联合教学模式在麻醉科住院医师规范化培训临床紧急事件处理教学中的应用  

Application of combined teaching mode in clinical emergency management of standardized training for anesthesiology residents

作　　者：殷霞丽[1] 孙玉娥[1] YIN Xiali;SUN Yu e(Department of Anesthesiology,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院麻醉科,210008

出　　处：《临床麻醉学杂志》2022年第9期954-957,共4页Journal of Clinical Anesthesiology

基　　金：国家自然科学基金(82071229,81870871);南京市卫生科技发展专项基金(ZKX18018)。

摘　　要：目的探讨基于案例学习(CBL)结合迷你临床演练评估(Mini-CEX)教学模式在麻醉科住院医师规范化培训(规培)处理临床紧急事件中的应用效果。方法选择2020—2021年20名麻醉科规培医师作为观察组,2018—2019年20名麻醉科规培医师作为对照组,分别采用CBL结合Mini-CEX教学模式和传统规培教学模式对紧急事件处理进行临床教学。规培1年后,记录临床理论考试成绩和应急案例分析成绩以及问卷调查结果(教学生动性、教学吸引性、学员参与度、分析全面性、印象深刻程度等教学反馈结果)和对教学方法的满意情况。结果规培1年后,观察组理论考试成绩为(93.5±1.6)分,应急案例分析考核成绩为(89.8±2.2)分,对照组理论考试成绩为(89.0±1.8)分,应急案例分析考核成绩为(83.9±1.7)分,观察组临床理论考试成绩和应急案例分析成绩明显高于对照组(P<0.05)。观察组教学反馈结果和对教学方法的满意率明显高于对照组(P<0.05)。结论CBL结合Mini-CEX教学模式在麻醉科规培临床紧急事件处理教学中的应用效果优于传统规培教学模式,能够明显提高规培医师的临床综合能力和学习积极性。Objective To explore the application effect of combination of case-based learning(CBL)and mini-clinical evaluation exercise(Mini-CEX)teaching mode in the standardized training of anesthesiology residents.Methods Twenty residents in training trained by anesthesiology physicians from 2020 to 2021 were selected as the observation group,and the other 20 from 2018 to 2019 were selected as the control group.CBL combined Mini-CEX teaching mode and traditional training mode were used in anesthesiology emergency management.After one year training,the clinical theory test scores,emergency case analysis scores,and the feedback of teaching activity,teaching attraction,student participation,comprehensive analysis and impressive degree of teaching satisfaction in questionnaire survey were conducted respectively.Results The theoretical scores of the observation group were 93.5±1.6 and the emergency case analysis scores were 89.8±2.2,while the theoretical scores of the control group were 89.0±1.8 and the emergency case analysis scores were 83.9±1.7,and scores of the observation group were both higher than those of the control group(P<0.05).The teaching feedback and satisfaction of the observation group were significantly higher than those in the control group(P<0.05).Conclusion The application of CBL combined with Mini-CEX teaching mode in anesthesiology is superior to the traditional standardized teaching mode,which can improve the clinical comprehensive ability and learning enthusiasm in standardized training physicians.

关 键 词：基于案例学习 迷你临床演练评估 麻醉学 住院医师规范化培训 临床紧急事件处理 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]