基于案例教学的情景模拟联合改良迷你临床演练评估在急诊科住院医师规范化培训中的应用  

Application of scenario simulation teaching of case-based leaning combined with improved mini-clinical evaluation exercise in standardized training for emergency department residents

作　　者：顾双双[1] 王权鹏 张秋灵[1] 邵斌霞 王军[1] 李瑾[1] Shuangshuang Gu;Quanpeng Wang;Qiuling Zhang;Binxia Shao;Jun Wang;Jin Li(Department of Emergency,Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院急诊科,江苏南京210008

出　　处：《中华卫生应急电子杂志》2024年第3期149-153,共5页Chinese Journal of Hygiene Rescue(Electronic Edition)

基　　金：南京大学医学院附属鼓楼医院2021年度医学教育研究基金项目(202119);南京大学中国医院改革发展研究院教育课题(NDYGN2023093)。

摘　　要：目的探讨基于案例教学(CBL)的情景模拟联合改良迷你临床演练评估(Mini-CEX)在急诊科住院医师规范化培训中的应用效果。方法将2021年8月至2023年7月在南京大学医学院附属鼓楼医院急诊科参加住院医师规范化培训的41名住院医师为研究对象,分成观察组(n=21)和对照组(n=20),分别采用CBL情景模拟联合改良Mini-CEX的教学法和常规教学法进行临床培训。培训结束时,对两组住院医师进行理论测试和三站式Mini-CEX考核,同时以问卷调查形式了解住院医师的教学满意度。结果观察组住院医师理论成绩与对照组差异无统计学意义(P>0.05),但三站式Mini-CEX考核成绩和教学满意度均显著高于对照组(P<0.05)。结论CBL融于情景模拟教学联合改良Mini-CEX能显著提高急诊科住院医师规范化培训住院医师临床急救综合诊疗水平和教学质量,住院医师满意度提升,值得在急诊规培基地进行尝试和推广。Objective To explore the application values of scenario simulation teaching of case-based leaning(CBL)combined with improved mini-clinical evaluation exercise(Mini-CEX)in standardized training for emergency department residents.Methods A total of 41 residents participating in emergency standardized training at the Nanjing Drum Tower Hospital Affiliated to Nanjing University Medical School from August 2021 to July 2023 were selected as the research subjects.They were divided into an observation group(n=21)and a control group(n=20).The observation group received clinical training using scenario simulation based on CBL combined with improved Mini-CEX teaching method,while the control group received traditional teaching method.At the end of the training,theoretical test and three-station Mini-CEX assessment were conducted for both groups,and the satisfaction of the students was assessed using a questionnaire survey.Results There was no statistically significant difference in theoretical scores between two groups(P>0.05),but the scores of three-station Mini-CEX assessment and teaching satisfaction in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Scenario simulation teaching based on CBL combined with improved Mini-CEX can significantly improve the comprehensive diagnosis and treatment level of emergency department residents in standardized training,enhance teaching quality,and increase residents'satisfaction.It is worth trying and promoting in emergency training bases.

关 键 词：CBL 情景模拟 MINI-CEX 住院医师规范化培训 急诊教学 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]