“自我督导”教学法在肿瘤内科住培教学中的应用  

Application of the"Self-Supervision"Teaching Method in Standardized Residency Training of Oncology Department

作　　者：王一然 王斌 彭小波 吴梅红 冯丹 湛先保 WANG Yiran;WANG Bin;PENG Xiaobo;WU Meihong;FENG Dan;ZHAN Xianbao(Department of Oncology,the First Affiliated Hospital of Navy Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院肿瘤科,上海200433

出　　处：《中国继续医学教育》2024年第19期56-59,共4页China Continuing Medical Education

基　　金：国家自然科学基金资助项目(81772795);海军军医大学2022年校级基础医学研究课题(2022QN055)。

摘　　要：目的分析“自我督导”教学法在肿瘤内科住培中的教学效果。方法选取2022年5月—2023年4月进入上海长海医院肿瘤内科住培的130名内科医师分为2组,奇数月份轮转住培生为对照组,共67人;偶数月份轮转住培生为试验组,共63人。对照组住培生使用常规教学法进行教学,试验组住培生使用“自我督导”教学法进行教学。分析2组住培生肿瘤内科轮转后的出科考核成绩以及教学满意度。结果试验组的出科考核总成绩为(81.3±7.4)分,对照组的成绩(78.7±9.8)分,差异无统计学意义(P>0.05)。其中试验组的理论考核成绩(82.3±12.2)分,优于对照组的(77.2±14.2)分(P<0.05)差异有统计学意义。试验组住培生的教学总满意度为(86.0±6.7)分,高于对照组的(81.5±8.6)分(P<0.05)差异有统计学意义。结论采用“自我督导”教学法,有助于促进住培生对肿瘤内科知识的学习,锻炼其临床工作能力,提高教学满意度。Objective To analyze the teaching effect of"selfsupervision"teaching method in standardized residency training of oncology department.Methods A total of 130 internal medicine residents who entered the oncology department of Shanghai Changhai Hospital for standardized residency training from May 2022 to April 2023 were divided into two groups,the control group(odd-numbered months rotation residents,n=67)and the experimental group(even-numbered months rotation residents,n=63).The control group residents received conventional teaching methods,while the experimental group residents received"self-supervision"teaching methods.The post-rotation assessment scores and teaching satisfaction of the two groups of residents were analyzed.Results The total score of the department-leaving examination in the experimental group was(81.3±7.4)points,while that in the control group was(78.7±9.8)points,indicating that no statistically significant difference between the two groups(P>0.05).Among them,the theoretical examination score of the experimental group was(82.3±12.2)points,which was better than that of the control group[(77.2±14.2)points](P<0.05),and the difference were statistically significant.The satisfaction scores for the residents in the experimental group who received the"self-supervision"teaching method were(86.0±6.7)points,and the score were higher than that of the control group(81.5±8.6)points(P<0.05),and the difference were statistically significant.Conclusion The"self-supervision"teaching method helps to promote residents'learning of oncology internal medicine knowledge,exercise their clinical work ability,and improve teaching satisfaction.

关 键 词：住院医师 自我督导 规范化培训 肿瘤内科 教学改革 满意度 

分 类 号：G642[文化科学—高等教育学]