心内科轮转研究生教学案例库的建设和应用研究  

Research on the construction and application of postgraduate teaching case base of rotation in department of cardiology

作　　者：苏强 吕祥威[1] 李全忠[1] 李金轶 戴日新[1] 杨锡恒[1] 秦忠 Su Qiang;Lu Xiangioei;Li Quanzhong;Li Jinyi;Dai Rixin;Yang Xiheng;Qin Zhong(Department of Cardiology,Affiliated Hospital of Guilin Medical University,Guilin 541001,China)

机构地区：[1]桂林医学院附属医院心血管内科,桂林541001

出　　处：《中华医学教育探索杂志》2022年第3期305-308,共4页Chinese Journal of Medical Education Research

基　　金：广西研究生教育创新计划项目(JGY2020159)。

摘　　要：目的建设心内科轮转研究生教学案例库,并探讨其应用效果。方法于2020年4月至2020年12月构建心内科轮转研究生教学案例库。选取2021年1月至2021年4月医院心内科轮转的研究生共32名,采用随机数字表法分为两组;常规组采用传统带教,研究组在此基础上应用教学案例库;均带教1个月。比较两组出科考核成绩、教学前后临床实践能力变化、对教学的满意度。应用SPSS 22.0进行t检验和卡方检验。结果两组出科理论考核和实践操作考核成绩均高于入科成绩(P<0.05),且研究组出科理论考核成绩、出科实践操作考核成绩均高于常规组(P<0.05);两组教学后问诊、病例分析、诊断、治疗、随访方面的临床实践能力评分均高于教学前(P<0.05),且教学后研究组上述方面的临床实践能力评分均高于常规组(P<0.05);研究组对此教学方法在提高考核成绩、提升临床实践能力、加深职业认识、增强职业信心的评分均高于常规组(P<0.05)。结论构建并应用心内科轮转的研究生教学案例库可提高考核成绩,增强临床实践能力,且更能使研究生满意。Objective To construct the postgraduate teaching case database of rotation in department of cardiology,and to explore its application effect.Methods The postgraduate teaching case base of rotation in department of cardiology was constructed during April 2020 to December 2020.A total of 32 graduate students rotating in Department of Cardiology of Affiliated Hospital of Guilin Medical University from January 2021 to April 2021 were selected and randomly divided into two groups.The routine group adopted the traditional teaching method,and the research group applied the teaching case base on this basis,both for one month.The examination results,the changes of clinical practice ability before and after the teaching,and the satisfaction with the teaching mode were compared between the two groups.SPSS 22.0 was used for t test and chi-square test.Results The final results of the theoretical examination and practical operation examination of the two groups were higher than those of the entrance examination(P<0.05),and the results of the theoretical examination and practical operation examination of the research group were higher than those of the routine group(P<0.05).The scores of clinical practice ability of inquiry,case analysis,diagnosis,treatment and follow-up in the two groups after teaching were higher than those before teaching(P<0.05),and the scores of clinical practice ability in the research group after teaching were higher than those in the routine group(P<0.05).The satisfaction scores on improving examination results,enhancing clinical practice ability,deepening professional understanding and enhancing professional confidence of the teaching mode of the research group were higher than those of the routine group(P<0.05).Conclusion The construction and application of postgraduate teaching case base of cardiology rotation can improve the examination results,enhance the clinical practice ability,and achieve the satisfaction of postgraduates.

关 键 词：心内科 研究生 教学案例库 

分 类 号：R-05[医药卫生]