首页|CBL教学法结合导师制在胃肠外科住院医师规范化培训中的应用

CBL教学法结合导师制在胃肠外科住院医师规范化培训中的应用

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目的 探索在胃肠外科住院医师规范化培训中采用案例教学法(case-based learning,CBL)结合导师制的培训效果.方法 选取 2021 年 8 月—2022 年 7 月在华中科技大学同济医学院附属协和医院胃肠外科轮转的 64名住培学员,按时间不同(2021 年 8-12 月及 2022 年 1-7 月)分别将其分为对照组(31 名)和研究组(33 名).其中对照组采用传统培训模式,研究组采用CBL教学法结合导师制.培训结束后对 2 组的教学效果进行分析和评价.结果 出科考核中研究组理论基础、病例分析以及临床技能考核成绩[(86.75±5.48)分、(83.82±6.27)分、(88.64±5.53)分]均高于对照组[(80.24±6.81)分、(74.57±7.73)分、(78.83±4.46)分],差异有统计学意义(P<0.05).调查问卷结果显示,研究组在提高自学能动性、促进理论知识系统化、增加医患沟通技巧、培养团队协作能力、增强医师职业素养、提升人文关怀水平以及教学满意程度方面得分[(8.43±1.52)分、(8.08±1.35)分、(8.17±2.12)分、(7.68±0.97)分、(8.32±1.57)分、(8.53±1.58)分、(9.02±2.26)分]均高于对照组[(5.53±0.94)分、(5.53±0.94)分、(6.73±1.42)分、(6.82±1.21)分、(7.02±1.16)分、(6.62±0.85)分、(6.62±0.85)分],差异有统计学意义(P<0.05).结论 CBL教学法结合导师制可以提高胃肠外科住院医师规范化培训的培训效果,有助于提升住培学员的综合临床能力、评判性思维能力及教学满意度.
Application of CBL Teaching Method Combined With Tutor System in Standardized Training of Gastrointestinal Surgery Residents
Objective To explore the training effect of case-based learning(CBL)combined with tutor system in the standardized training of gastrointestinal surgery residents.Methods A total of 64 resident trainees who rotate in the department of gastrointestinal surgery of Union Hospital,Tongji Medical College,Huazhong University of Science and Technology from August 2021 to July 2022 were selected and divided into control group(n=31)and research group(n=33)according to the time period(August 2021 to December 2021 and January 2022 to July 2022).The control group was taught with traditional training mode,while the study group was taught with CBL teaching method combined with tutor system.After the training,the teaching effect of the two groups was analyzed and evaluated.Results The scores of theoretical basis,case analysis and clinical skills of the research group[(86.75±5.48)points,(83.82±6.27)points,(88.64±5.53)points]were higher than those of the control group[(80.24±6.81)points,(74.57±7.73)points,(78.83±4.46)points].The differences were statistically significant(P<0.05).The results of the questionnaire survey showed that the scores of the research group in improving self-motivation,promoting systematization of theoretical knowledge,increasing communication skills between doctors and patients,cultivating teamwork ability,enhancing professional ethics of doctors,improving humanistic care level,and teaching satisfaction[(8.43±1.52)points,(8.08±1.35)points,(8.17±2.12)points,(7.68±0.97)points,(8.32±1.57)points,(8.53±1.58)points,(9.02±2.26)points]were all higher than those of the control group[(5.53±0.94)points,(5.53±0.94)points,(6.73±1.42)points,(6.82±1.21)points,(7.02±1.16)points,(6.62±0.85)points,(6.62±0.85)points],with statistically significant differences(P<0.05).Conclusion CBL teaching method combined with tutor system can improve the training effect of standardized training,comprehensive clinical ability,critical thinking ability,and teaching satisfaction for gastrointestinal surgery residents.

case-based learningtutor systemstandardized training for residentsteaching modelgeneral surgerygastrointestinal surgeryquestionnaires

曾祥宇、蒋祈、王涛、李承果、刘炜圳、陶凯雄、张鹏

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华中科技大学同济医学院附属协和医院胃肠外科,湖北 武汉 430022

案例教学法 导师制 住院医师规范化培训 教学模式 普通外科 胃肠外科 问卷调查

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
年,卷(期):2024.16(24)