外科理论与实践2026，Vol.31Issue(4)：343-352,10.DOI:10.16139/j.1007-9610.2026.04.09
基于CIPP理论的腔镜甲状腺手术分层培训路径:从学习曲线到培训曲线
A stratified training pathway for endoscopic thyroidectomy based on the CIPP model:from learning curve to training curve
摘要
Abstract
Endoscopic thyroidectomy involves diverse approaches with high technical demands,and the learning curves vary significantly across different approaches.Traditional training models,which rely primarily on experiential teaching and case accumulation,are inadequate to meet the requirements of standardized,competency-oriented education.This review introduced the CIPP(Context,Input,Process,Product)evaluation model as a theoretical framework and incorporated the learning curve characteristics of various endoscopic thyroidectomy approaches to construct a stratified training pathway across four dimensions:context evaluation,input evaluation,process evaluation,and product evaluation.Based on the Dreyfus model of skill acquisition,the training process is divided into four stages:foundation,transition,competence,and proficiency.On the basis of shared endoscopic skill development,specific training modules are designed according to the distinct features of different approaches,including the transaxillary,transareolar,transoral vestibular,and bilateral axillo-breast approach(BABA).In addition,a stage-based admission and completion evaluation system is established,encompassing skill assessment,clinical performance quality,and safety indicators.This pathway attempts to translate learning curve evidence into the rationale for training curve design,facilitating a shift from experience-based accumulation to competency-based cultivation.It provides a theoretical basis and practical reference for the standardized training of surgeons specializing in endoscopic thyroidectomy.关键词
CIPP理论/腔镜甲状腺手术/学习曲线/培训曲线/分层培训/医学教育Key words
CIPP model/Endoscopic thyroidectomy/Learning curve/Training curve/Stratified training/Medical education分类
医药卫生引用本文复制引用
施瑜,李沛衡,王学颖,黄静,罗晗..基于CIPP理论的腔镜甲状腺手术分层培训路径:从学习曲线到培训曲线[J].外科理论与实践,2026,31(4):343-352,10.基金项目
四川省自然科学基金(2026NSFSCZY0135,2024NSFSC0747) （2026NSFSCZY0135,2024NSFSC0747）
四川大学华西医院学科卓越发展项目(ZYYC25006) （ZYYC25006）
国家自然科学基金(82422050,82272933,82503955) （82422050,82272933,82503955）
