摘要
目的 探讨戴明环(plan do check action,PDCA)循环管理模式与迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)联合操作技能直接观察评估(direct observation of procedural skills,DOPS)相结合的“三元融合”教学模式在医学生临床能力培训与考核中的价值。方法 选取安徽中医药大学第一附属医院2021年6—12月60名心血管内科培养住院医师为研究对象,将学员分为对照组、观察组,各30名。对照组采用传统教学方法,观察组采用“三元融合”教学法,培训后对教学效果和满意度问卷调查进行对比分析。结果 采用“三元融合”教学法观察组的问诊技巧、心脏检查、临床判断、沟通交流、整体评价、评价总分和满意度问卷调查结果均优于对照组,差异有统计学意义(P <0.05)。结论 “三元融合”的教学模式应用于临床教学,有利于提高学员的综合临床能力、临床思维能力以及操作技能水平,在心血管内科临床教学中具有较高应用价值。
Objective To explore the value of the "three-way integration" teaching model,the combination of the Deming circle(plan do check action,PDCA) cycle management model and the Mini-Clinical evaluation exercise(miniCEX) combined with direct observation of procedural skills(DOPS) in the training and assessment of clinical abilities of medical students.Methods A total of 60 residents who trained in the cardiovascular department of the first affiliated hospital of Anhui University of Traditional Chinese Medicine from June to December 2021 were selected as the research subjects,and the trainees were divided into two groups,with 30 students in each group.The control group was trained with traditional teaching methods,while the observation group was trained with "three-way integration" teaching method.A comparative analysis of teaching effect and satisfaction questionnaire survey after training was carried out.Results Using the " three-way integration" teaching method,the observation group was better than the control group in terms of interview skills,cardiac examination,clinical judgment,communication,overall evaluation,total evaluation score and satisfaction questionnaire,and the difference was statistically significant(P<0.05).Conclusion The application of the " three-way integration" teaching mode in clinical teaching is beneficial to improve the students' comprehensive clinical ability,clinical thinking ability and operational skills level,and has high application value in the clinical teaching of cardiovascular medicine.
作者
王时光
戚先伟
冉永玲
付军
陈静
左强
桂青
周伟强
WANG Shiguang;QI Xianwei;RAN Yongling;FU Jun;CHEN Jing;ZUO Qiang;GUI Qing;ZHOU Weiqiang(Department of Cardiology,the First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei Anhui 230031,China;Department of Clinical Teaching,the First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei Anhui 230031,China)
出处
《中国继续医学教育》
2024年第5期98-103,共6页
China Continuing Medical Education
基金
安徽中医药大学2021年度校级质量工程项目(2021zlgcfy008)
2019年度安徽高校自然科学研究项目(KJ2019A0443)
新安医学教育部重点实验室开放项目(2020xayx04)。
