基于多学科诊疗模式联合以病例为基础的教学模式在放射肿瘤学科住院医师规范化培训中的应用效果  

Application effect of multi-disciplinary team combined with case-based learning in standardized training of residents in radiation oncology

作　　者：李崇义 熊艳丽 耿明英 朱晓菊 李梦侠 戴楠 LI Chongyi;XIONG Yanli;GENG Mingying;ZHU Xiaoju;LI Mengxia;DAI Nan(Cancer Center,Daping Hospital,Army Medical University,Chongqing400042,China)

机构地区：[1]陆军军医大学大坪医院肿瘤中心,重庆400042

出　　处：《中国医药导报》2022年第1期68-71,84,共5页China Medical Herald

基　　金：国家重点研发计划数字诊疗装备研发重点专项项目(2018YFC0114402);重庆市专业学位研究生教学案例库(99号);陆军军医大学教育训练改革研究课题(2019B29)。

摘　　要：目的探索多学科诊疗模式(MDT)联合以病例为基础的教学模式(CBL)在放射肿瘤学科住院医师规范化培训中的应用效果。方法选择2016年8月至2019年8月陆军军医大学大坪医院进行放射肿瘤学科住院医师规范化培训的医师56名,依据随机数字表法分为创新教学组和传统教学组,每组28名。创新教学组采用MDT+CBL教学模式,传统教学组采用科室轮转+CBL教学模式。比较两组理论考核、实践考核成绩及相关调查问卷结果。结果两组理论考核客观题成绩比较,差异无统计学意义(P>0.05);创新教学组理论考核主观题及实践考核成绩高于传统教学组(P<0.05)。创新教学组规培医师在兴趣、主动性、知识接受程度和团队协作评分高于较传统教学组(P<0.05)。创新教学组患者、带教老师、护理人员对规培医师评价的分数高于传统教学组;规培医师对带教导师、规培基地的评价分数高于传统教学组(P<0.05)。结论MDT+CBL教学模式可提高规培医师的学习效率,有利于提高培训的教学效果。Objective To explore the efficacy of multi-disciplinary team(MDT)combined with case-based learning(CBL)in standardized training of residents in radiation oncology.Methods From August 2016 to August 2019,a total of 56 residents were selected from Daping Hospital,Army Medical University for standardized resident training in radiation oncology,according to the random number table method,they were divided into innovative teaching group and traditional teaching group,with 28 residents in each group.Innovative teaching group adopted MDT+CBL teaching mode,while traditional teaching group adopted department rotation+CBL teaching mode.The results of theory assessment,practice assessment and related questionnaire were compared between two groups.Results There was no statistical significance in objective questions scores of theory assessment between two groups(P>0.05);the results of subjective questions scores of theory assessment and practice scores in innovative teaching group were higher than those in traditional teaching group(P<0.05).The scores of interest,initiative,knowledge acceptance,and teamwork by training physicians in innovative teaching group were higher than those in traditional teaching group(P<0.05).The evaluation scores of patients,teachers,and nursing staff in innovative teaching group on the evaluation of standardized training physicians were higher than those in traditional teaching group;and the evaluation scores of training teachers and training bases by training physicians in standardized training group were higher than those in traditional teaching group(P<0.05).Conclusion MDT+CBL teaching mode can improve the learning efficiency of training residents and improve the teaching effect of training.

关 键 词：以病例为基础的教学模式 放射肿瘤学科 住院医师规范化培训 多学科诊疗模式 

分 类 号：G642[文化科学—高等教育学]