摘要
目的探讨基于案例的教学(case-based learning,CBL)联合思维导图在心内科住院医师规范化培训中的应用效果。方法选取2017年1—10月在南通大学附属医院心内科参加规范化培训的住院医师作为对照组,采用传统授课教学模式。选取2017年11月—2018年8月在我科参加规培的住院医师作为实验组,采用CBL联合思维导图教学模式。两组出科时均参加理论考核和Mini-CEX,及进行满意度调查。结果实验组的理论知识考核、Mini-CEX考核及总分成绩均高于对照组,差异具有统计学意义(P <0.01)。其中,实验组医师在MiniCEX中的病史采集、体格检查、心电图操作、心电图诊断、临床诊疗及综合表现均高于对照组,差异具有统计学意义(P <0.01),而两组医师未医患沟通、职业素养及组织技能上比较,差异无统计学意义(P> 0.05)。在满意度调查中,实验组医师在临床思维培养、学习兴趣及团队合作的满意度均高于对照组医师,差异具有统计学意义(P<0.05)。结论 CBL联合思维导图的教学模式在心内科住院医师规培中有较好的应用效果,是心内科值得推广的规培教学模式。
Objective To explore the application effect of case-based learning(CBL)combined with mind mapping in the standardized training of resident cardiologists.Methods Residents who participated in standardized training in Department of Cardiology,the Affiliated Hospital of Nantong University from January to October 2017 were selected as the control group,and the traditional teaching mode was adopted.Residents who participated in regular training in our department from November 2017 to August 2018 were selected as the experimental group,and CBL combined mind mapping teaching mode was adopted.Both groups took part in theoretical examination and Mini-CEX,and conducted satisfaction survey.Results he theoretical knowledge test,Mini-CEX test and total score of the experimental group were higher than those of the control group,and the difference was statistically significant(P<0.01).Among them,the medical history collection,physical examination,electrocardiogram operation,electrocardiogram diagnosis,clinical diagnosis and comprehensive performance of doctors in the experimental group were higher than those in the control group,and the difference was statistically significant(P<0.01).However,there was no significant difference in communication,professional accomplishment and organizational skills between the two groups(P>0.05).In the satisfaction survey,the doctors in the experimental group were more satisfied with the training of clinical thinking,learning interest and team cooperation than those in the control group,and the difference was statistically significant(P<0.05).Conclusion CBL combined mind mapping teaching model has a good application effect in the resident training of Cardiology department.It is worth promoting in cardiology department.
作者
徐海霞
花颖
朱艳敏
陈楚
陆齐
XU Haixia;HUA Ying;ZHU Yanmin;CHEN Chu;LU Qi(Department of Cardiology,The Affiliated Hospital of Nantong University,Nantong Jiangsu 226001,China)
出处
《中国继续医学教育》
2019年第11期13-16,共4页
China Continuing Medical Education
基金
南通大学高等教育研究课题(2017GJ039)
南通大学高等教育研究课题(2017GJ038)
