一致性构建下的LCCD在规培医师PBL带教中的应用  

The Application of LCCD Teaching Design in PBL Teaching of Standardized Trained Physician

作　　者：吴琼 张娜[1] 汤诺[1] 沈琳[1] 戴开宇 曹敏[3] WU Qiong;ZHANG Na;TANG Nuo;SHEN Lin;DAI Kaiyu;CAO Min(Department of Cardiology,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai,201203,China;School of Software,Fudan University,Shanghai 200433,China;Emergency Department,Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属龙华医院心病科,上海201203 [2]复旦大学计算机科学技术学院,上海200433 [3]上海中医药大学附属龙华医院急诊科,上海201203

出　　处：《中国中医药现代远程教育》2024年第10期4-7,共4页Chinese Medicine Modern Distance Education of China

基　　金：国家自然科学基金委员会青年项目【No.82004319,82374397】;国家中医药管理局第五批全国中医临床优秀人才研修项目【No.国中医药人教函〔2022〕239号】;上海市卫生健康委员会卫生健康青年人才培养计划【No.2022YQ040】;上海中医药大学第四批“临床中青年骨干教师教学能力提升计划”。

摘　　要：住院医师规范化培训的实施旨在加快培养医学生成为合格临床医生,同时提升医师队伍整体水平,但目前针对规培医师的临床带教存在挑战。基于问题的教学法(PBL)的本质是采用翻转课堂,让学生成为“主角”,教师从“演员”变成“导演”,可若是戏份太重,也可能适得其反。而将一致性构建下的“以学为中心”的课程设计(LCCD)揉入规培医师PBL临床带教中,通过有意义的学习分类法对预期的学习目标进行分类,采用一致性的学习活动及学习测评,可有效地培养规培医师临床思维、自主学习、独立解决实际问题及交流表达的能力。The implementation of standardized training for resident doctors aims to accelerate the training of medical students to become qualified clinicians,and to improve the overall level of the physician team.However,there are challenges in clinical training for trained doctors.The essence of PBL teaching is flipped classroom,let the students become the“protagonist”,teachers from“actor”into the“director”,but if the scene is too heavy,may also backfire,and the LCCD teaching design of consistency construction into gauge doctors PBL clinical teaching,through meaningful learning methods to classify expected learning objectives,using consistent learning activities and learning assessment,can effectively cultivate gauge doctor clinical thinking,independent learning,independent solve practical problems and communication expression ability.

关 键 词：一致性构建 LCCD教学 基于问题的教学法 住院医师规范化培训 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]