探讨督导教学联合同伴互助学习（PAL）教学法在超声医学专业技能培训教学中的应用价值。

选取2020年6月至2022年6月浙江大学医学院附属第二医院超声医学科2018级、2019级住院医师共34人。采用督导教学联合PAL教学法，对2018级、2019级住院医师进行各系统操作切面带教培训与讲解、互助组学习以及带教老师督导教学。每周进行一次系统切面考核（过程考核），按专业技能考试评分表，80分为合格。培训结束后进行结业技能考试（结业考试）。统计结业技能考试通过率，以及采用Likert 5级评分法调查住院医师对该课程的满意程度，以评估该教学方法的有效性。

应用督导教学联合PAL教学法后，超声医学科2018级、2019级住院医师每周进行的专业技能操作考核（过程考核）成绩均合格（≥80分），考试平均分分别为（88.29±2.78）、（87.49±4.51）分；住院医师结业技能考试（结业考试）通过率为100%。收回满意度调查问卷34份，结果表明，住院医师均对该教学方法和内容安排满意或非常满意，均认为督导教学联合PAL教学法有助于掌握专业操作技能，提高学习效率，促进与老师的交流。

督导教学联合同伴PAL教学法在住院医师规范化培训超声专业技能培训中应用效果较好，可为超声专业技能培训教学提供新的思路。

To assess the application effect of supervision teaching combined with peer-assisted learning (PAL) teaching in the professional skill training course of standardized training of residents of ultrasound medicine.

In the Department of Ultrasound of the Second Affiliated Hospital of Zhejiang University School of Medicine, the combined teaching method of supervision and PAL teaching was adopted in the professional skill training course of standardized training of grades 2018 and 2019 resident doctors from June 2020 to June 2022. The method of supervision combined with PAL teaching was adopted to carry out various system operation training and explanation, mutual aid group learning, and teaching supervised by teachers for them. A weekly system assessment (process assessment) was conducted, and 80 points was deemed as qualified according to the professional skill examination score sheet. After the training, the graduation skill examination (completion examination) was conducted. The passing rate of the graduation skill examination was calculated, and a survey of satisfaction with the teaching was performed using the Likert 5-level scoring method to evaluate the effectiveness of the teaching effects of the supervision teaching combined with PAL teaching method.

After the application of the combined supervision teaching and PAL teaching method, the resident doctors of grades 2018 and 2019 ultrasonic medicine passed the professional skill operation examination (process examination) (all ≥ 80 points), with an average score of (88.29±2.78) and (87.49±4.51), respectively. The passing rate of the graduation skill examination among both grades 2018 and 2019 resident doctors was 100%. The satisfaction survey questionnaire was returned by 34 doctors. The results showed that all residents were satisfied or very satisfied with the teaching method and content arrangement. They all believed that the combination of supervision teaching with PAL teaching method would help to master professional skills, improve learning efficiency, and promote communication with teachers.

The supervision teaching combined with PAL teaching method has good effects in the professional skill training course of ultrasound resident standardized training, which may improve the residents' professional skills and provide a new idea for the training and teaching of ultrasound professional skills.