多维联合教学法在住院医师规范化培训心脏超声教学中的应用  

Application of multi-dimensional teaching methods in standardized echocardiography training among residents

作　　者：邓玉姣 王一茹[1] 张明博[1] 李秋洋[1] 李越[1] 罗渝昆[1] Deng Yujiao;Wang Yiru;Zhang Mingbo;Li Qiuyang;Li Yue;Luo Yukun(Department of Ultrasound,the First Medical Center of Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心超声诊断科,北京100853

出　　处：《中华医学超声杂志（电子版）》2021年第7期715-719,共5页Chinese Journal of Medical Ultrasound(Electronic Edition)

基　　金：北京市自然科学青年基金项目(7214255)。

摘　　要：目的探讨多维联合教学法在住院医师规范化培训心脏超声教学中的应用。方法选取2017年8月至2020年6月在解放军总医院第一医学中心超声诊断科参加住院医师规范化培训第2年的住院医师24名,随机分为试验组和对照组,每组各12名。试验组采用“思维导图-问题导向-案例”多维联合教学方法,对照组采用传统讲授式教学方法,对肥厚性心肌病进行授课。采用理论试题测试、上机操作测试及问卷调查3种方式对2组的教学效果进行评估并采用t检验比较2组住培生成绩的差异。结果采用多维联合教学法的试验组住培生理论考试总分、上机操作总分均高于对照组住培生[(86.33±3.65)分vs(74.75±5.01)分,(90.67±3.45)分vs(80.01±2.89)分],差异均具有统计学意义(t=6.472、8.205,P均<0.001)。问卷调查结果显示,试验组住培生在提高学习效率、学习兴趣、自主学习能力、增强学习自信心、知识的掌握程度等项目的评价均高于对照组住培生[(9.28±0.70)分vs(8.08±1.16)分;(9.17±0.72)分vs(7.83±1.19)分;(9.04±0.62)分vs(8.00±1.27)分;(9.09±0.66)分vs(8.13±1.11)分;(8.92±0.51)分vs(7.58±0.90)分],差异均具有统计学意义(t=3.068、3.337、2.549、2.575、4.487,P=0.006、=0.003、=0.018、=0.017、<0.001)。结论多维联合教学法优于传统讲授式教学法,在住院医师规范化培训心脏超声教学中具有重要价值。Objective To investigate the feasibility of the multi-dimensional teaching method combining mind map instruction(MMI),problem-based learning(PBL),and case-based learning(CBL)in standardized echocardiography training among residents.Methods From August 2017 to June 2020,24 second-year residents at the Department of Ultrasound of the First Medical Center of Chinese PLA General Hospital who would undergo standardized resident training were included and randomly divided into two groups(control group and experimental group),with 12 residents in each group.Multi-dimensional teaching method was applied to the experimental group,and traditional teaching mode to the control group,focusing on the disease of hypertrophic myocardiopathy.The teaching effects of the two groups evaluated through theoretical and practical examinations and questionnaire survey were analyzed,and the t test was used to compare the difference between the two groups.Results The total scores of the theoretical and practical examinations in the experimental group were significantly higher than those of the control group[(86.33±3.65)vs(74.75±5.01),t=6.472,P<0.001;(90.67±3.45)vs(80.01±2.89),t=8.205,P<0.001].The evaluation of teaching questionnaire in the experimental group showed that the study efficiency,learning interest,autonomous learning ability,learners'confidence,and mastery degree of the knowledge were markedly higher than those of the control group[(9.28±0.70)vs(8.08±1.16),t=3.068,P=0.006;(9.17±0.72)vs(7.83±1.19),t=3.337,P=0.003;(9.04±0.62)vs(8.00±1.27),t=2.549,P=0.018;(9.09±0.66)vs(8.13±1.11),t=2.575,P=0.017;(8.92±0.51)vs(7.58±0.90),t=4.487,P<0.001].Conclusion Multidimensional teaching method is superior to the traditional teaching mode,and has important value in standardized echocardiography training among residents.

关 键 词：思维导图 问题导向 案例教学 住院医师 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]