首页|WORLD联合TBL教学法在产科住院医师规范化培训中的应用探索

WORLD联合TBL教学法在产科住院医师规范化培训中的应用探索

Exploration on Application of WORLD Combined With TBL Teaching Method in Standardized Training of Obstetric Residents

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目的 探索工作-观摩-研究-学习-走访(working-observing-researching-learning-department,WORLD)联合基于团队的教学法(team-based learning,TBL)在产科住院医师规范化培训中应用的实施效果.方法 选取 2021 年 8 月—2023 年 8 月广州市妇女儿童医疗中心妇产科接受规范化培训的 71 名住培生作为研究对象,其中 2022 级(33 名)为研究组,2021 级(38名)为对照组.研究组采用WORLD联合TBL教学法,对照组采用传统教学法.比较 2 组学生的出科考核成绩、自我导向学习评定量表(self ring scale of self directed learning,SRSSDL)评分以及教学满意度调查.结果 出科考核中,研究组的理论成绩[(88.88±3.48)分]、病史采集[(85.53±2.14)分]及临床思维[(85.95±2.46)分]均高于对照组[(85.15±4.06)分、(81.09±2.55)分、(80.30±2.73)分],差异有统计学意义(P<0.001),实操成绩差异无统计学意义(P>0.05);SRSSDL评分中,研究组的学习意识、学习策略、学习行为以及人际关系评分均高于对照组,差异有统计学意义(P<0.001);教学质量满意度评价中,研究组对教学内容设计、教学模式效率、激发学习兴趣、自主学习能力、临床分析能力、医患沟通能力、临床信心建立以及团队协作能力的评价优于对照组,差异有统计学意义(P<0.05).结论 WORLD联合TBL教学法应用于产科住院医师规范化培训,可提升产科住培生的临床综合能力与团队合作能力,并可进一步提高产科临床教学的理论性与实践性质量.
Objective To explore the implementation effect of working-observing-researching-learning-department(WORLD)combined with team-based learning(TBL)in the standardized training of obstetrics residents.Methods A total of 71 standardized trainees from the obstetrics and gynecology department in Guangzhou Women and Children Medical Center from August 2021 to August 2023 were selected.The 2022 class(33 residents)was the research group,and the 2021 class(38 residents)was the control group.WORLD combined with TBL teaching method was used in the research group,and traditional teaching was used in the control group.After completing the obstetric training rotation,the test scores,self ring scale of self directed learning(SRSSDL)scores and teaching satisfaction survey of the two groups of students were compared.Results In the exam,the theoretical scores[(88.88±3.48)points],medical history collection[(85.53±2.14)points]and clinical thinking[(85.95±2.46)points]of the study group were higher than those of the control group[(85.15±4.06)points,(81.09±2.55)points,(80.30±2.73)points].The differences were statistically significant(P<0.001).There was no significant difference in actual performance(P>0.05).In SRSSDL scores,the research group had higher scores of learning consciousness,learning strategy,learning behavior and interpersonal relationship than the control group,with statistical significance(P<0.001).In the satisfaction evaluation of teaching quality,the research group was superior to the control group in the evaluation of teaching content design,teaching mode efficiency,stimulating learning interest,autonomous learning ability,clinical analysis ability,doctor-patient communication ability,clinical confidence building and team cooperation ability,with statistical significance(P<0.05).Conclusion The application of WORLD combined with TBL teaching method in obstetric standardized training can improve the clinical comprehensive ability and teamwork ability,and elevate the quality of clinical practical teaching.

WORLD teachingteam-based learningobstetricsstandardized training for residentteamwork cooperationclinical practice

陈运山、丁文、潘秀玉、周艳红、刘慧姝、向国春、张国正

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广州医科大学附属妇女儿童医疗中心妇产科,广东 广州 510623

南方医科大学卫生管理学院,广东 广州 510515

WORLD教学 基于团队的教学法 产科学 住院医师规范化培训 团队合作 临床实践

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)