三维打印模具辅助以问题为基础教学法对住院医师批判性思维能力的影响
Exploration of Problem-Based Learning Using 3D Printing Molds to Cultivate Critical Thinking Skills in Resident Physicians
吕杰 1张韬 1张学民 1李伟浩 1张小明1
作者信息
摘要
目的:探讨三维打印模具辅助以问题为基础教学法(PBL-3DM)对住院医师批判性思维(CT)能力的影响.方法:选取我院专科住院医师37人进行PBL-3DM教学并调研教学前后CT变化.结果:教学前对象CTDI-CV值为(228.38±5.30)分,83.8％对象CT未达正性,24.3％没有CT,7个维度能力均欠佳.教学2周、4 周和 12 周后的 CTDI-CV 逐升为(245.40±5.32)分、(278.29±6.28)分和(326.46±3.37)分,负性 CT 比例降到27.0％,无CT比例为0％;12周时除分析能力和认知成熟度,各维度评分均显著提高(P＜0.05).研究生医师负性比例最高(35.1％),规培医师比例最低(21.6％),培训后改善最明显的是研究生医师,进修医师改善度最低.结论:PBL-3DM教学法有助于提升不同背景住院医师的批判性思维能力.
Abstract
Objective:To investigate the impact of problem-based learning using 3D printing molds(PBL-3DM)on the critical thinking(CT)ability of resident physicians.Methods:Thirty-seven specialty resident physicians from our hospital were selected for PBL-3DM teaching,and changes in CT were surveyed before and after teaching.Results:Before teaching,the mean CTDI-CV value of the subjects was(228.38±5.30),with 83.8％of subjects not reaching positive CT and 24.3％lacking CT,and all 7 dimensions of ability were suboptimal.The CTDI-CV values at 2,4,and 12 weeks after teaching gradually increased to 245.40±5.32,278.29±6.28,and 326.46±3.37,respectively,with the proportion of negative CT decreasing to 27.0％and the proportion of no CT decreasing to 0％(P＜0.05);at 12 weeks,all dimensions except analytical ability and cognitive maturity showed significant improvement(P＜0.05).Graduate resident physicians had the highest proportion of negative CT(35.1％),while standardized resident physicians had the lowest proportion(21.6％),with the most significant improvement observed in graduate resident physicians and the least improvement observed in visiting resident physicians.Conclusion:PBL-3DM teaching method helps to improve the critical thinking ability of resident physicians with different backgrounds.
关键词
以问题为基础的教学法/三维打印模具/批判性思维/医学教育Key words
Problem-based Learning/3D printing molds/Critical thinking/Medical education引用本文复制引用
基金项目
北京大学医学部教育教学研究课题(2020YB02)
出版年
2024
NETL
NSTL
万方数据