一分钟诊间教学在规范床旁教学中的应用探索  

Exploration on the Application of One Minute Preceptor in Standardizing Bedside Teaching

作　　者：王焕焕 李小敏[1] 谷加丽[1] 陈佳[1] WANG Huanhuan;LI Xiaomin;GU Jiali;CHEN Jia(Teaching Office,Shenzhen Children's Hospital,Shenzhen Guangdong 518038,China)

机构地区：[1]深圳市儿童医院教学办公室,广东深圳518038

出　　处：《中国继续医学教育》2024年第8期85-89,共5页China Continuing Medical Education

基　　金：广东省教育科研项目(2021JD071)。

摘　　要：目的探讨一分钟诊间教学(one minute preceptor,OMP)在规范床旁教学中的应用效果。方法选取2021年10月—2022年1月深圳市儿童医院的14个亚专科科室的21位带教老师及38位住院医师进行临床OMP教学法带教,分析实施效果。结果认为OMP教学法有显著效果的带教老师占68.42%,认为效果不显著人数占28.57%;建议开展OMP频率为5次以下的带教老师占比52.38%,5~10次占比28.57%,14.29%认为开展次数越多越好。61.9%带教老师对自身专业知识及能力肯定,28.57%认为需要继续积累经验。71.43%带教老师认为能够提高住院医生临床思维能力,28.57%觉得可以提高病史采集和人文沟通能力;3名住院医师对诊间教学无法理解,35名住院医师表示有帮助。结论OMP模型为临床教学工作者提供一个系统的教学框架,为住院医师提供指导和反馈,有利于规范日常带教过程,从而起到规范和量化床旁教学过程的作用,模式可行有效。Objective To investigate the application effect of one minute preceptor(OMP)on standardized bedside teaching.Methods Clinical OMP teaching was taught by 21 teachers and 38 residents in 14 subspecialty departments of Shenzhen Children's Hospital,and the implementation effect was analyzed.Results 68.42%of the teachers believed that the OMP method had significant effect,and 28.57%thought that the effect was not significant.52.38%of the teachers recommended to carry out OMP frequency less than 5 times,28.57%of 5~10 times,and 14.29%believed that the more times the conduct,the better.61.9%of the teachers affirmed their professional knowledge and ability,and 28.57%believed that they needed to continue to accumulate experience.71.43%of the teaching teachers could improve the clinical thinking ability of residents,and 28.57%thought that they could improve the ability of medical history collection and humanistic communication.3 residents were unable to understand the teaching in the clinic,and 35 residents said that they were helpful.Conclusion The OMP model provides a systematic teaching framework for clinical teaching workers,provides guidance and feedback for students,and is conducive to standardizing the daily teaching process,thereby standardizing and quantifying the bedside teaching process.

关 键 词：医学教育 床旁教学 一分钟诊间教学 临床实践 规范化培训 住院医生 

分 类 号：G642[文化科学—高等教育学]