项目式学习法对麻醉科住院医师规范化培训学员迷你临床演练评估量表的影响  

Effect of project-based learning method on the Mini-CEX for anesthesiology residency trainees in standardized training

作　　者：王存金 顾晨 潘昱辰 高巨 WANG Cunjin;GU Chen;PAN Yuchen;GAO Ju(Department of Anesthesiology,Northern Jiangsu People s Hospital Affiliated to Yangzhou University,Yangzhou 225001,China)

机构地区：[1]扬州大学附属苏北人民医院麻醉科,225001 [2]扬州大学医学院 [3]中国人民武装警察部队江苏省总队医院神经内科

出　　处：《临床麻醉学杂志》2024年第12期1298-1301,共4页Journal of Clinical Anesthesiology

基　　金：国家自然科学基金(82171207);江苏省自然科学基金(BK20231246);江苏省科协青年科技人才支持项目(〔2021〕008);江苏省“333”高层次人才培养工程(〔2022〕3-6-146)。

摘　　要：目的探讨项目式学习法对麻醉科住院医师规范化培训学员迷你临床演练评估量表(Mini-CEX)的影响。方法选择麻醉专业住院医师规范化培训学员164名,男71名,女93名,年龄22~26岁。按照随机数表法将学员分为两组:项目式学习组(P组)和传统教学组(T组),每组82名。P组采用项目式学习法,T组采用传统授课方式,两组学员统一学习麻醉术前评估后运用Mini-CEX进行考核,Mini-CEX包括6项:体格检查、人文关怀、病史问诊技巧、医患沟通能力、术前麻醉宣教和临床判断能力,比较两组学员Mini-CEX各项评分及对各自学习模式和学习效果的满意度。结果在Mini-CEX各项评分中,两组学员体格检查和人文关怀评分差异无统计学意义。与T组比较,P组学员在病史问诊技巧、医患沟通能力、术前麻醉宣教和临床判断能力方面评分明显升高(P<0.05),学员对学习模式和学习效果的满意度明显升高(P<0.05)。结论将项目式学习法应用于麻醉科住院医师规范化培训中麻醉前评估的相关教学实践,有助于提高学员的问诊技巧、沟通能力、麻醉宣教等临床实践能力。Objective To investigate the efficacy of integrating project-based learning method with the mini-clinical evaluation exercise(Mini-CEX)in the clinical training of anesthesiology residents.Methods A total of 164 anesthesiology residents,71 males and 93 females,aged 22-26 years,were randomly assigned to either a project-based learning method group(group P)or a traditional teaching group(group T),with 82 participants in each.Group P used the project-based learning method,while group T followed traditional lectures.Both groups underwent a standardized learning module on preoperative anesthesia evaluation and were assessed using the Mini-CEX across six domains:physical examination,humanistic care,medical history inquiry,communication,preoperative anesthesia education,and clinical judgment.Scores and satisfaction levels were compared between the groups.Results No significant differences were found in physical examination and humanistic care scores.Compared with group T,group P scored significantly higher in medical history inquiry,communication,preoperative anesthesia education,and clinical judgment(P<0.05),satisfaction with teaching methods and outcomes was also significantly higher in group P(P<0.05).Conclusion Combining project-based learning method with Mini-CEX in anesthesiology training enhances clinical skills like medical history inquiry,communication,and preoperative education.

关 键 词：项目式学习法 迷你临床演练评估量表 住院医师规范化培训学员 麻醉前评估 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]