CP结合TBL教学在妇科住院医师规范化培训中的应用  

Application of clinical pathway and team-based learning teaching method in standardized residency training of gynecology

作　　者：张清伟[1] 付秀虹[1] 吕净上[1] 王慧芬[1] 曹磊佳 孙明振[2] 宋佳玉[2] Zhang Qingwei;Fu Xiuhong;Lil Jingshang;Wang Huifen;Cao Leijia;Sun Mingzhen;Song Jiayu(Department of Obstetrics and Gynecology,Luohe Central Hospital/Hie First Affiliated Hospital of Louhe Medical College,Luohe 462000,China;Department of Pharmacology,Luohe Medical College,Luohe 462000,China)

机构地区：[1]漯河市中心医院妇产科/漯河医学高等专科学校第一附属医院妇产科,漯河462000 [2]漯河医学高等专科学校药学系,漯河462000

出　　处：《中华医学教育探索杂志》2022年第1期71-74,共4页Chinese Journal of Medical Education Research

基　　金：2017年河南省医学教育研究项目(Wjlx2017227);漯河医学高等专科学校2019年度创新创业发展能力提升工程-教育教学改革研究项目(2019-LYZJGYB037)。

摘　　要：目的探讨临床路径(clinical pathway,CP)结合以团队为基础学习(team based learning,TBL)教学在妇科住院医师规范化培训中的效果和意义。方法以2017年7月至2019年7月在漯河市中心医院妇科轮转的40名参加规范化培训的住院医师为研究对象,分为试验组和对照组。试验组(n=20)采用CP结合TBL教学法,对照组(n=20)采用传统教学法。每轮培训结束后,对两组住院医师进行专业理论、临床实践技能考核并进行教学满意度调查和教学效果评价。采用SPSS 23.0软件进行统计分析。结果试验组专业理论、临床实践技能平均成绩分别为(85.55±5.96)分、(89.90±6.40)分,均高于对照组平均成绩(76.36±6.68)分、(75.50±4.81)分,差异有统计学意义(P<0.05)。问卷调查结果显示,试验组住院医师对CP结合TBL教学法满意度高,对教学方法的效果评价高。结论CP结合TBL教学法有利于提高妇科住院医师规范化培训质量,建议在妇科住院医师规范化培训中应用和推广。Objective To explore the effectiveness of clinical pathway(CP)and team-based learning(TBL)teaching method in standardized residency training of gynecology.Methods The research included 40 residents as objects who took standardized training in gynecological rotation in Luohe Central Hospital from July 2017 to July 2019,and they were randomized into experimental group and control group.The combination of CP and TBL teaching method was used in the experimental group(n=20),while the traditional teaching method was applied in the control group(n=20).All residents were tested for the professional theory and clinical skill after training.After the training,a survey about the teaching satisfaction and the effectiveness of teaching methods was conducted for both groups.Statistical analysis was performed by SPSS 23.0 software.Results The average scores of professional theory and clinical practice skills in the experimental group were(85.55±5.96)points and(89.90±6.40)points respectively,which were better than the average scores of the control group[(76.36±6.68)points and(75.50±4.81)points,respectively],and there were significant differences between two groups(P<0.05).The results of the questionnaire survey showed that the experimental group residents had a higher degree of satisfaction and a higher evaluation of the teaching method than the control group.Conclusion CP and TBL teaching is beneficial to improve the quality of standardized residency training of gynecology,and it is suggested to make wide popularization and application in the training.

关 键 词：临床路径 以团队为基础学习 妇科 住院医师 规范化培训 

分 类 号：R-05[医药卫生]