronary artery disease[J]. JACC Cardiovasc Interv, 2016, 9(11):1102-1111. DOI:10.1016/j.jcin.2016.03.039 .
2	HABIB G, LANCELLOTTI P, ANTUNES M J, et al. 2015 ESC guidelines for the management of infective endocarditis[J]. Revista Española De Cardiol Engl Ed, 2016, 69(1):69. DOI:10.1016/j.rec.2015.12.002 .
3	曾霞, 王启辉, 唐深, 等. Sandwich教学法在医学免疫学理论课课堂教学的应用及体会[J]. 教育现代化, 2020, 7(1):161-162, 166. DOI:10.16541/j.cnki.2095-8420.2020.01.063 .
	ZENG X, WANG Q H, TANG S, et al. Application and experience of sandwich teaching method in classroom teaching of medical immunology theory course[J]. Educ Mod, 2020, 7(1):161-162, 166. DOI:10.16541/j.cnki.2095-8420.2020.01.063 .
4	魏盛, 耿希文, 徐凯勇, 等. 基于互联网交互平台三明治教学法在医学实验动物学教学中的应用[J]. 实验动物与比较医学, 2021, 41(3):266-270. DOI:10.12300/j.issn.1674-5817.2020.114 .
	WEI S, GENG X W, XU K Y, et al. Application of sandwich teaching method based on Internet interactive platform in teaching of medical experimental zoology[J]. Lab Animal Comp Med, 2021, 41(3):266-270. DOI:10.12300/j.issn.1674-5817.2020.114 .
5	胡尔西旦·阿布都米吉提, 乌都木丽, 阿仙姑·哈斯木. "互联网+"背景下病理学线上线下混合式教学实践[J]. 教育教学论坛, 2020(18):169-171.
	Abudumijiti Huerxidan, wudumuli, Hasim ayshamgul. On blended teaching practice of pathology in the context of Internet+[J]. Jiaoyu Jiaoxue Luntan, 2020(18):169-171.
6	董张及, 储丹丹, 顾芸, 等. 翻转课堂在研究生分子生物学技术课程中的设计与实践[J]. 中华医学教育探索杂志, 2019, 18(2):135-139. DOI:10.3760/cma.j.issn.2095-1485.2019.02.007 .
	DONG Z J, CHU D D, GU Y, et al. Application of Flipped Classroom in postgraduate molecular biology technology teaching[J]. Chin J Med Educ Res, 2019, 18(2):135-139. DOI:10.3760/cma.j.issn.2095-1485.2019.02.007 .
7	余结根, 陶香香, 汪全海, 等. 提高医学院校临床学院教学质量的探索与实践[J]. 淮南职业技术学院学报, 2015, 15(3):84-86. DOI:10.3969/j.issn.1671-4733.2015.03.022 .
	YU J G, TAO X X, WANG Q H, et al. Exploration and practice of improving teaching quality in clinical college of medical colleges[J]. J Huainan Vocat Tech Coll, 2015, 15(3):84-86. DOI:10.3969/j.issn.1671-4733.2015.03.022 .

序号 No.	考核项目 Assessment indicators	评分 Score
1	熟练操作标测设备，包括准确连接管路 Skilled operation of mapping equipment, including accurate pipeline connection	3
2	准确放置标测导管和起搏电极 Accurately place mapping catheter and pacing leads	2
3	准确识别标测电位，包括双电位、刺激电位 Accurately identify mapped potentials, including bipotentials and stimulation potentials	2
4	准确分辨标测图谱上的A波和V波 Accurately distinguish A wave and V wave on the mapping maps	2
5	正确构建并解读心脏电解剖图 Correctly construct and interpret cardiac electroanatomical maps	2
6	正确构建电压图 Correctly build the voltage map	3
7	正确构建电激动图，用不同颜色实时显示电激动传导顺序 Correctly construct electrokinogram and display the electrical excitation conduction sequence in real time with different colors	3
8	正确解读心脏动态电传导图，通过动画模式立体动态地显示电激动传导速度和路径 Correctly interpret the cardiac dynamic electrical conduction map, and display the electrical conduction velocity and path dynamically through the animation mode	3

序号 No.	考核项目 Assessment indicators	评分 Score
1	熟练操作标测设备，包括准确连接管路 Skilled operation of mapping equipment, including accurate pipeline connection	3
2	准确放置标测导管和起搏电极 Accurately place mapping catheter and pacing leads	2
3	准确识别标测电位，包括双电位、刺激电位 Accurately identify mapped potentials, including bipotentials and stimulation potentials	2
4	准确分辨标测图谱上的A波和V波 Accurately distinguish A wave and V wave on the mapping maps	2
5	正确构建并解读心脏电解剖图 Correctly construct and interpret cardiac electroanatomical maps	2
6	正确构建电压图 Correctly build the voltage map	3
7	正确构建电激动图，用不同颜色实时显示电激动传导顺序 Correctly construct electrokinogram and display the electrical excitation conduction sequence in real time with different colors	3
8	正确解读心脏动态电传导图，通过动画模式立体动态地显示电激动传导速度和路径 Correctly interpret the cardiac dynamic electrical conduction map, and display the electrical conduction velocity and path dynamically through the animation mode	3

[1]	Zhengwen MA, Xiaying LI, Xiaoyu LIU, Yao LI, Jian WANG, Jin LU, Guoyuan CHEN, Xiao LU, Yu BAI, Xuancheng LU, Yonggang LIU, Wanyong PANG, Yufeng TAO. Interpretation and Elaboration for the ARRIVE Guidelines 2.0—Animal Research: Reporting In Vivo Experiments (V) [J]. Laboratory Animal and Comparative Medicine, 2024, 44(1): 105-114.
[2]	Jinhuan MIAO, Xia XU, Lu ZHOU, Haiyan CHENG, Yan HE. Visual Analysis of Animal Experiments on Traditional Chinese Medicine (TCM) Nursing Technology Based on VOSviewer [J]. Laboratory Animal and Comparative Medicine, 2023, 43(6): 626-635.
[3]	Xiaying LI, Yonglu TIAN, Xiaoyu LIU, Xuancheng LU, Guoyuan CHEN, Xiao LU, Yu BAI, Jing GAO, Yao LI, Yusheng WEI, Wanyong PANG, Yufeng TAO. Explanation and Elaboration for the ARRIVE Guidelines 2.0—Reporting Animal Research and In Vivo Experiments (Ⅳ) [J]. Laboratory Animal and Comparative Medicine, 2023, 43(6): 659-668.
[4]	Shuo WANG, Yunhui LÜ, Xiaokang WANG, Zhenhao ZHANG, Yongchun CUI. Construction and Verification of Quality Evaluation Indicator System for Extracorporeal Membrane Oxygenation Animal Experimental Platform [J]. Laboratory Animal and Comparative Medicine, 2023, 43(6): 604-611.
[5]	Xiaoyu LIU, Xuancheng LU, Xiaomeng SHI, Yuzhou ZHANG, Chao LÜ, Guoyuan CHEN, Xiao LU, Yu BAI, Jing GAO, Yao LI, Yonggang LIU, Yufeng TAO, Wanyong PANG. Explanation and Elaboration for the ARRIVE Guidelines 2.0—Reporting Animal Research and In Vivo Experiments (Ⅲ) [J]. Laboratory Animal and Comparative Medicine, 2023, 43(4): 446-456.
[6]	Guoyuan CHEN, Xiao LU, Yu BAI, Lingzhi YU, Ying QIAO, Jian WANG, Jin LU, Xiaoyu LIU, Xuancheng LU, Jing GAO, Yao LI, Wanyong PANG. Explanation and Elaboration of the ARRIVE Guidelines 2.0—Reporting Animal Research and In Vivo Experiments (Ⅱ) [J]. Laboratory Animal and Comparative Medicine, 2023, 43(3): 323-331.
[7]	Jian WANG, Jin LU, Zhengwen MA, Guoyuan CHEN, Xiao LU, Yu BAI, Xiaoyu LIU, Xuancheng LU, Jing GAO, Yao LI, Wanyong Pang. Explanation and Elaboration for the ARRIVE Guidelines 2.0—Reporting Animal Research and In Vivo Experiments (Ⅰ) [J]. Laboratory Animal and Comparative Medicine, 2023, 43(2): 213-224.
[8]	Xiangrong DING, Shurui HUO, Jiejie DAI. Research Progress on Influenza A Virus and Nervous System Disease of Human and Experimental Animals [J]. Laboratory Animal and Comparative Medicine, 2023, 43(2): 180-185.
[9]	Junyan ZHANG, Xiaoyu LIU, Yao LI, Guoyuan CHEN, Xiao LU, Yu BAI, Xuancheng LU, Wanyong PANG, Baojin WU. Introduction to the International Guide for Animal Research Reporting ARRIVE 2.0, and Its Implementation Plan in the Journal [J]. Laboratory Animal and Comparative Medicine, 2023, 43(1): 86-94.
[10]	Xiangmei LIU, Zhongchun MA, Hongkun FU, Feng GAO, Yufeng TAO. Discussion on Expression of Laboratory Accreditation Scope in the Field of Toxicology Testing [J]. Laboratory Animal and Comparative Medicine, 2022, 42(6): 526-530.
[11]	Yufei LENG, Wenjing LU, Fengwei WANG. Thinking of Teaching Reform in the Animal Experiment of Operative Surgery in Medical School [J]. Laboratory Animal and Comparative Medicine, 2022, 42(5): 472-476.
[12]	YU Yixiang, CAO Shanshan, FENG Yi, LI Jiarui, WANG Rong. Improvement and Effect Evaluation on Method of Tracheal Instillation in Rats [J]. Laboratory Animal and Comparative Medicine, 2021, 41(6): 543-546.
[13]	CHEN Xiaojuan, LI Wei, WANG Lie. Exploration on Informatization of Laboratory Animal Management Process in Colleges and Universities: The Case of Zhejiang University [J]. Laboratory Animal and Comparative Medicine, 2021, 41(6): 554-558.
[14]	ZHOU Bin, ZHAO Yong, WANG Yabing, LIU Jihong. Analysis on Air Distribution by Computational Fluid Dynamics Simulation in Two Types of Laboratory Animal Barrier Facilities [J]. Laboratory Animal and Comparative Medicine, 2021, 41(3): 252-258.
[15]	CHEN Guoyuan, KANG Kang, LI Xiaoxian, JI Wentao, ZHANG Jinmei, FENG Yanhua, TIAN Qianying, WU Baojin. Application of Experimental Material Inspection in Quality Control of SPF Mice [J]. Laboratory Animal and Comparative Medicine, 2021, 41(1): 61-65.