中国继续医学教育2024,Vol.16Issue(6) :54-58.DOI:10.3969/j.issn.1674-9308.2024.06.012

PBL结合CBL教学法在麻醉医师TEE培训中的应用

The Application of PBL Combined With CBL Teaching in Anesthesiologist TEE Training

谭正玲 刘先保 陈涛 燕翼 周星星 石磊 朱珺琳 王寿平
中国继续医学教育2024,Vol.16Issue(6) :54-58.DOI:10.3969/j.issn.1674-9308.2024.06.012

PBL结合CBL教学法在麻醉医师TEE培训中的应用

The Application of PBL Combined With CBL Teaching in Anesthesiologist TEE Training

谭正玲 1刘先保 1陈涛 1燕翼 2周星星 3石磊 1朱珺琳 4王寿平1
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作者信息

  • 1. 广州医科大学附属第三医院麻醉科,广东 广州 510150
  • 2. 广州医科大学附属第三医院心内科,广东 广州 510150
  • 3. 广州医科大学附属第二医院妇科,广东 广州 510260
  • 4. 广州医科大学附属第三医院超声医学科,广东 广州 510150
  • 折叠

摘要

目的 探讨基于问题学习的教学法(problem-based learning,PBL)结合基于案例(case-based learning,CBL)应用于麻醉医师掌握食道超声心动图技术(trans esophageal echocardiography,TEE)的效果.方法 于2022 年 2 月—2023 年 2 月将广州医科大学附属第三医院40 名麻醉医师分为试验组(CBL+PBL)和对照组基于授课的教学法(lecture-based learning,LBL)组,每组 20名,试验组采取PBL结合CBL教学法,LBL组采取传统的讲授式给学员培训食道超声心动图技术.对比 2 组基础理论知识、操作技能、图像解读能力以及临床应用能力 4 个方面进行考核,培训完毕后并调查 2 组对教学方法的满意度.结果 试验组基础理论知识[(83.20±2.56)分]、技能操作能力[(81.90±2.20)分]、图像解读能力[(83.15±2.78)分]以及临床应用能力[(86.20±3.89)分]分数高于对照组基础理论知识[(72.45±2.32)分]、技能操作能力[(74.20±2.54)分]、图像解读能力[(73.20±2.09)分]以及临床应用能力[(73.29±1.40)分],差异有统计学意义(P<0.001).相比对照组自我能力[(7.45±0.27)分]、教学形式[(7.39±0.23)分]、教学效果[(7.42±0.22)分],试验组自我能力[(8.50±0.28)分]、教学形式[(8.49±0.25)分]、教学效果[(8.55±0.26)分]对教学方法的总体满意度评分明显更高,差异有统计学意义(P<0.001).结论 与LBL教学法相比,PBL结合CBL教学法可以更有效地帮助麻醉医师掌握食道超声心动图技术,提高麻醉医生对TEE的操作技能以及掌握TEE在围手术期的临床应用能力,且学员对PBL结合CBL教学法的满意度更高.

Abstract

Objective To discuss the application of problem/case-based learning(PBL/CBL)and the traditional lecture-based learning(LBL)in the clinical teaching anesthesiologists Mastery of esophageal echocardiography.Methods From February 2022 to February 2023 a total of 40 anesthesiologists who were trained in the anesthesiology department of the Third Affiliated Hospital of Guangzhou Medical University were allocated into two groups according to the random number table method.The experimental group adopted PBL combined with CBL.The control group adopted LBL.Basic theoretical knowledge,operational skills,image interpretation ability and clinical application were compared.The assessment scores and teaching satisfaction of the two groups were compared.Results The scores of the basic theoretical knowledge test[(83.20±2.56)points],skill operation ability[(81.90±2.20)points],image interpretation ability[(83.15±2.78)points],and clinical application ability[(86.20±3.89)points]in the experimental group were higher than those in the control group[(72.45±2.32)points,(74.20±2.54)points,(73.20±2.09)points,(73.29±1.40)points],the difference were statistically significant(P<0.001).Compared with the control group,self-ability[(7.45±0.27)points],teaching form[(7.39±0.23)points],and teaching effect[(7.42±0.22)points],with self-ability[(8.50±0.28)points],teaching form[(8.49±0.25)points],teaching effect[(8.55±0.26)points],the overall satisfaction with teaching method in the experimental group was significantly higher,and the difference were statistically significant(P<0.001).Conclusion Compared with LBL method,PBL combined with CBL method can effectively improve the master degree of theoretical knowledge,improve the clinical operation skills of anesthesiology professional training doctors in learning TEE and master the clinical application ability of TEE in the perioperative period,and trainee have higher satisfaction with PBL combined with CBL teaching method.

关键词

PBL/CBL/教学方法/麻醉医师/经食道超声心动图/教学效果

Key words

PBL/CBL/teaching method/anesthesiologists/esophageal echocardiography/teaching efficiency

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基金项目

广东省教育科学规划课题高等教育专项立项项目(2021)(2021GXJK302)

广东省教育科学规划课题研究项目(十三五)(2020)(2020GXJK360)

广东省本科高等学校教学质量与教学改革工程建设项目(2020)(粤教高函[2020]19号)

广东省基础与应用基础研究基金(2021A1515220002)

广州市校(院)联合资助项目(202201020389)

广州市荔湾区科技计划(202201011)

广州地区临床高新重大和特色技术项目(2023C-TS55)

出版年

2024
中国继续医学教育

中国继续医学教育

影响因子:2.564
ISSN:1674-9308
参考文献量23
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