联合教学模式在麻醉科住培中提升医师应急能力的应用效果  

The Application Effect on Joint Teaching Mode in Improving the Emergency Ability of Physicians in the Resident Training of Anesthesiology Department

作　　者：张晓坤[1] 张津玮[1] ZHANG Xiaokun;ZHANG Jinwei(Department of Anesthesiology,Nanjing Drum Tower Hospital,Affiliated Hospital of Medical School,Nanjing University,Nanjing Jiangsu 210000,China)

机构地区：[1]南京大学医学院附属鼓楼医院麻醉科,江苏南京210000

出　　处：《中国继续医学教育》2024年第5期130-134,共5页China Continuing Medical Education

基　　金：南京大学现代医院管理与发展研究所课题项目(NDYG2021051)。

摘　　要：目的 探讨麻醉科住院医师规范化培训(以下简称“住培”)中紧急事件处理能力培训的方法与效果。方法 选择2019年1月—2021年12月在南京大学医学院附属鼓楼医院麻醉科接受规范化培训的40名住院医师作为数据研究对象,结合教学模式差异分为对照组与观察组,各20名。对照组采用传统病例讲解授课模式,观察组采用联合教学模式,比较2组考核成绩、问卷调查评分、教学满意度等情况。结果 观察组临床理论考试和临床应急案例分析考试成绩均高于对照组,差异有统计学意义(P <0.05);观察组印象深刻程度、分析全面性、学员参与度、教学吸引力和教学生动性等问卷调查评分均高于对照组,差异有统计学意义(P <0.05);观察组应变能力、沟通能力、团队合作、临床操作水平、临床思维能力等满意度均高于对照组,差异有统计学意义(P<0.05);观察组医师资格考试和规范化培训结业考试通过率都高于对照组,差异有统计学意义(P <0.05);观察组第一学年、第二学年和第三学年的理论知识与实践能力考核成绩均高于对照组,差异有统计学意义(P<0.05)。结论 麻醉科住院医师规范化培训临床紧急事件处理教学中应用联合教学模式,可以获得比较理想的培训效果,有助于规范化培训医师理论和实践能力的提升,且培训满意度较高。Objective To explore the methods and effect of emergency response training in standardized training for resident anesthesiologists.Methods A total of 40resident physicians who received standardized training in the department of anesthesiology,Nanjing Drum Tower Hospital,Affiliated Hospital of Medical School,Nanjing University from January 2019 to December 2021 were selected as the research objects,and were divided into the control group and the observation group,with 20 physicidns in each group,according to the differences in teaching modes.The control group adopted the traditional case teaching mode,and the observation group adopted the joint teaching mode.The assessment results,questionnaire scores and teaching satisfaction of the two groups were compared.Results The scores of clinical theory examination and clinical emergency case analysis examination in observation group were higher than those in control group,and the difference was statistically significant(P<0.05).The questionnaire scores of the observation group were higher than those of the control group,such as the degree of impression,comprehensiveness of analysis,student participation,teaching attraction and teaching vividness(P<0.05).The satisfaction of strain ability,communication ability,teamwork,clinical operation level and clinical thinking ability in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The passing rate of doctor qualification examination and standardized training completion examination in observation group was higher than that in control group,the difference was statistically significant(P<0.05).The test scores of theoretical knowledge and practical ability in the first,second and third academic years of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of the joint teaching mode in the standardized training of anesthesiology residents in the clinical emergency managem

关 键 词：麻醉科 住院医师 规范化培训 临床紧急事件 联合教学 满意度 

分 类 号：G642[文化科学—高等教育学]