首页|临床路径教学法结合问题导向教学法、基于临床案例的教学法在医学硕士培养中的应用

临床路径教学法结合问题导向教学法、基于临床案例的教学法在医学硕士培养中的应用

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目的 探究临床路径教学法(CPL)与问题导向教学法(PBL)、基于临床案例的教学法(CBL)相结合在医学硕士培养中的应用效果。方法 选取2022年8月至2023年8月在海南医学院第一附属医院内分泌科住培的医学硕士共110名作为研究对象,使用随机数表法分为CPL结合PBL、CBL教学法组(试验组,n=55)和传统带教组(对照组,n=55)。在为期2个月的实践教学结束后,通过对医学硕士进行专业技能考核、在线考试、调查问卷以及师生座谈,对两种教学模式进行教学效果的分析比较。结果 试验组的专业理论、实践技能操作、病例分析、模拟诊疗、病历书写质量和综合能力测评得分均高于对照组,差异有统计学意义(P<0。05)。与对照组比较,试验组对教师带教过程规范程度、教师传授知识技能、医学硕士自身学习效率提升、提高文献检索能力、提高临床思维能力等满意度更高,差异有统计学意义(P<0。05)。结论 CPL结合PBL、CBL教学方式有助于医学硕士更全面了解并掌握医学专业知识,提高教学效果,从而培训出具备较高综合素养的医学人才,更好地适应临床实践需求。
The application of clinical pathway learning combined with problem-based learning and case-based learning in the cultivation of the master of medicine
Objective To explore the application effect of the combination of clinical pathway learning(CPL),problem-based learning(PBL),and case-based learning(CBL)in the cultivation of masters of medicine.Methods A total of 110 masters of medicine who received standardized training for residents at the Department of Endocrinology of the First Affiliated Hospital of Hainan Medical University from August 2022 to August 2023 were selected as the research subjects.They were divided into a group for CPL combined with PBL and CBL(the test group,n=55)and a traditional teaching group(the control group,n=55)using a random number table method.After the two-month practical learning,the learning effects of the two learning modes were analyzed and compared through professional skills assessment,online exams,survey questionnaires,and teacher-student discussions for the masters of medicine.Results The scores of professional theories,operation of practical skills,case analysis,simulated diagnosis and treatment,medical record quality,and comprehensive ability evaluation in the test group were higher than those in the control group,with statistically significant differences(P<0.05).The satisfaction with the standardization of the teaching process,knowledge and skills imparting,improvement in the learning efficiency of the masters of medicine,improvement in literature retrieval ability,and improvement in clinical thinking ability of the tutor in the test group was higher than that in the control group,with statistically significant difference(P<0.05).Conclusion The CPL combined with PBL and CBL can help masters of medicine to have a more comprehensive understanding and mastery of medical professional knowledge,improve learning effects,and train medical talents with high comprehensive literacy to better adapt to clinical practice needs.

Clinical pathway learningProblem-based learningCase-based learningMaster of medicineStandardized training for residentsTeaching satisfaction

孙胜花、陈小盼、韩倩菲、潘婳

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海南医学院第一附属医院内分泌科,海南海口 570102

临床路径教学法 问题导向教学法 基于临床案例的教学法 医学硕士 住院医师规范化培训 教学满意度

海南医学院教育科研课题

HYYB202259

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(8)
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