多模式临床实习教学管理体系在骨科同质化实践教学中的应用  

Application of multi-mode clinical practice teaching management system in orthopedic homogenized practice teaching

作　　者：朱建伟[1] 李箭[1] 宋欢[1] ZHU Jianwei;LI Jian;SONG Huan(Orthopedics Department/Orthopaedic Institute,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]四川大学华西医院骨科/骨科研究所,四川成都610041

出　　处：《临床医学研究与实践》2024年第2期175-179,共5页Clinical Research and Practice

基　　金：四川省科技计划项目(No.2021YFS0180);华西临床医学院2023—2024年本科教学改革研究与实践项目(No.HXBKB2023034);四川大学华西临床医学院(华西医院)师德师风建设特色活动项目(No.SDJS2023005)。

摘　　要：目的 探讨多模式临床实习教学管理体系在骨科同质化实践教学中的应用效果。方法 纳入2022年1月至11月进入骨科实习的2017~2019级所有不同专业、学制实习生为调查对象。应用多模式临床实习教学管理体系,对实习教学采用同质化、标准化全流程管理。采用编制问卷进行实习满意度、实习收获、带教评价调查。实习生考核采取多因素综合评定模式,相关因素采用多因素回归分析。结果 进入骨科实习共有52人,实习结束后完成满意度调查问卷49人。实习生对讲授教学、技能培训内容给出了高比例的“很满意”评价。口腔医学、预防医学专业实习生对实习带教中带教病历的满意度高于临床医学专业实习生(P<0.05)。口腔医学、预防医学专业实习生对医疗组的满意度高于临床医学专业实习生(P<0.05)。口腔医学、预防医学专业实习生实习成绩与临床医学专业实习生无显著差异[β=1.69,95%CI(-0.96~4.34);β=-0.26,95%CI(-3.01~2.49)]。结论 采用多模式临床实习教学管理体系的同质化实践教学后,不同专业、学制的临床实习生均获得了相类似的较高实习效果。Objective To explore the application effect of multi-mode clinical practice teaching management system in orthopedic homogenized practice teaching.Methods From January to November 2022,all interns of different majors and educational systems from grade 2017 to 2019 who interned in orthopedics department were included in the survey.The multi-mode clinical practice teaching management system was applied in the practice teaching using homogenized and standardized whole process management.A questionnaire was used to investigate the internship satisfaction,internship harvest and teaching evaluation.A multi-factor comprehensive evaluation model was adopted for the assessment of interns,and the related factors were analyzed by multi-factor regression.Results A total of 52 interns entered the orthopedic internship,and 49 interns completed the satisfaction questionnaire after the internship.Interns gave a high proportion of"very satisfied"evaluations for teaching and skill training.The satisfaction of interns majoring in stomatology and preventive medicine to the medical records in practice teaching was higher than that of interns majoring in clinical medicine(P<0.05).The satisfaction of interns majoring in stomatology and preventive medicine to the medical team was higher than that of interns majoring in clinical medicine(P<0.05).There was no significant difference in score between interns majoring in stomatology and preventive medicine and interns majoring in clinical medicine[β=1.69,95%CI(-0.96-4.34);β=-0.26,95%CI(-3.01-2.49)].Conclusion After adopting the homogenized practice teaching of multi-mode clinical practice teaching management system,clinical interns of different majors and educational systems have achieved similar high practice effects.

关 键 词：临床实习 多模式管理 同质化教学 

分 类 号：G424.29[文化科学—课程与教学论]