摘要
目的探讨基于King达标理论的综合教学在肿瘤内科临床带教中的实践效果。方法于2019年8月至2020年6月选取60名肿瘤内科实习医师按照随机数字表法分为对照组与研究组。对照组采用常规临床带教;研究组采用基于King达标理论的综合教学,包括以问题为基础的教学(problem-based learning,PBL)、以案例为基础的教学(case-based learning)、情景模拟、慕课等。均带教3个月。对比两组理论和实践考核成绩、岗位胜任力及对带教的满意度。运用SPSS 26.0行t检验和卡方检验。结果两组理论和实践考核成绩分布差异均有统计学意义(P<0.05),研究组的优良率均高于对照组(P<0.05)。带教前两组职业道德、专业能力、人际沟通与团队协作、教学与科研方向的岗位胜任力评分差异均无统计学意义;带教后均较带教前升高,且研究组评分均高于对照组(P<0.05)。研究组对教学在激发学习兴趣、提升学习主动性、提高分析解决问题的能力、培养批判性思维、培养医患沟通能力、培养团队合作精神、提高文献查阅能力、拓宽知识面、指导未来临床工作、增强自信心等方面的满意度评分均高于对照组(P<0.05)。结论在肿瘤内科临床带教中应用基于King达标理论的综合教学可提高实习医师的考核成绩和岗位胜任力,还可提高其满意度。
Objective To explore the practical effect of the comprehensive teaching method based on King's up-to-the-standard theory on the clinical teaching of oncology department.Methods From August 2019 to June 2020,60 interns of oncology department were selected and randomly divided into control group and study group.The control group was given conventional clinical teaching method,and the study group was given comprehensive teaching method based on King's up-to-the-standard theory(including PBL,CBL,scenario simulation,MOOC,etc.)for 3 months.The theoretical and practical assessment results of the two groups after 3 months were compared.The post competency of the two groups before and after teaching,and the satisfaction of the two groups with the teaching mode were compared.SPSS 26.00 was used for t test and chi-square test.Results There were significant differences in the distribution of theoretical and practical examination results between the study group and the control group(P<0.05),and the excellent and good rate of the former was higher than that of the control group(P<0.05).There were no significant differences in the scores of professional ethics,professional ability,interpersonal communication and team cooperation,teaching and scientific research direction between the two groups before teaching.However,the scores after teaching were higher than those before teaching,and study group had higher scores than the control group(P<0.05).The satisfaction scores of the study group were higher than those of the control group in stimulating learning interest,promoting learning initiative,improving the ability of analyzing and solving problems,cultivating critical thinking,cultivating doctor-patient communication ability,cultivating team spirit,improving literature review ability,broadening knowledge,guiding future clinical work and enhancing self-confidence(P<0.05).Conclusion The application of the comprehensive teaching method based on King's up-to-the-standard theory in the clinical teaching of oncology department can improve the examination results and post competency of interns,and also improve their satisfaction.
作者
杜彦秋
杜阳阳
李增军
王京芬
Du Yanqiu;Du Yangyang;Li Zengjun;Wang Jingfen(Department of Mammary Gland 2,Linyi Cancer Hospital,Linyi 276001,China;Department of General Surgery,Linyi Cancer Hospital,Linyi 276001,China)
出处
《中华医学教育探索杂志》
2022年第4期438-441,共4页
Chinese Journal of Medical Education Research
关键词
KING达标理论
综合教学法
肿瘤内科
临床带教
岗位胜任力
King's up-to-the-standard theory
Comprehensive teaching method
Oncology department
Clinical teaching
Post competency
