LRC渐进协作教学体系在眼科培训中的设计与实践  

Design and implementation of the LRC stepwise collaborative learning model in ophthalmology training

作　　者：胡安娣娜 赵秀娟[1] 余曦灵 李云彤 魏雁涛[1] 丁小燕[1] HU Andina;ZHAO Xiujuan;YU Xiling;LI Yuntong;WEI Yantao;DING Xiaoyan(State Key Laboratory of Ophthalmology,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science,Guangdong Provincial Clinical Research Center for Ocular Diseases,Guangzhou 510060,China)

机构地区：[1]中山大学中山眼科中心,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室,广州510060

出　　处：《眼科学报》2024年第5期259-265,共7页Eye Science

基　　金：广东省临床教学基地教学改革研究项目(2021JD019)。

摘　　要：目的:以提升进行住院医师规范化培训(住培)的眼科医生临床诊疗思维能力为导向,建立LRC渐进协作教学体系(LRC Stepwise Collaborative Learning Model)。方法:2023年7月—2023年12月,以26名进行眼科住培的医生为试验组的研究对象,采用小讲课(Lecture)、教学查房(Rounds)及病例讨论(Case discussion)的LRC渐进协作教学体系,通过定量分析方法评估教学效果。结果:实施LRC渐进协作教学模式后,住培医生平均成绩由培训前的50.00(40,50)分提高至培训后的90.00(80,100)分,差异具有统计学意义(P<0.001)。问卷调查满分5分,小讲课、教学查房和病例讨论三种教学形式的满意度满分比例分别为92.3%(24/26),84.6%(22/26)、76.9%(20/26),三种教学形式的满意评分分别为5.00(5.00,5.00)、5.00(5.00,5.00)、5.00(4.75,5.00)分。结论:LRC渐进协作教学体系作为住培教学新体系,得到眼科住培医生的认可,促进临床诊疗思维的整体提升,有助于岗位胜任力的培养,为未来教学模式的设计与实施提供了重要参考。Objective:To introduce the LRC Stepwise Collaborative Learning Model,a novel teaching approach designed to improve clinical thinking skills in ophthalmology training.Methods:From July 2023 to December 2024,26 ophthalmology residents were included in the experimental group,underwent training using LRC Stepwise Collaborative Learning Model of Lectures,Rounds and Case Discussions.Their educational outcomes were quantitatively analyzed.Results:The LRC Stepwise Collaborative Learning Model improved average resident scores from pre-training[50(40,50)points]to post-training[90(80,100)points],with a statistical significance(P<0.001).The questionnaire survey had a maximum score of 5 points,and the rates of full marks for the three teaching forms of lectures,rounds,and case discussions were 92.3%(24/26),84.6%(22/26),and 76.9%(20/26),respectively.The satisfaction scores for the three teaching forms were 5.00(5.00,5.00),5.00(5.00,5.00),and 5.00(4.75,5.00)points,respectively.Conclusions:The LRC Stepwise Collaborative Learning Model,as a new training system for residency education,has been recognized by ophthalmology residents.It facilitates the overall improvement of clinical thinking,contributes to competency development,and provides valuable insights for future teaching model designs.

关 键 词：眼科学 眼底病 LRC渐进协作教学体系 住院医师规范化培训 

分 类 号：G712[文化科学—职业技术教育学] R77[文化科学—教育学] C975[医药卫生—眼科]