Exploration on MDT Combined With PBL Teaching Mode to Cultivate Comprehensive Clinical Abilities of Graduate Students in Gastrointestinal Surgical Residency Standardized Training
Objective To explore the application effect of the model of multidisciplinary diagnosis and treatment(MDT)combined with problem-based learning(PBL)in the standardized training of gastrointestinal surgical residency(referred to as residency training)for the comprehensive clinical abilities cultivation of graduate students.Methods A total of 60 undergraduate master's degree students of clinical surgery for the second year or above who had been rotated in the Second Affiliated Hospital of Guangzhou Medical University for more than 3 months from January 2019 to August 2021 were selected as the research objects.After rotating into the departmentof gastrointestinal surgery,they were randomly divided into group A,group B,and group C using a random number table method,with 20 members in each group.Group A adopted PBL teaching mode,group B adopted MDT teaching mode,and group C adopted MDT combined with PBL teaching mode.The scores of MDT understanding,multidisciplinary clinical thinking,active learning ability,and entrance and exit scores among the three groups were compared.Results There were statistically significant differences in the scores of MDT understanding,multidisciplinary clinical thinking and entrance test among the three groups(P<0.05).There were no significant differences in the scores of active learning ability and entrance test among the three groups(P>0.05).The scores of MDT understanding[(3.85±0.67)points,(4.30±0.57)points]and multidisciplinary clinical thinking[(82.30±3.85)points,(85.55±3.38)points]in group B and group C were higher than those in group A[(3.05±0.83)points,(77.90±5.86)points],the score of entrance test of group C[(86.10±3.28)points]was higher than that of group A[(81.90±4.42)points],and the differences were statistically significant(P<0.05).The scores of MDT understanding[(4.30±0.57)points],active learning ability[(4.00±0.73)points]and multidisciplinary clinical thinking[(85.55±3.38)points]in group C were higher than those in group B[(3.85±0.67)points,(3.45±0.51)points,(82.30±3.85)points],the differences were statistically significant(P<0.05).There were no significant differences in the scores of active learning ability,entrance test and exit test between group A and group B(P>0.05).There was no significant difference in the scores of active learning ability and entrance test between group A and group C(P>0.05).There were no significant differences in the entrance test score and exit test score between group B and group C(P>0.05).Conclusion The combination of MDT and PBL has a good complementary effect,and the combination of the two forms a new teaching mode,which can provide a better teaching mode for the training of gastrointestinal surgical resident training graduate students,and is worth promoting.
multidisciplinary diagnosis and treatmentproblem-based learningsurgeryclinical teachingstandardized residency standardized traininggraduate student
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维普
