Development and Implementation of the Three-Completeness, Four-Integration, and Five-Education Model in Clinical Anesthesiology Education
DOI: 10.23977/aetp.2026.100402 | Downloads: 0 | Views: 42
Author(s)
Dongmei Xiang 1, Xuemeng Chen 1, Wenya Chen 1, Jing Sui 1, Xianjie Zhang 1, Leqiang Xia 1
Affiliation(s)
1 Department of Anesthesiology, Deyang People's Hospital, Deyang, Sichuan, 618000, China
Corresponding Author
Dongmei XiangABSTRACT
As anesthesiology clinical education increasingly requires teaching models that integrate theoretical instruction with practical and professional development, the Three-Completeness, Four-Integration, and Five-Education preceptorship model (3-4-5 educational model) warrants systematic evaluation. To this end, forty anesthesiology trainees at Deyang People's Hospital were randomly allocated to a control group or an observation group (n = 20 each); the control group received conventional clinical teaching, while the observation group received instruction based on the 3-4-5 educational model. After training, theoretical knowledge, procedural skills, comprehensive clinical competence, and teaching satisfaction were compared. The observation group scored significantly higher than the control group in theoretical knowledge (91.58 ± 2.89 vs. 82.36 ± 3.25) and procedural skills (92.17 ± 2.95 vs. 81.52 ± 3.61; both P < 0.05), and also showed significantly greater comprehensive competence (P < 0.05). Teaching satisfaction was 100.00% in the observation group versus 70.00% in the control group (P < 0.05). These findings support the 3-4-5 educational model as an effective approach for improving theoretical mastery, practical performance, comprehensive clinical competence, and teaching satisfaction among anesthesiology trainees, and suggest that it offers a promising framework for advancing anesthesiology clinical education.
KEYWORDS
Three-Completeness; Four-Integration; Five-Education Model; Clinical Anesthesiology Education; Instructional EffectivenessCITE THIS PAPER
Dongmei Xiang, Xuemeng Chen, Wenya Chen, Jing Sui, Xianjie Zhang, Leqiang Xia. Development and Implementation of the Three-Completeness, Four-Integration, and Five-Education Model in Clinical Anesthesiology Education. Advances in Educational Technology and Psychology (2026). Vol. 10, No. 4, 11-17. DOI: http://dx.doi.org/10.23977/aetp.2026.100402.
REFERENCES
[1] Kwak YL. Redesigning an anesthesiology resident training program to improve practical procedure competency. Korean J Anesthesiol. Apr 2017;70(2):118-119.
[2] Aggarwal A, Hess O, Lockman JL, et al. Anesthesiologists With Advanced Degrees in Education: Qualitative Study of a Changing Paradigm. JMIR Med Educ. Jun 30 2022;8(2):e38050.
[3] Stodel EJ, Wyand A, Crooks S, Moffett S, Chiu M, Hudson CC. Designing and Implementing a Competency-Based Training Program for Anesthesiology Residents at the University of Ottawa. Anesthesiol Res Pract. 2015;2015:713038.
[4] Burden AR. High-Fidelity Simulation Education and Crisis Resource Management. Anesthesiology Clinics. 2020;38(4):745-759.
[5] HUANG H, CHANG S, LIU Z, et al. Promoting “Three-Whole Education” through back feeding teaching of scientific researches[C]//Proceedings of the 2020 6th International Conference on Social Science and Higher Education (ICSSHE 2020). Paris: Atlantis Press, 2020: 28-33.
[6] Bastola P, Atreya A, Bhandari PS, Parajuli S. The evolution of anesthesiology education: Embracing new technologies and teaching approaches. Health Sci Rep. Feb 2024;7(2):e1765.
[7] Harfaoui W, Alilou M, El Adib AR, et al. Patient Safety in Anesthesiology: Progress, Challenges, and Prospects. Cureus. Sep 2024;16(9):e69540.
[8] Hanna C, Åke I, Helena Odenstedt H. Anesthesiologists' conceptions of learning anesthesia in the context of their specialty training program: a phenomenographic study. BMC medical education. 2023, 23(1): 594.
[9] Thomas JE, Chris F. Competency-based education in anesthesiology: history and challenges. Anesthesiology. 2014, 120(1): 24-31.
[10] Jayson S. Overcoming the barriers to implementation of competence-based medical education in post-graduate medical education: a narrative literature review. Medical education online.2022, 27(1): 2112012.
[11] Barbara MS, Paloma T, Nicole H, Wojciechowski KG, Robert JM. A randomized controlled trial of the impact of simulation-based training on resident performance during a simulated obstetric anesthesia emergency. Simulation in healthcare : journal of the Society for Simulation in Healthcare. 2010, 5(6): 320-324.
[12] Bette M, Mary Ann C, Colleen M, Patricia P, Kristina Thomas D. Structured Debriefing and Students' Clinical Judgment Abilities in Simulation. Clinical Simulation in Nursing. 2013, 9(5): e147-e155.
[13] ROBERTS A D, MARTINEK M. Hit me with your best talk: improving trainee communication methods in anesthesiology[J]. The Journal of Education in Perioperative Medicine, 2025, 27(2): E747.
| Downloads: | 55511 |
|---|---|
| Visits: | 3027391 |

Download as PDF



