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麻醉住院医师线上理论课程的授课能力影响因素分析

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目的 分析麻醉住院医师线上理论课程授课能力的影响因素,以提高住院医师的教学能力。方法 本研究为一项单中心横断面研究,纳入了自2022年9月至2024年1月期间参与"Miller讲堂"授课的住院医师。主要结局指标为住院医师的理论授课能力,通过每次课后向听众发放的调查问卷进行评估,并以问卷评分作为衡量授课水平的评估方法。纳入分析的潜在影响因素包括住院医师的年龄、性别、年级、学历、自身的理论知识水平、备课时长、二线教师的指导参与度、三线教师的指导参与度及二线教师和三线教师的授课水平。采用多因素线性回归模型来探讨影响住院医师授课水平的独立因素,所有统计分析均在R语言(版本:4。2。1)中进行。结果 本研究共纳入44位麻醉住院医师,其授课能力评分为(9。34±0。34)(满分为10分)。通过多因素回归模型分析,发现住院医师的年级(三年级:回归系数为0。22,95%CI为0。03~0。40,P=0。024)、学历(硕士:回归系数为0。19,95%CI为0。03~0。36,P=0。024;博士:回归系数为0。30,95%CI为0。12~0。47,P=0。002)及二线教师的授课水平(回归系数为0。97,95%CI为0。70~1。24,P<0。001)是住院医师授课能力的独立影响因素。结论 在由教师指导的、以住院医师为主讲的线上理论课程中,住院医师的年级越高、学历层次越高,以及指导教师的授课水平越高,住院医师展现出的授课能力通常也越强。
Analysis of factors influencing the teaching competence of anesthesiology residents in online theoretical courses
Objective To analyze the factors influencing the teaching competence of anesthesiology residents in online theoretical courses,and to improve the teaching competence of residents.Methods This single-center cross-sectional study included residents who participated in teaching the"Miller lectures"from September 2022 to January 2024.The primary outcome was the theoretical teaching competence of residents.Questionnaires were distributed to the audience after each lecture,and questionnaire scores were used to evaluate the teaching competence.Potential influencing factors included age,sex,grade,education level,theoretical knowledge,preparation time,involvement of junior and senior supervisors in guidance,and their teaching competence.The independent factors influencing the teaching competence of residents were analyzed using a multivariable linear regression model.A statistical analysis was conducted using R language(version 4.2.1).Results This study included 44 anesthesiology residents,with an average teaching competence score of(9.34±0.34)(on a 10-point scale).The multivariable regression model revealed that grade(third year:coefficient 0.22,95%CI 0.03 to 0.40,P=0.024),education level(master:coefficient 0.19,95%CI 0.03 to 0.36,P=0.024;Doctor:coefficient 0.30,95%CI 0.12 to 0.47,P=0.002),and junior supervisors'teaching competence(coefficient 0.97,95%CI 0.70 to 1.24,P<0.001)were independent factors affecting resident teaching competence.Conclusions In teacher-guided online theoretical courses with residents as the main lecturers,higher grade,education level,and teaching competence of guiding teachers are associated with high teaching competence of anesthesiology residents.

Teaching competenceTheoretical lectureAnesthesiology residentOnline teachingInfluencing factor

徐宵寒、张砡、阮侠、谭刚

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中国医学科学院 北京协和医学院 北京协和医院麻醉科,北京 100730

教学能力 理论授课 麻醉住院医师 线上教学 影响因素

2024

中华医学教育探索杂志
中华医学会

中华医学教育探索杂志

CSTPCD
影响因子:0.641
ISSN:2095-1485
年,卷(期):2024.23(12)