MDT联合PBL教学在神经科住院医师培训中的应用及对医师临床思维能力的影响分析  

The Application of MDT Combined with PBL Teaching in the Training of Neurology Residents and the Analysis of the Effect of Doctors'Clinical Thinking Ability

作　　者：吴春艳[1] 赵姝姝[1] 韩芳[1] 岳奎涛[1] 田倩倩[1] WU Chunyan;ZHAO Shushu;HAN Fang;YUE Kuitao;TIAN Qianqian(Weifang Medical College Affiliated Hospital,Weifang 261031,Shandong,China)

机构地区：[1]潍坊医学院附属医院,山东潍坊261031

出　　处：《中国卫生产业》2024年第10期188-191,共4页China Health Industry

摘　　要：目的探究神经科住院医师培训中应用多学科协作(multidisciplinary team,MDT)联合以问题为导向的教学方法(problem-based learning,PBL)的效果及对医师临床思维能力的影响。方法选取2022年3月—2023年3月潍坊医学院附属医院46名参加神经科住院医师培训的住院医师作为研究对象按照入科顺序分为两组,各23名。对照组(2022年3—9月)采取常规教学模式培训,研究组(2022年10月—2023年3月)采取MDT联合PBL教学模式培训,对比综合成绩评分、自学能力评分、临床思维能力评分及教学满意度评分。结果研究组医师综合成绩(理论知识、临床实践操作能力)评分、自学能力评分、临床思维能力评分均高于对照组,差异有统计学意义(P均<0.05)。组间教学满意度比较,研究组为100.00%(23/23)明显高于对照组73.91%(17/23),差异有统计学意义(χ^(2)=4.792,P<0.05)。结论MDT联合PBL教学用于神经科住院医师培训,可丰富医师理论知识,增强实践操作能力,提高自学能力及临床思维能力,教学满意度高。Objective To explore the effect of multidisciplinary team(MDT)combined with problem-based learning(PBL)in the training of neurology residents and its influence on the clinical thinking ability of doctors.Methods Forty-six neurology residents who participated in the training of neurology residents in the Affiliated Hospital of Weifang Medical College from March 2022 to March 2023 were selected as the research objects and were divided into two groups according to order of beginning,with twenty-three each.The control group(form March to September 2022)adopted conventional teaching mode training,and the study group(form October 2022 to March 2023)adopted MDT combined with PBL teaching mode training.The comprehensive score,self-learning ability score,clinical thinking ability score and teaching satisfaction score were compared.Results The scores of comprehensive scores(theoretical knowledge,clinical practice ability),self-learning ability and clinical thinking ability of physicians in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The teaching satisfaction of the study group was 100.00%(23/23),which was significantly higher than 73.91%(17/23)of the control group,and the difference was statistically significant(χ^(2)=4.792,P<0.05).Conclusion MDT combined with PBL teaching for neurology resident training can enrich the theoretical knowledge of physicians,enhance practical operation ability,improve self-learning ability and clinical thinking ability,and have high teaching satisfaction.

关 键 词：多学科协作 以问题为导向的教学方法 神经科住院医师 培训 思维能力 

分 类 号：R4[医药卫生—临床医学]