互联网模式下CBL教学联合Mini-CEX在助理全科住院医师规范化培训中的应用效果  

Application effect of CBL teaching combined with Mini-CEX in standardized training of assistant general practitioners under internet mode

作　　者：肖美霞 施胜铭[1] 吴费凯[1] 刘燕[1] 姚宝红 李文辉 姚希乐 温晓红[4] XIAO Meixia;SHI Shengming;WU Feikai(Department of General Medicine,The First People's Hospital of Houzhou,First Affiliated Hospital of Huzhou Normal College,Huzhou 313000,China)

机构地区：[1]湖州市第一人民医院全科医学科、湖州师范学院附属第一医院全科医学科,浙江湖州313000 [2]湖州市第一人民医院全科医学科、湖州师范学院附属第一医院心胸外科,浙江湖州313000 [3]湖州市第一人民医院全科医学科、湖州师范学院附属第一医院教育培训部,浙江湖州313000 [4]湖州市第一人民医院全科医学科、湖州师范学院附属第一医院湖州市急诊医学中心,浙江湖州313000

出　　处：《全科医学临床与教育》2022年第12期1105-1107,1117,共4页Clinical Education of General Practice

基　　金：浙江省医药卫生科技计划项目(2020PY072)。

摘　　要：目的探讨互联网模式下以案例为主导的讨论式教学法(CBL)联合迷你临床演练评估(Mini-CEX)在助理全科住院医师规范化培训中的效果及可行性。方法选取在湖州市第一人民医院全科医学基地规培的48例助理全科学员为研究对象,用随机数字表法分为对照组和观察组,每组各24例。对照组实施传统教学法,观察组实施互联网模式下CBL教学联合Mini-CEX教学法。连续完成6周教学后,比较两组的出科考核理论和实践成绩、Mini-CEX测评、教学满意测评结果。结果观察组出科理论、操作成绩均高于对照组,差异有统计学意义(t分别=7.37、7.56,P均<0.05);在Mini-CEX测评方面,观察组各项评分均高于对照组,差异有统计学意义(t分别=2.07、2.57、2.57、4.11、8.68、2.22、2.14,P均<0.05)。观察组学员教学满意度各项评分均高于对照组,差异有统计学意义(t分别=4.06、6.54、2.67、2.02、3.72、2.42、4.17,P均<0.05)。结论互联网模式下CBL教学联合Mini-CEX在助理全科医师培养中取得了很好的教学效果,提高了综合素质,并获得了较高的教学满意度。Objective To explore the effect and feasibility of case-based learning(CBL)method combined with mini clinical exercise assessment(Mini-CEX)in the standardized training of assistant general practitioners under the internet mode.Methods Totally 48 assistant general practitioners trained in the general practice base of the first people’s hospital of Huzhou city were selected as the study subjects.They were randomly divided into control group and observation group with 24 cases in each group.The control group implemented the traditional teaching method,and the observation group adopted the CBL teaching combined with Mini-CEX under the internet mode.The theoretical and practical examination results,Mini-CEX assessment,and teaching satisfaction assessment of the two groups were compared.Results The test scores of theory and practice of the observation group were higher than those of the control group(t=7.37,7.56,P<0.05).In the Mini-CEX evaluation,the scores of all dimesions of the observation group were higher than those of the control group(t=2.07,2.57,2.57,4.11,8.68,2.22,2.14,P<0.05).The scores of teaching satisfaction of all dimesions in the observation group were higher than those in the control group(t=4.06,6.54,2.67,2.02,3.72,2.42,4.17,P<0.05).Conclusion Internet mode CBL teaching combined with Mini-CEX has good teaching effect in the training of assistant general practitioners,improved the comprehensive capability and achieved high teaching satisfaction.

关 键 词：互联网教学 以案例为主导的讨论式教学法 迷你临床演练评估 助理全科医师 规范化培训 

分 类 号：C975[经济管理—劳动经济] R-4[医药卫生]