裂隙灯显微镜示教联合督导式教学门诊在全科住院医师眼科规范化培训中应用效果的探讨  

Application and effectiveness of slit lamp microscope demonstration combined with supervisory clinical teaching in ophthalmology training for general practice residents

作　　者：杨程成[1] 郑晖[1] 刘苹苹[1] 赵晓静[1] 刘洋[1] 杨秀霞[1] Yang Chengcheng;Zheng Hui;Liu Pingping;Zhao Xiaojing;Liu Yang;Yang Xiuxia(Department of Ophthalmology,Fifth Affiliated Hospital of Sun Yat-sen University,Zhuhai 519000,China)

机构地区：[1]中山大学附属第五医院眼科,珠海519000

出　　处：《中华全科医师杂志》2024年第9期964-968,共5页Chinese Journal of General Practitioners

基　　金：中山大学2022年校级教学质量与教学改革工程(教务〔2022〕91号)。

摘　　要：目的探讨裂隙灯显微镜示教联合督导式教学门诊在全科住院医师眼科规范化规培中的实践效果。方法该研究为随机对照试验。纳入2021年3月至2023年3月于中山大学附属第五医院眼科参加规范化培训的全科医师。采用抓阄法将入选学员随机分为联合教学组和传统教学组。基线时入选学员先进行入科理论考核。传统教学组教学过程中教师起主导作用,学员在教师指导下进行观察和记录。联合教学组采用裂隙灯显微镜示教联合督导式教学门诊法进行教学。培训后两组学员统一接受出科考核,记录学员理论知识得分、门诊诊疗能力考核得分、综合评价得分以及总成绩。同时,通过调查问卷评估学员及带教老师对教学过程的满意度。结果共入选学员60名,男性28名(47%),年龄23.0(23.0,25.0)岁,其中传统教学组29名,联合教学组31名。两组学员的性别构成、年龄、入科理论考试成绩差异均无统计学意义(均P>0.05)。培训结束后,联合教学组学员出科理论知识得分、门诊诊疗能力得分及总成绩均高于传统教学组(均P<0.05)。联合教学组学员教学满意度各项得分均高于传统教学组(均P<0.05),联合教学组带教教师对学员的满意度各项得分亦均高于传统教学组(均P<0.05)。结论裂隙灯显微镜示教联合督导式教学门诊可提高全科住院医师眼科规范化培训效果。Objective To investigate the application and effectiveness of slit-lamp microscope demonstration combined with supervisory clinical teaching in ophthalmology training for general practice residents.Methods Sixty general practice residents who underwent ophthalmology training in Fifth Affiliated Hospital of Sun Yat-sen University from March 2021 to March 2023 were randomly assigned to 2 groups.In the traditional teaching group(n=29),the teaching was primarily led by the instructors,and trainees observed and recorded the clinical findings under their guidance;while in the combined teaching group(n=31),the trainees received integrated slit-lamp microscope demonstration and supervisory outpatient teaching.Both groups underwent a unified exit examination after the training,with the scores based on knowledge,diagnostic skills,comprehensive evaluation and overall performance.Additionally,satisfaction with the teaching process was assessed through questionnaires completed by both trainees and instructors.Results There were no significant differences in gender composition,age and initial exam scores between the two groups(all P>0.05).Upon completion of the training,the combined teaching group scored higher in ophthalmology knowledge,outpatient diagnostic skills,and overall performance compared to the traditional teaching group(all P<0.05).Satisfaction scores from both trainees and instructors were also higher in the combined teaching group compared to the traditional teaching group(all P<0.05).Conclusion The use of slit-lamp microscope demonstration combined with supervisory outpatient teaching can significantly enhance the effectiveness of ophthalmology training for general practice residents.

关 键 词：教学 眼科学 全科医师 裂隙灯显微镜示教 督导式教学门诊 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]