分层渐进教学模式在儿科住院医师心电图培训中的应用实践  

Application and practice of hierarchical progressive teaching mode in ECG training for pediatric residents

作　　者：赵鎏丹 陈笋[1] 赵鹏军[1] 孙晶[1] ZHAO Liudan;CHEN Sun;ZHAO Pengjun;SUN Jing(Pediatric Heart Center,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China)

机构地区：[1]上海交通大学医学院附属新华医院小儿心脏中心,上海200092

出　　处：《中国医学教育技术》2024年第6期821-826,共6页China Medical Education Technology

基　　金：2021年上海交通大学医学院儿科学专业“5+3”一体化人才培养教育教学改革“‘一流课程’建设‘儿科器官系统整合式三维交互式教学软件’”。

摘　　要：目的 探讨分层渐进的教学模式在儿科住院医师心电图培训中的应用效果。方法 选取2019年8月—2023年8月在上海交通大学医学院附属新华医院儿科住院医师规范化培训基地心血管专业轮转的45名住院医师作为研究对象。教学团队于2021年12月起在轮转的住院医师中开展心电图分层教学法。在此之前轮转医师为对照组,共27名,一次性连续轮转心血管科室,采用传统教学方法;在此之后轮转医师为试验组,共18名,分别在低年级(第一阶段)、高年级(第二阶段)分层轮转心血管科室,采用分层渐进教学方法。教学结束后,比较两组医师的考核成绩和教学满意度。结果 试验组医师在接受第二阶段培训后,其心电图考核总分和理论成绩与对照组医师相比差异无统计学意义(P>0.05),但病例判读分析得分高于对照组[(57.17±4.64)分vs.(53.37±6.74)分,P=0.039]。试验组在心腔结构异常的心电图判读正确率较对照组显著提高(81.25%vs. 44.00%,P=0.018)。试验组医师认为分层渐进的心电图教学方法在提升医师解决临床实际问题能力方面效果较好,教学满意度达标率较对照组高(88.90%vs. 51.90%,χ^(2)=6.668,P=0.007)。结论 分层渐进教学可以提高儿科住院医师的心电图判读技能,是一种更优化且受欢迎的培训模式。Objective To explore the application effect of hierarchical progressive teaching mode in ECG training for pediatric residents.Methods Totally 45 residents who were in the rotation of the Cardiovascular specialty of residents’standardized training base in the Pediatric Department at Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from August 2019 to August 2023 were selected as the research subjects.The teaching team implemented hierarchical ECG teaching method from December 2021 among residents in rotation.A total of 27 residents who rotated previously were divided into the control group and participated in the consecutive rotation in the Cardiovascular Department using traditional teaching method,while 18 residents who rotated afterwards were divided into the experimental group and participated in the hierarchical rotation in the Cardiovascular Department during the junior grade(the first stage)and the senior grade(the second stage)using hierarchical progressive teaching mode.After teaching,the examination scores and teaching satisfaction of the two groups were compared.Results After the residents in the experimental group received the training in the second stage,there was no statistical difference between the two groups of residents in terms of the total scores of ECG examination and theoretical scores(P>0.05),but the experimental group scored higher in case interpretation analysis(57.17±4.64 vs.53.37±6.74,P=0.039)and demonstrated a significantly higher correct interpretation rate of ECG showing cardiac structural abnormalities(81.25%vs.44.00%,P=0.018)than the control group.Furthermore,residents in the experimental group considered that hierarchical progressive teaching method of ECG expressed good effect in promoting residents’ability to solve clinical practical problems,and their rate of reaching the teaching satisfaction was higher than that of the control group(88.90%vs.51.90%,χ^(2)=6.668,P=0.007).Conclusion Hierarchical progressive teaching can improve the ECG interpr

关 键 词：分层渐进 儿科住院医师规范化培训 心电图 教学 

分 类 号：G642.0[文化科学—高等教育学]