多教学模式联合教学及师资经验对医学生外科基本操作培训效果的量化评估  

Impact of comprehensive teaching mode and trainer experience on teaching effect of basic surgical skill training

作　　者：王常珺[1] 林燕[1] 周易冬[1] 赵峻[2] 姜英姿[2] 罗林枝[2] 孙强[1] WANG Chang-jun;LIN Yan;ZHOU Yi-dong;ZHAO Jun;JIANG Ying-zi;LUO Lin-zhi;SUN Qiang(Department of Breast Surgery,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China;Department of Medical Education, Peking Union Medical College Hospital,CAMS & PUMC, Beijing 100730, China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院乳腺外科,北京100730 [2]中国医学科学院北京协和医学院北京协和医院教育处,北京100730

出　　处：《基础医学与临床》2021年第12期1864-1867,共4页Basic and Clinical Medicine

基　　金：北京协和医学院小规模特色办学教学青年教师培养项目(X103880)。

摘　　要：目的研究多教学模式联合教学及师资经验对医学生外科基本操作教学效果的影响。方法采用2×2析因设计,纳入北京协和医学院进入外科临床实习的见习生70人,随机分配至基于讲授法教学组及“基于讲授法学习+基于问题学习+基于病例学习”多模式联合教学组,每组再随机分为两组分别由主治医师和住院医师授课,比较教学效果。结果多模式综合教学在主观量化评估、客观操作评分及操作耗时等方面均显著优于对照组,尤其体现在“从事外科意愿”“临床思路”以及“未来努力方向”3方面。此外,除“临床思路”评分项之外,住院医师的教学效果与主治医师相比无显著性差异。结论多模式联合教学显著优于单模式,住院医师可胜任外科基本操作教学工作。Objective To study the impact of comprehensive teaching mode and trainer experience on teaching effect of surgical basic technique training.Methods The present study adopted 2×2 factorial design.Seventy surgical interns were randomly assigned to the control group adapting lecture-based learning and the experimental group was trained with the comprehensive teaching mode integrating lecture-based,problem-based and case-based learning.Each study group was further randomly divided into two subgroups with either resident or attending surgeon as trainers.Results The comprehensive teaching mode was superior to the control group in terms of quantitative subjectobject assessment and operation time consumption,especially for“willingness to pursue a career in surgery”“clinical reasoning”and“direction of future development”.Furthermore,except for“clinical reasoning”,the teaching effect of resident didn't show statistically significant difference with attending surgeon.Conclusions The comprehensive teaching mode exhibits better teaching effect as compared with the classoc lecture-based learning.The surgical resident is fully competent to serve as the trainer for surgical basic technique training program.

关 键 词：外科教学 基于讲授法学习 基于问题学习 基于病例学习 师资经验 

分 类 号：G642.0[文化科学—高等教育学]