摘要
目的探索基于器官系统的精简模块化教学在急诊科住院医师规范化培训中的运用效果。方法纳入2020年7月至2021年7月间参与华中科技大学同济医学院第二临床学院住培的医师,采用随机化1∶1的比例为分常规组(25人)和模块化组(25人),常规组采用传统标准化教学,模块化组在常规组基础上采用基于器官系统的精简模块化教学。培训完成后通过问卷考查并比较两组学员的学习成绩、教学相关指标,同时考查带教教师对教学方法的满意度。数据分析采用SPSS 21.0软件进行t检验和卡方检验。结果模块化组学员的出科总成绩优于常规组[(93.52±0.49)vs.(84.44±0.57);t=12.02,P<0.001]。通过对出科成绩内具体项目评分进行分析,模块化组学员在急诊理论、病史询问与书写、体格检查与操作、检查结果判读、治疗处理方面也均优于常规组,差异具有统计学意义(t=3.62、4.29、4.22、10.09、7.56,均P<0.001)。模块化组在教学相关指标方面均优于常规组,具有统计学意义(P<0.05)。所有参与教学的教师均对该教学满意。结论基于器官系统的精简模块化教学有益于住培医师在急诊科住院规范化培训,值得推广。
Objective To explore the effectiveness of streamlined modular teaching based on the organ system in standardized residency training in emergency medicine.Methods We enrolled residents on standardized training in the Second Clinical College of Tongji Medical College of Huazhong University of Science and Technology from July 2020 to July 2021.They were randomly divided in a 1∶1 ratio into conventional group(25 trainees,adopting a traditional standardized teaching method)and modular group(25 trainees,adopting streamlined modular teaching based on the organ system in addition to the method of the conventional group).At the end of training,all the trainees were assessed for academic performance and teaching-related indicators through an exam and questionnaire survey,and the teachers were surveyed for the degree of satisfaction with the teaching method.Data were analyzed by the t-test and chi-squared test using SPSS 21.0 software.Results The modular group had a significantly higher total final exam score than the conventional group[(93.52±0.49)vs.(84.44±0.57),t=12.02,P<0.001].Specifically,the modular group had significantly higher scores than the conventional group in emergency medicine theory,medical history taking and writing,physical examination and procedures,interpretation of examination results,and treatment and management(t=3.62,4.29,4.22,10.09,7.56,all P<0.001).The modular group was also superior to the conventional group in terms of teaching-related indicators(all P<0.05).All participating teachers were satisfied with the new teaching method.Conclusions The streamlined modular teaching method based on the organ system is beneficial for the standardized training of residents in emergency medicine,which is worthy of promotion.
作者
方瑜
余姗姗
张倩楠
邓刚
Fang Yu;Yu Shanshan;Zhang Qiannan;Deng Gang(Department of Emergency/Critical Care Medicine,Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China;Department of Neurology,Tongji Hospital,Tongji Medical College of Huazhong University of Science and Technology,Wuhan 430030,China)
出处
《中华医学教育探索杂志》
2024年第2期276-279,共4页
Chinese Journal of Medical Education Research
