MDT与标准化教学病房相结合的教学模式在妇产科教学中的应用与评价  

Application and evaluation of the teaching model combining clinical standardized teaching wards with multidisciplinary treatment in obstetrics and gynecology teaching

作　　者：朱丽霞 沈燕 董晟昊 张小娟 潘颖 单辉强 余霓雯 刘琴 Zhu Lixia;Shen Yan;Dong Shenghao;Zhang Xiaojuan;Pan Ying;Dan Huiqiang;Yu Niwen;Liu Qin(Department of Obstetrics and Gynaecology,the First People's Hospital of Kunshan,Kunshan 215300,Jiangsu,China;Department of Family Medicine,the First People's Hospital of Kunshan,Kunshan 215300,Jiangsu,China;Department of Spinal Surgery,the First People's Hospital of Kunshan,Kunshan 215300,Jiangsu,China;Education Division,the First People's Hospital of Kunshan,Kunshan 215300,Jiangsu,China)

机构地区：[1]昆山市第一人民医院妇产科,江苏昆山215300 [2]昆山市第一人民医院全科医学科,江苏昆山215300 [3]昆山市第一人民医院脊柱外科,江苏昆山215300 [4]昆山市第一人民医院教育处,江苏昆山215300

出　　处：《中国毕业后医学教育》2024年第12期888-892,共5页Chinese Journal of Graduate Medical Education

基　　金：南京医科大学2021年度校级教育研究课题(2021ZC107);江苏大学2021年度临床医学科技发展基金项目(JLY2021217);南京医科大学康达学院教育研究课题(KDJYYJYB202349);江苏大学高等教育教学改革研究课题(Y23-094-101148)。

摘　　要：目的探索多学科诊疗(multi-disciplinary treatment,MDT)与标准化教学病房相结合的教学模式在妇产科教学中的应用及评价。方法选取在昆山市第一人民医院妇产科轮转的60名住院医师,分为两组:2020年—2021年入本专业基地的30名住院医师为观察组,采用MDT与标准化教学病房相结合的教学模式;2018年—2019年入本专业基地的30名住院医师为对照组,采用传统教学模式。通过客观指标对两组住院医师及指导医师进行评估。结果观察组在临床分析能力、专业知识和临床诊疗能力上优于对照组;在文献阅读、科研等独立学习能力显著提升,也增强了在医患沟通、团队合作及临床思维方面的能力;对于指导医师的教学质量给予了更高的评价,反映出该模式教学的有效性和住院医师对学习过程的满意度。结论采用MDT与标准化教学病房相结合的教学模式,显著增强了住院医师的临床综合能力,并通过分层递进、系统化教学促进其对疾病的深入理解。该模式显著增强了住院医师的自主学习能力和临床实践技巧,同时,指导医师的教学质量提高,充分证实该教学模式在提升教学效果方面的显著效果。Objective To explore the application and evaluation of a multi-disciplinary treatment(mdt)combined with standardized teaching wards in obstetrics and gynecology education.Methods Sixty residents rotating through the Obstetrics and Gynecology Department at the First People's Hospital of Kunshan were selected and divided into two groups:30 residents who joined the specialty base from 2020 to 2021 served as the observation group,using a teaching model that combined Multi-Disciplinary Treatment(MDT)with standardized teaching wards;30 residents who joined the base from 2018 to 2019 served as the control group,using traditional teaching methods.Objective indicators were used to assess both groups of residents and their instructors.Results The observation group demonstrated superior clinical analysis skills,professional knowledge,and clinical diagnostic and treatment abilities compared with the control group.They also showed significant improvements in independent learning abilities,such as literature review and scientific research,and enhanced their capabilities in patient-doctor communication,teamwork,and clinical thinking.The instructors'teaching quality was rated higher,reflecting the effectiveness of this teaching model and the residents'satisfaction with the learning process.Conclusion The teaching model that combined Multi-Disciplinary Treatment(MDT)with standardized teaching wards can significantly enhanced the comprehensive clinical capabilities of residents.It promoted a deep understanding of diseases through tiered and systematic teaching.This model notably strengthens the residents'autonomous learning abilities and clinical practice skills.Additionally,the improved teaching quality of the instructors confirms the significant effectiveness of this teaching model in enhancing educational outcomes.

关 键 词：多学科诊疗 标准化教学病房 妇产科 住院医师规范化培训 

分 类 号：G40-034[文化科学—教育学原理] R71[文化科学—教育学]