本文已被:浏览 245次 下载 301次
Received:March 21, 2023 Published Online:October 20, 2023
Received:March 21, 2023 Published Online:October 20, 2023
中文摘要: 目的 探讨多学科综合诊疗协作(MDT)联合以案例为基础的学习(CBL)教学模式在头颈肿瘤专业临床教学中的应用和效果。
方法 纳入北京协和医院耳鼻喉科2021年1月至12月参加培训的住院医师共33人,在进入头颈肿瘤专业组轮转时随机分为试验组(n=16)和对照组(n=17)。试验组采用MDT联合CBL教学。对照组采用传统宣讲方式。教学结束后通过答题考核及问卷调查评价教学效果,对比两组理论知识考试和临床技能考核成绩、综合能力,及对培训满意度。
结果 试验组考核总成绩高于对照组[(190.88±2.87)分 vs(187.35±4.06)分,P<0.01],其理论知识考试和临床技能考核成绩均高于对照组(P<0.05)。试验组综合能力总评分高于对照组[(83.75±3.84)分 vs (77.94±2.63)分,P<0.01],在学习兴趣、学习效率、临床思维、沟通技巧及病历书写方面的评分均高于对照组(P<0.05)。问卷调查结果显示,除时间安排外,试验组医师对培训形式、培训内容、有效性和实用性的满意度均高于对照组(P<0.05)。
结论 在头颈部肿瘤学临床教学中,与传统培训模式相比,MDT联合CBL教学模式可有效提高住院医师的专业知识和临床技能,培训效果满意,具有较强的教学实操性。
Abstract:Objective To explore the application and effect of multi-disciplinary team (MDT) combined with case-based learning (CBL) teaching model in clinical teaching of head and neck oncology.
Methods A total of 33 resident physicians who participated in the training in the Department of Otolaryngology of Peking Union Medical Hospital from January to December 2021 were randomly divided into experimental group (n=16)and control group (n=17)when they entered the rotation of head and neck oncological group. The experimental group was taught by MDT combined with CBL. The control group adopted the traditional teaching method. After the teaching, the teaching effect was evaluated by examination and questionnaire survey. The scores of theoretical knowledge test and clinical skill assessment, comprehensive ability and the satisfaction with training of two groups were compared.
Results The total assessment score of experimental group was higher than that of control group (190.88±2.87 vs 187.35±4.06, P<0.01), and their theoretical knowledge and clinical skills assessment scores were higher than those of control group(P<0.05). The total score of comprehensive ability in experimental group was higher than that in control group (83.75 ± 3.84 vs 77.94±2.63, P<0.01), and the scores in learning interest, learning efficiency, clinical thinking, communication skills, and medical record writing were higher than those in control group(P<0.05). The questionnaire survey results showed that except for scheduling, the satisfaction of the experimental group's physicians with the training format, content, effectiveness, and practicality was higher than that of control group(P<0.05).
Conclusion In the clinical teaching of head and neck oncology, compared with the traditional training model, the MDT with CBL teaching model can effectively improve the professional knowledge and clinical skills of resident physicians, with satisfied training effect and strong teaching practicality.
文章编号: 中图分类号:G642 R739.6 文献标志码:B
基金项目:中央高水平医院临床科研业务费资助项目(2022-PUMCH-B-094);中国医学科学院医学与健康科技创新工程(2021-I2M-1-023);科技基础资源调查专项资助项目(2022FY100800)
引用文本: