新型冠状病毒肺炎疫情期间线上PBL教学联合模拟教学模式在重症医学科住院医师规范化培训中的应用效果  

Exploration and application of PBL online combined with simulated teaching method in critical care medical standardized resident training program during the COVID-19 epidemic

作　　者：周晓[1] 董磊[1] 赵梦雅[1] 白国强[1] 段美丽[1] ZHOU Xiao;DONG Lei;ZHAO Meng-ya;BAI Guo-qiang;DUAN Mei-li(Department of Critical Care Medicine,Beijing Friendship Hospital Affiliated to Capital Medical University,Beijing,,100054,China)

机构地区：[1]首都医科大学附属北京友谊医院重症医学科,北京100054

出　　处：《中国当代医药》2021年第33期227-230,共4页China Modern Medicine

基　　金：首都医科大学附属北京友谊医院科研启动基金(教学专项)(yyqdkt2020-49)。

摘　　要：目的评价新型冠状病毒肺炎(以下简称“新冠肺炎”)疫情防控期间线上PBL教学联合模拟教学的教学策略在重症医学教学中的应用效果,探讨有助于培养学员临床思维及实践能力的教学方法。方法回顾性选取2020年1月至10月首都医科大学附属北京友谊医院重症医学科的29名住培基地学员作为实验组,选取2019年1月至10月同院的52名住培学员作为对照组。实验组采用线上PBL联合模拟教学方法,对照组采用传统教学方法,比较两组学员的理论考试、技能考试成绩及问卷调查结果,记录两组学员不良事件发生率来进行安全性评价。结果实验组的理论和技能考试成绩、对自身培训方法在教学方法的有效性、传授知识的有效性、学员满意度、分析探究问题能力、接受知识能力、参与教学的主动性、学习积极性等方面的满意度,均高于对照组,差异有统计学意义(P<0.05)。实验组临床不良事件发生1例,对照组临床不良事件发生3例,两组的不良事件发生率比较,差异无统计学意义(P>0.05)。结论新冠肺炎疫情防控期间,采用线上PBL联合模拟教学能有效提高规培重症医学科住院医师教学质量,利于学员完善临床思维和增强综合处理能力,值得推广。Objective To evaluate the application of PBL method online combined with simulation teaching during the COVID-19 epidemic in critical care medical standardized resident training program.Methods A total of 29 residents from Department of Critical Care Medicine of Beijing Friendship Hospital Affiliated to Capital Medical University from January to October 2020 were retrospectively selected as the experimental group,52 residents in the same hospital from January 2019 to October 2019 were selected as the control group.The experimental group received PBL online combined with simulation teaching while the control group received traditional teaching method.The results of theoretical examination,skill assessment and questionnaire survey of the two groups were compared,and the incidence of adverse events of the two groups was recorded for safety evaluation.Results The experimental group achieved higher score in theoretical examination,skill assessment,and the questionnaire results showed that the experimental group gave higher points in effectiveness of teaching methods,effectiveness of imparting knowledge,residents satisfaction,ability to analyze and explore problems,ability to accept knowledge,the initiative to participate in teaching,and the enthusiasm for learning,the differences were statistically significant(P<0.05).There were 1 case of clinical adverse events in the experimental group and 3 cases in the control group.There was no significant difference in the incidence of adverse events between the two groups(P>0.05).Conclusion During the COVID-19 epidemic,PBL online combined with simulated teaching can effectively improve the teaching quality in critical care medical standardized resident training program.

关 键 词：线上教学 以问题为基础的学习 模拟教学 重症医学 

分 类 号：R642.0[医药卫生—外科学]