基于PCAS及微信平台的PBL教学在消化科规范化培训医师带教中的经验  

The Experience of PBL Teaching Based on the PCAS and We Chat Platform Applied on Doctors of Standardized Training During Gastroenterology Department

作　　者：程桂莲[1] 沈旭东[2] 吴永友[3] 王少峰[1] 胡端敏[1] 李蓓[4] 李凌云[5] CHENG Guilian;SHEN Xudong;WU Yongyou;WANG Shaofeng;HU Duanmin;LI Bei;Li Lingyun(Department of Gastroenterology,The Second Affiliated Hospital of Soochow University,Suzhou Jiangsu 215004,China;Department of Oncology,The Second Affiliated Hospital of Soochow University,Suzhou Jiangsu 215004,China;Department of Gastrointestinal Surgery,The Second Affiliated Hospital of Soochow University,Suzhou Jiangsu 215004,China;Department of Teaching officel,The Second Affiliated Hospital of Soochow University,Suzhou Jiangsu 215004,China;Department of Education,The Second Affiliated Hospital of Soochow University,Suzhou Jiangsu 215004,China)

机构地区：[1]苏州大学附属第二医院消化科,江苏苏州215004 [2]苏州大学附属第二医院肿瘤科,江苏苏州215004 [3]苏州大学附属第二医院胃肠外科,江苏苏州215004 [4]苏州大学附属第二医院教学办,江苏苏州215004 [5]苏州大学附属第二医院教育处,江苏苏州215004

出　　处：《中国继续医学教育》2020年第11期10-13,共4页China Continuing Medical Education

基　　金：苏州大学附属第二医院住院医师规范化培训管理预研基金项目(SDFEYZP1802)。

摘　　要：目的探讨基于PCAS及微信平台PBL教学在消化科规范化培训住院医师带教中的实践及体会。方法以123名规培医师为研究对象,分为常规教学组及PBL教学组。采用客观测评以及主观问卷调查对教学效果进行初步评价,比较常规教学和PBL教学在规培医师教学中的效果。结果PBL教学组学员认同人数更多,除"临床诊疗思维锻炼"外,组间比较差异均有统计学意义。PBL教学组出科考核成绩与常规教学组相比,在病史询问、体格检查、病历书写、理论考试上有所提高(P<0.05),而技能操作得分组间差异无统计学意义。教师座谈调查结果表示,教师也很支持PBL教学模式。结论在规培医师中开展基于PCAS及微信平台的PBL教学对其能力培养具有较大的帮助,在实际临床教学中切实可行,可操作性强,有利于提高学员培训质量。Objective To discuss the experience of PBL teaching based on PCAS and We Chat platform for the Standardized Training of Resident Doctors in the department of gastroenterology. Methods 123 resident doctors were divided into regular teaching group and PBL teaching group. Objective evaluation and subjective questionnaire were used to evaluate the teaching effect. Then compare the difference of two groups. Results The number of students in PBL teaching group is more, except for "clinical diagnosis and treatment thinking exercise", the difference between the groups is statistically significant. Compared with the routine teaching group, PBL group’s examination scores in medical history inquiry, physical examination, medical record writing and theoretical examination were improved(P < 0.05), but there was no significant difference in skill operation scores between the two groups. According to the survey results, teachers also support PBL teaching mode. Conclusion The PBL teaching based on PCAs and We Chat platform is helpful to improve the ability of the resident doctors in the standardized training. It is feasible and practical in clinical teaching, which is conducive to improving the quality of the resident doctors.

关 键 词：教学法 基于问题的教学模式 医学影像归档与传输系统 微信 规范化培训 问卷调查 

分 类 号：G642[文化科学—高等教育学]