摘要
目的:探讨临床病理讨论会(clinical pathological conference, CPC)在肾内科住院医师规范化培训中的应用效果。方法:本研究采用试验对照方法,2021年6月至2022年9月,选取北京大学第三医院肾内科接受住院医师规范化培训的81名学员为研究对象,其中47名作为试验组,在肾内科教学中采用CPC;34名因受新型冠状病毒肺炎疫情影响采用传统教学方式,作为对照组。通过肾脏病临床和病理诊断考核、教学满意度调查评估教学效果,组间比较采用 t检验和 χ^(2)检验。 结果:试验组学员考核成绩为(89.36±16.07)分,高于对照组学员的(74.71±25.73)分,差异具有统计学意义( P=0.005)。对各自教学方式的满意度,试验组学员为[93.6%(44/47)]高于对照组学员的[76.5%(26/34)] ,差异具有统计学意义( P=0.026)。试验组学员中,46名(97.9%)认为CPC有助于加深理论知识的理解和记忆,45名(95.7%)认为CPC有助于提高解决临床问题的能力并有更多机会学习不同病例。 结论:肾内科住院医师规范化培训中采用CPC有助于住院医师理解和掌握肾脏疾病临床和病理诊断,并且得到住院医师的认可。
Objective To explore the effect of clinical pathological conference(CPC)in standardized residency training in nephrology.Methods The experimental control method was used in this study.From June 2021 to September 2022,81 residents who underwent standardized residency training in Department of Nephrology of Peking University Third Hospital were selected as the research subjects.Among them,47 residents were assigned to the experimental group to participate in CPC,while 34 residents were assigned to the control group,who received the traditional teaching method due to the COVID-19 pandemic.The teaching effect was evaluated by clinical and pathological examination of kidney disease and satisfaction survey.T-test and χ^(2) test was used to compare the results of the two groups.Results The scores of clinical and pathological examination from the experimental group(89.36±16.07)was higher than that from the control group(74.71±25.73)(P=0.005).The satisfaction of students in the experimental group[93.6%(44/47)]was higher than that in the control group[76.5%(26/34)](P=0.026).Overall,46(97.9%)residents from the experimental group believed that CPC contributed to deepening the understanding and memory of theoretical knowledge,and 45(95.7%)residents believed that CPC contributed to improving the ability to solve clinical problems and having more opportunities to learn different cases.Conclusions The application of CPC in standardized resident training in nephrology is helpful for residents to understand and master the clinical and pathological diagnosis of renal disease.
作者
包文晗
王悦
Bao Wenhan;Wang Yue(Department of Nephrology,Peking University Third Hospital,Bejing 100191,China)
出处
《中华医学教育杂志》
2023年第7期525-528,共4页
Chinese Journal of Medical Education
关键词
肾脏病学
临床病理讨论会
住院医师规范化培训
肾内科
应用
Nephrology
Clinical pathological conference
Standardized resident training
Nephrology department
Application
