TBL结合分层递进教学模式在住院医师规范化培训中的实践  

The Practice of TBL Combined With Hierarchical Progression Teaching Mode in the Standardized Training of Residents

作　　者：丁琪 张家良 林万宝 詹华刚 陈川 DING Qi;ZHANG Jialiang;LIN Wanbao;ZHAN Huagang;CHEN Chuan(Department of Internal Medicine,Xinyang Central Hospital,Xinyang He’nan 464000,China)

机构地区：[1]信阳市中心医院内科,河南信阳464000

出　　处：《中国继续医学教育》2024年第3期39-42,共4页China Continuing Medical Education

基　　金：河南省医学教育研究项目(Wjlx2021472)。

摘　　要：目的对以团队为导向的教学法(team-based learning,TBL)结合分层递进教学模式对住院医师规范化培训的影响进行探讨。方法以2021年11月—2022年11月信阳市中心医院内科住院医师为分析对象,于2021年11月—2022年4月采取常住培训模式(作为对照组),于2022年5—11月采取TBL结合分层递进教学模式(作为观察组),对住院医师专业知识掌握程度评分、实践操作能力评分、医师自学能力评分、培训质量评分、住院医师对培训工作满意度等相关数据信息进行统计分析。结果观察组住院医师专业知识掌握程度评分高于对照组,差异有统计学意义(P<0.05)。观察组实践操作能力评分高于对照组,差异有统计学意义(P<0.05)。观察组医师自学能力评分高于对照组,差异有统计学意义(P<0.05)。观察组培训质量评分高于对照组,差异有统计学意义(P<0.05)。住院医师对培训工作满意度更高,差异有统计学意义(P<0.05)。结论TBL结合分层递进教学模式可对住院医师规范化培训产生积极影响,可将住院医师规范化培训水平提升到新高度。Objective To explore the impact of team based learning(TBL)combined with hierarchical and progressive teaching mode on standardized training for resident physicians.Methods The resident physicians of Xinyang Central Hospital from November 2021 to November 2022 were selected as the objects of analysis.From November 2021 to April 2022,the resident training mode(as the control group)was adopted,and from May to November 2022,the TBL combined with hierarchical progressive mode(as the observation group)was adopted.The degree of professional knowledge mastery,practical operation ability,self-learning ability,and training quality of the resident physicians were scored.Statistical analysis of resident physicians'satisfaction with training work and other related data information was carried out.Results The observation group had a higher level of professional knowledge mastery among resident physicians compared to the control group,and the difference was statistically significant(P<0.05).The practical operation ability score of the observation group was higher than that of the control group(82.68±7.48)points,and the difference was statistically significant(P<0.05).The self-study ability score of the observation group physicians was higher than that of the control group(84.16±6.49)points,and the difference was statistically significant(P<0.05).The training quality score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Resident physicians have higher satisfaction with training work,and the difference was statistically significant(P<0.05).Conclusion TBL combined with hierarchical progression can have a positive impact on standardized training for resident physicians,and can elevate the level of standardized training for resident physicians to a new level.

关 键 词：TBL 分层递进 住院医师规范化培训 自学能力 专科知识 实践操作 

分 类 号：G642[文化科学—高等教育学]