Practice exploration of TBL combined with CBL mode guided by MDT in clinical teaching of Department of Hematology
Objective To explore and analyze the practice application and effect of team-based learning(TBL)combined with case-based learning(CBL)teaching method under the guidance of multi-disciplinary team(MDT)in clinical teaching of the Department of Hematology,and explore a new path for clinical teaching reform of Department of Hematology.Methods A total of 169 profes-sional postgraduate students and standardized training trainees of resident doctors who were rotating in the Department of Hematology of the First Affiliated Hospital of Guangdong Medical University,Fu-jian Medical University Union Hospital and the Affiliated Hospital of Putian University from January 2020 to June 2023 were selected as the study subjects,and randomly divided into the control group(81 subjects)and the experimental group(88 subjects).The control group adopted the traditional bed-side teaching mode of residents,and the experimental group adopted the MDT-guided TBL com-bined with CBL mode for clinical teaching.The practical effects of the two groups of teaching methods were evaluated through the theoretical examination of the Theory of Hematology(A/B)and the Quan-titative Examination of Clinical Skill Operation in Hematology.The study process questionnaire(SPQ)and the Chinese version of critical thinking disposition inventory(CTDI-CV)were used to evaluate the learning motivation and critical thinking ability of the two groups.At the same time,the self-made"Evaluation and Satisfaction Questionnaire of Rotating Training Effect"was used to evalu-ate the teaching satisfaction.Results The experimental group performed better than the control group in the examination of theoretical knowledge,clinical thinking and skills in Hematology and the ability to handle cases of critical hematological diseases,and the examination scores were(83.74±4.16)vs.(77.98±3.23),(86.09±4.71)vs.(81.23±3.98),(81.81±4.95)vs.(76.59±4.73)respectively,all P＜0.01.By comparing the SPQ scores of learning motivation between the two groups,it found that the scores of surface motivation,deep motivation,achievement motivation and total SPQ score of the ex-perimental group were higher than those of the control group,and the evaluation scores were as fol-lows:(32.98±2.79)vs.(29.53±4.21),(20.93±2.64)vs.(18.71±2.73),(31.75±2.85)vs.(28.12±3.48),(84.91±5.78)vs.(76.53±4.83),all P＜0.01.Meanwhile,the experimental group was better than the control group in terms of seeking true knowledge,open-mindedness,analytical ability,sys-tematic ability,critical thinking self-confidence,intellectual curiosity,cognitive maturity and CTDI score,which were as follows:(39.17±2.63)vs.(37.02±3.15),(42.14±3.98)vs.(39.23±4.03),(40.91±4.38)vs.(37.15±4.24),(41.83±3.62)vs.(38.98±3.97),(39.97±4.11)vs.(36.45±4.89),(39.02±4.57)vs.(34.63±4.25),(37.98±3.73)vs.(36.91±2.76),(280.75±10.63)vs.(262.38±12.47),all P＜0.05.In addition,the results of the questionnaire survey showed that the experimental group was superior to the control group in terms of the training objectives of Hematology,theoretical knowledge of Hematology,teamwork spirit,humanistic care ability,doctor-patient communication ability,literature retrieval ability,critical thinking,clinical business ability and satisfaction with clini-cal teaching.The satisfaction results were(88.64%)vs.(72.84%),(94.32%)vs.(83.95%),(95.45%)vs.(76.54%),(92.05%)vs.(72.84%),(89.77%)vs.(71.61%),(80.68%)vs.(65.43%),(92.05%)vs.(71.61%),(94.32%)vs.(82.72%),(94.32%)vs.(83.95%)respectively,all P＜0.05.However,there was no statistical difference between the experimental group and the control group in terms of the improvement of Hematology skills,and P=0.058.Conclusion The application of MDT-guided TBL combined with CBL teaching method in clinical teaching practice of the Department of Hematol-ogy can not only effectively improve the clinical comprehensive ability and professional level of young residents,but also improve their learning motivation and critical thinking ability.It can improve the satisfaction of clinical teaching in the Department of Hematology and realize"teaching is learning"at the same time,reflecting the good pattern of"teaching feeds back into the clinic",which is worthy of application and popularization.
MDTTBLCBLDepartment of HematologyHematologyclinical teaching
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