首页|问题模块教学在耳鼻咽喉专业教学中的应用

问题模块教学在耳鼻咽喉专业教学中的应用

Problem Module Teaching in Otorhinolaryngology Residency Training

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目的 探讨问题模块教学在耳鼻咽喉专业培训中的效果.方法 选取2021年9月至2022年9月北京大学第三医院耳鼻喉科15名进行规范化培训的住院医师及专科医师为研究对象,所有医师按照培养计划,进行耳科、鼻科、咽喉头颈的轮转.传统的教学方法,采用教学查房、住院医师小讲课、疑难病例讨论等形式,在此基础上,引入新的教学法采用问题模块教学的方式进行.首先通过相关知识点的整合,梳理汇总出20个临床常见"问题"及相关参考资源;然后在日常的教学查房、小讲课、实景模拟等多种教学活动中进行问题的讨论,培训6个月后通过出科考核检测学生的学习效果.比较培训后学生理论考核、技能考核成绩,以及学生在疾病认识、学习应用能力、思维能力及沟通交流能力4个方面的评估成绩.结果 培训后,所有研究对象理论考核成绩和多站式技能考核成绩均高于培训前,差异有统计学意义(P<0.01);培训后,所有研究对象的疾病认识、学习能力、疾病思维能力及沟通交流能力评分均高于培训前,差异有统计学意义(P<0.01).结论 在耳鼻喉科专业医学生和住院医师中开展问题模块化教学,可以提高学生的学习能力和学习效果,可进一步在临床教学中应用.
Objective To report effectiveness of problem module teaching in otorhinolaryngology residency train-ing.Methods Residents and specialty trainees(n=15)receiving standardized training at the Department of Otorhinolar-yngology of the Peking University Third Hospital from September 2021 to September 2022 were selected.The subjects rotated through otology,rhinology and laryngology/head and neck surgery services.Teaching included grand rounds,lectures,and case discussions.In addition,the"problem module teaching method"was introduced,which included 20 common clinical"problems"and relevant reference resources,developed and summarized from relevant knowledge points,that were repeatedly discussed in various teaching activities such as daily teaching rounds,lectures and case sim-ulations.Learning results were assessed through exit examinations after 6 months of training,covering theoretical knowledges,clinical skills,disease understanding,learning and application ability,contemplating ability and communi-cation skills.Results Following training with the new teaching model,significant improvement was noticed in theoreti-cal knowledges and clinical skills(P<0.01),as well as in disease understanding,learning and application ability and con-templating ability(P<0.01).Conclusion The problem module teaching method can improve learning curves and out-comes among residents and specialty trainees in standardized otolaryngology training,and can be further adopted in clin-ical teaching.

otolaryngologyproblemmodule teachingteaching method

柯嘉、王宇、曾进、李丽娟、熊姗、张迎宏

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北京大学第三医院耳鼻喉科(北京 100191)

耳鼻咽喉 问题 模块化 教学方法

北京大学医学部专科医师规范化培训研究立项课题项目北京大学第三医院教学研究专项课题项目

2020ZP162024bysyxykzp06

2024

中华耳科学杂志
解放军总医院耳鼻咽喉科研究所

中华耳科学杂志

CSTPCD北大核心
影响因子:0.954
ISSN:1672-2922
年,卷(期):2024.22(4)