摘要
目的 探讨医护一体化教学模式在全科住院医师规范化培训中的应用效果.方法 选取2020年考入遵义医科大学附属医院参加毕业后继续教育全科住院医师规范化培训的农村订单定向本科生52 名作为研究对象,随机分为对照组25名,实验组27名.对照组采用传统的全科医学临床教学模式,实验组采取医护一体化教学模式,培训周期均为42 周.教学结束后,比较两组学生理论考试、实践技能操作考试、教学效果评价及综合能力(临床思维、团队合作、沟通能力、应变能力).结果 实验组理论考试成绩、技能操作成绩均高于对照组,教学效果满意度评分明显高于对照组,差异均有统计学意义(t分别=9.07、8.71、7.96,P均＜0.05).实验组综合能力考核评分(临床思维、团队合作、沟通能力、应变能力)均高于对照组,差异均有统计学意义(t分别=14.51、12.82、8.92、10.41,P均＜0.05).结论 在全科住院医师规范化培训过程中,采用医护一体化教学模式,可以提升全科住培生的临床辨证思维能力及临床实践能力,有利于培养适合贵州省实际医疗需求且具有一定岗位胜任力的基层全科医生.
Abstract
Objective To explore the application effect of the integrated teaching mode of medical care in the stan-dardized training of general medicine residents.Methods Totally 52 rural order-oriented undergraduates who were ad-mitted to the Affiliated Hospital of Zunyi Medical University in 2020 to participate in post-graduation continuing educa-tion general practice residency standardized training were selected as the study subjects.They were randomly divided into 25 people in the control group and 27 people in the experimental group.The control group adopted the traditional clinical teaching mode of general practice,while the experimental group adopted the integrated teaching mode of medical care.The training period was 42 weeks.After the teaching,the theoretical exam,practical skills operation exam,teaching effec-tiveness evaluation,and comprehensive abilities(clinical thinking,teamwork,communication skills,and adaptability)of two groups of students were compared.Results The theoretical scores and skill operation exam scores of the experimen-tal group were higher than those of the control group,and the satisfaction score of teaching effectiveness was significantly higher than that of the control group,with statistical significance(t=9.07,8.71,7.96,P＜0.05).The comprehensive ability assessment scores(clinical thinking,teamwork,communication ability,and adaptability)of the experimental group were higher than those of the control group(t=14.51,12.82,8.92,10.41,P＜0.05).Conclusion In the process of standard-ized training and training of residents in general practice,adopting the integrated teaching mode of medical care can im-prove the clinical dialectical thinking ability and clinical practice ability of residents in general practice,and is condu-cive to training grassroots general practitioners who are suitable for the actual medical needs of Guizhou Province and have certain post competency.
基金项目
遵义医科大学第一临床学院教育教学改革计划(2020011)
NETL
NSTL
万方数据