项目式学习法对麻醉科住院医师规范化培训学员迷你临床演练评估量表的影响
Effect of project-based learning method on the Mini-CEX for anesthesiology residency trainees in standardized training
王存金 1顾晨 2潘昱辰 3高巨1
作者信息
- 1. 225001 扬州大学附属苏北人民医院麻醉科
- 2. 扬州大学医学院
- 3. 中国人民武装警察部队江苏省总队医院神经内科
- 折叠
摘要
目的 探讨项目式学习法对麻醉科住院医师规范化培训学员迷你临床演练评估量表(Mini-CEX)的影响.方法 选择麻醉专业住院医师规范化培训学员 164 名,男 71 名,女 93 名,年龄22～26 岁.按照随机数表法将学员分为两组:项目式学习组(P 组)和传统教学组(T组),每组 82名.P组采用项目式学习法,T组采用传统授课方式,两组学员统一学习麻醉术前评估后运用Mini-CEX进行考核,Mini-CEX包括 6 项:体格检查、人文关怀、病史问诊技巧、医患沟通能力、术前麻醉宣教和临床判断能力,比较两组学员 Mini-CEX 各项评分及对各自学习模式和学习效果的满意度.结果 在Mini-CEX各项评分中,两组学员体格检查和人文关怀评分差异无统计学意义.与T组比较,P组学员在病史问诊技巧、医患沟通能力、术前麻醉宣教和临床判断能力方面评分明显升高(P＜0.05),学员对学习模式和学习效果的满意度明显升高(P＜0.05).结论 将项目式学习法应用于麻醉科住院医师规范化培训中麻醉前评估的相关教学实践,有助于提高学员的问诊技巧、沟通能力、麻醉宣教等临床实践能力.
Abstract
Objective To investigate the efficacy of integrating project-based learning method with the mini-clinical evaluation exercise(Mini-CEX)in the clinical training of anesthesiology residents.MethodsA total of 164 anesthesiology residents,71 males and 93 females,aged 22-26 years,were ran-domly assigned to either a project-based learning method group(group P)or a traditional teaching group(group T),with 82 participants in each.Group P used the project-based learning method,while group T followed traditional lectures.Both groups underwent a standardized learning module on preoperative anesthe-sia evaluation and were assessed using the Mini-CEX across six domains:physical examination,humanistic care,medical history inquiry,communication,preoperative anesthesia education,and clinical judgment.Scores and satisfaction levels were compared between the groups.Results No significant differences were found in physical examination and humanistic care scores.Compared with group T,group P scored signifi-cantly higher in medical history inquiry,communication,preoperative anesthesia education,and clinical judgment(P＜0.05),satisfaction with teaching methods and outcomes was also significantly higher in group P(P＜0.05).Conclusion Combining project-based learning method with Mini-CEX in anesthesiol-ogy training enhances clinical skills like medical history inquiry,communication,and preoperative education.
关键词
项目式学习法/迷你临床演练评估量表/住院医师规范化培训学员/麻醉前评估Key words
Project-based learning method/Mini-clinical evaluation exercise/Anesthesiology resi-dency trainees in standardized training/Preoperative assessment引用本文复制引用
出版年
2024
NETL
NSTL
万方数据