四维教学库模式在神经感染亚专业进修医师培养中的应用效果研究  

Application effect research of the four-dimensional teaching library model in the training of neuroinfection subspecialty continuing physicians

作　　者：王超凡[1] 张婧[2] WANG Chaofan;ZHANG Jing(Neurology Department,Beijing Aerospace General Hospital,Beijing 100076,P.R.China;Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing 100053,P.R.China)

机构地区：[1]北京航天总医院神经内科,北京100076 [2]首都医科大学宣武医院神经内科,北京100053

出　　处：《华西医学》2024年第5期788-792,共5页West China Medical Journal

摘　　要：目的探讨四维教学库模式在神经感染亚专业进修医师培养中的应用效果,并与传统轮转式培训进行比较。方法选择2021年3月—2023年2月首都医科大学宣武医院神经内科培训的进修医师。将在2021年3月—2022年2月接受传统轮转式培训的进修医师作为对照组,将在2022年3月—2023年2月接受四维教学库模式培训的进修医师作为试验组。采用Mini-CEX量表评估两组进修医师的临床综合能力。同时,通过自制的调查问卷评估两组对不同教学模式的评价。结果共纳入进修医师55名。其中,对照组27人,试验组28人。两组一般资料比较,差异均无统计学意义(P>0.05)。出科时,试验组Mini-CEX量表各项条目均较对照组提高(P<0.05)。调查问卷结果显示,试验组在提高学习兴趣、提高自学能力、培养临床思维、提高分析解决问题的能力、提高医患沟通能力、增加团队协作方面的得分均高于对照组(P<0.05)。结论四维教学库模式在神经感染亚专业进修医师培养中的应用效果优于传统轮转式培训,能够显著提高进修医师的临床综合能力,值得推广。Objective To explore the application effect of the four-dimensional teaching library model in the training of neuroinfection subspecialty continuing physicians,and compare it with traditional rotational training.Methods Continuing physicians who received training in the Department of Neurology of Xuanwu Hospital,Capital Medical University between March 2021 and February 2023 were selected.The continuing physicians who received traditional rotational training between March 2021 and February 2022 would serve as the control group,and the continuing physicians who received four-dimensional teaching library model training between March 2022 and February 2023 would serve as the experimental group.The Mini-CEX scale was used to evaluate the clinical comprehensive abilities of two groups of continuing physicians.At the same time,self-made questionnaires were used to evaluate the evaluation of two groups of continuing physicians on different teaching modes.Results A total of 55 continuing physicians were included.Among them,there were 27 people in the control group and 28 people in the experimental group.There was no statistically significant difference in the comparison of general information between the two groups(P>0.05).At the time of graduation,all items on the Mini-CEX scale in the experimental group were higher than those in the control group(P<0.05).The survey questionnaire results showed that the experimental group scored higher than the control group in terms of improving learning interest,improving self-learning ability,improving clinical thinking,improving analysis and problem-solving ability,improving doctor-patient communication ability,and increasing teamwork(P<0.05).Conclusion The application effect of the four-dimensional teaching library model in the training of neuroinfection subspecialty continuing physicians is better than that of traditional rotational training,which can significantly improve the clinical comprehensive ability of continuing physicians and is worth promoting.

关 键 词：神经内科 进修医师 继续医学教育 四维教学库 模式 

分 类 号：G63[文化科学—教育学]