系统论及模拟场景的教学模式在住院医师规范化培训恶性心律失常教学中的应用  

Standardized Residents Training with Cardiovascular Emergency under the Teaching Mode of Systematology and Simulation Scene

作　　者：吕颖 张军波[2] 祁杰 LYU Ying;ZHANG Jun-bo;QI Jie(Department of Cardiovascular Medicine,the Third Affiliated Hospital of Medical College of Xi’an Jiaotong University,Xi’an 710068;Department of Cardiovascular Medicine,the First Affiliated Hospital of Medical College of Xi’an Jiaotong University,Xi’an 710061,China)

机构地区：[1]西安交通大学第三附属医院暨陕西省人民医院心血管病院,陕西西安710068 [2]西安交通大学第一附属医院周围血管科,陕西西安710061

出　　处：《医学教育研究与实践》2021年第1期176-179,共4页Medical Education Research and Practice

摘　　要：目的探讨系统论及模拟场景的综合教学模式对心血管急症的应用效果。方法选择2017-2019年在我科轮转的规培医师80人,进行恶性心律失常教学。随机分为两组,单纯LBL教学法组与情景模拟演练组(LBL+CBL及PBL教学法)各40人。运用从理论知识、急救操作技能以及临床思维三方面进行打分考核,比较两组培训效果。结果情景模拟演练组三个方面得分均较单纯LBL教学法组高:理论知识(88.13±0.49)vs.(84.15±0.59)(P<0.01);操作技能(81.63±0.88)vs.(76.00±1.24)(P<0.01),临床思维(82.20±0.85)vs.(77.18±1.04)(P<0.01);且情景模拟演练组满意度较单纯LBL教学法组高。结论情景模拟演练教学法在理论学习和实践方面均优于单纯LBL教学法。Objective To investigate the effect of comprehensive teaching mode of systematology and scenario simulation exercise on cardiovascular emergency.Methods The 80 doctors who rotated in our department from 2017 to 2019 for standardized residents training were randomly divided into two groups to accepting the train of the treatment on malignant arrhythmia,40 doctors in LBL(lecture-based learning)group and the other 40 doctors in Scenario simulation exercise group(case study-based learning and problem-based learning group).The training effects of the two groups were compared by theoretical knowledge,emergency operation skills and Clinical thinking ability.Results The scores of three aspects in the scene simulation group were higher than that in the simple LBL group:theoretical knowledge 88.13±0.49 vs.84.15±0.59(P<0.01);operational skills 81.63±0.88 vs.76.00±1.24(P<0.01);clinical thinking 82.20±0.85 vs.77.18±1.04(P<0.01).And the satisfaction of the scene simulation group was higher than that of the simple LBL group.Conclusion Situational simulation teaching method is better than simple LBL teaching method in both theoretical learning and practice.

关 键 词：住院医师规范化培训 心血管急症 系统论 情景模拟演练 

分 类 号：G642[文化科学—高等教育学]