“一对一”精准施教在儿外科住院医师规范化培训操作技能中的应用效果  

Application effect of"one-to-one"precise teaching in standardized training operation skills of pediatric surgery residents

作　　者：黄华[1] 袁洋 马玲 HUANG Hua;YUAN Yang;MA Ling(Department of General Pediatric Surgery,the Third Affiliated Hospital of Zhengzhou University,Henan Province,Zhengzhou 450052,China;Department of Clinical Laboratory,the Third Affiliated Hospital of Zhengzhou University,Henan Province,Zhengzhou 450052,China)

机构地区：[1]郑州大学第三附属医院小儿外科,河南郑州450052 [2]郑州大学第三附属医院检验科,河南郑州450052

出　　处：《中国当代医药》2024年第13期106-109,122,共5页China Modern Medicine

基　　金：河南省医学教育研究项目(Wjlx2020088)。

摘　　要：目的探讨“一对一”精准施教的方式结合基于问题的教学方法(PBL)在提升住院医师规范化培训(以下简称“住培”)医师临床操作技能培训中的应用效果。方法选取2020年7月至2023年7月郑州大学第三附属医院儿外科的64名住培学员(包括专硕研究生)作为研究对象,采用抽签法随机分为试验组(22名)、对照1组(20名)与对照2组(22名)。试验组采用“一对一”精准施教的方式结合PBL教学法,对照1组仅采用传统教学法,对照2组仅采用PBL教学法,分析三组学员临床操作技能考试成绩及随机问卷调查结果。结果三组学员外科操作考核及总成绩比较,差异有统计学意义(P<0.05)。试验组的外科操作考核及总成绩高于对照1组及对照2组,差异均有统计学意义(P<0.05);对照1组与对照2组的技能成绩比较,差异无统计学意义(P>0.05)。问卷结果显示,试验组在提升住培医师自学能力和自学意识方面优于对照1组,赞成此种教学方法的人数多于对照1组,差异有统计学意义(P<0.017)。结论“一对一”精准施教结合PBL教学法是提升小儿外科住培医师临床操作能力教学方法中值得推广的方法。Objective To explore the application effect of"one to one"precise teaching combined with problem-based learning(PBL)teaching method in improving the clinical operation skills of standardized training for residential physicians.Methods A total of 64 residents adopted standardized training for residential physicians(including professional master's students)in Department of General Pediatric Surgery in the Third Affiliated Hospital of Zhengzhou University from July 2020 to July 2023 were selected as the study objects,and they were divided into experimental group(22 cases),control group 1(20 cases)and control group 2(22 cases)by drawing lot method.The experimental group adopted"one-to-one"precise teaching method combined with PBL teaching method,control group 1 only adopted traditional teaching method,control group 2 only adopted PBL teaching method,and the clinical operation skills test scores and random questionnaire survey results of the three groups of students were analyzed.Results There were significant differences in the scores of surgical operation assessment and total scores among the three groups(P<0.05).The scores of surgical operation assessment and total scores of experimental group were higher than those of control group 1 and control group 2,and the differences were statistically significant(P<0.05).There were no significant differences in skill scores between control group 1 and control group 2(P>0.05).The results of the questionnaire showed that the experimental group was better than the control group 1 in improving the self-learning ability and self-learning consciousness of standardized training for residential physicians,and the number of people in favor of this teaching method was higher than that in the control group 1,the differences were statistically significant(P<0.017).Conclusion"One to one"precise teaching combined with PBL teaching method is worth popularizing to improve the operation skills of standardized training for clinical pediatric surgery residents.

关 键 词：基于问题的教学方法 小儿外科 临床教学 住院医师规范化培训 

分 类 号：R-4[医药卫生]