问题情景教学法在神经外科住院医师规范化培训中的应用效果分析  

Analysis of the Application Effect of Problem Situation Teaching Method in Standardized Training of Neurosurgery Resident Physicians

作　　者：陈鸿[1] 夏海坚[1] 程崇杰[1] CHEN Hong;XIA Haijian;CHENG Chongjie(Department of Neurosurgery,the First Affiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院神经外科,重庆400016

出　　处：《中国继续医学教育》2024年第24期70-74,共5页China Continuing Medical Education

基　　金：重庆市教育科学“十三五”规划2019年度一般课题(2019-GX-377)。

摘　　要：目的探讨问题情景教学法在神经外科住院医师规范化培训中的应用效果,分析其对学员专业知识掌握和学习兴趣提升的影响。方法2022年9月—2023年9月,在重庆医科大学附属第一医院神经外科参加住院医师规范化培训的学员中随机抽取40名作为研究对象,随机分为传统组和情景组,每组20名学员。传统组使用传统理论授课法,而情景组使用问题情景教学法进行授课,比较2组的期末考核成绩和授课满意度。结果传统组理论考试成绩为(77.85±7.17)分,低于情景组的(84.20±7.86)分,技能操作成绩为(78.25±2.60)分,低于情景组的(81.95±1.95)分,差异均有统计学意义(P<0.05);此外,情景组学员在教学方式满意度优于传统组,差异有统计学意义(P<0.05),但是在自我成长及医生职业满意度两方面差异无统计学意义(P>0.05)。结论相较于传统理论授课法,问题情景教学法能够提高神经外科住院医师规范化培训的效果,使学员在临床实践中能更好地应用所学知识,增强其解决实际问题的能力,从而全面提升培训质量,为培养高素质的神经外科医师奠定坚实基础。Objective To explore the application effect of prollem situation teaching method in the standardized training of neurosurgical residents,and to analyze its influence on the mastery of professional knowledge and the improvement of learning interest.Methods From September 2022 to September 2023,a total of 40 trainees participating in the standardized training of residents in the neurosurgery department of the First Affiliated Hospital of Chongqing Medical University were randomly selected as the research objects and randomly divided into the traditional group and the scenario group,with 20 trainees in each group.The traditional group was taught with the traditional theory teaching method,while the situational group was taught with the problem situation teaching method,and the final assessment scores and teaching satisfaction of the two groups were compared.Results The theoretical test score of the traditional group was(77.85±7.17)points,lower than that of the scenario group[(84.20±7.86)points],and the skill operation score was(78.25±2.60)points,lower than that of the scenario group[(81.95±1.95)points],the differences were statistically significant(P<0.05).In addition,the situational group showed better satisfaction with teaching methods compared to the traditional group,with a statistically significant difference(P<0.05).However,there was no statistically significant difference in self growth and satisfaction with the medical profession(P>0.05).Conclusion Compared with traditional theory teaching method,problem situation teaching method can improve the effect of standardized training for neurosurgery residents,enable students to better apply the knowledge in clinical practice,enhance their ability to solve practical problems,and comprehensively improve the quality of training,laying a solid foundation for training high-quality neurosurgeons.

关 键 词：医学教育 传统授课 问题情景教学法 神经外科 规范化培训 效果分析 

分 类 号：G642[文化科学—高等教育学]