以实战型人才培养为导向的MDT+PBL+CBL教学法对放疗科规培住院医师的教学效果评价  

Evaluation of the teaching effect of MDT+PBL+CBL teaching method with a focus on practical talent development for radiation oncology resident training

作　　者：胡松柳[1] 刘士龙[1] 马健力 李剑[1] 徐建宇[1] HU Songliu;LIU Shilong;MA Jianli;LI Jian;XU Jianyu(Department of Radiation Oncology,Harbin Medical University Cancer Hospital,Harbin150081,China)

机构地区：[1]哈尔滨医科大学附属肿瘤医院,黑龙江哈尔滨150081

出　　处：《现代医院》2025年第1期161-164,共4页Modern Hospitals

基　　金：黑龙江省教育科学规划专项课题(GJE1320129)。

摘　　要：目的探究以实践应用型人才培养为导向的多学科教学模式(MDT)联合以问题为基础的教学(PBL)+案例教学法(CBL)模式,在放疗科住院医师规范化培训(规培)教学中的应用效果,突出其教学创新改革特点,增强学生综合素质。方法纳入2018年10月-2021年10月于我院放疗科规培的80位住院医师为本次研究对象。将所有研究对象分为研究组(n=40,采用MDT联合PBL+CBL多轨教学模式)和对照组(n=40,采用传统授课模式(LBL)教学)。收集两组规培住院医师的一般资料(年龄、性别以及入科考试成绩),再统计分析培训后两组规培住院医师在理论知识、病例分析和技能操作上总得分。对两组规培住院医师进行综合素质评价,主要分为自学能力、理解能力、思维能力、实践能力以及学习兴趣度。满分为10分,分数越高综合素质越强。以问卷形式对两组规培住院医师进行教学课程满意度的评价,分为非常满意、一般满意、不满意,计算总满意度。结果研究组理论知识、病例分析、技能操作得分以及总分均显著高于对照组(P<0.05);研究组自学能力、理解能力、思维能力、实践能力、学习兴趣度得分均高于对照组(P<0.05);研究组总体满意度评价效果显著(P<0.05)。结论在肿瘤放疗的教学中,以实践应用型人才培养为导向的MDT联合PBL+CBL模式可极大地增强规培住院医师学习的积极性和兴趣,明显提高教学成果和强化临床医师综合素质。Objective This study aims to explore the application effect of a multidisciplinary teaching model(MDT)combined with problem-based learning(PBL)and case-based learning(CBL)in the standardized training of radiation oncology residents.The study aims to highlight its innovative teaching reform characteristics and enhance students’comprehensive qualities.Methods This study included 80 residents who underwent radiation oncology training in our hospital from October 2018 to October 2021.The participants were divided into a research group(n=40)that received MDT combined with PBL+CBL multi-track teaching and a control group(n=40)that received traditional lecture-based teaching(LBL).General information of the residents,including age,gender,and entrance exam scores,was collected.The total scores of the two groups in theoretical knowledge,case analysis,and skill operation after training were statistically analyzed.The comprehensive qualities of the residents were evaluated in terms of self-learning ability,comprehension ability,thinking ability,practical ability,and learning interest.The scoring system ranged from 0 to 10,with higher scores indicating stronger comprehensive qualities.A questionnaire was used to assess the satisfaction of the residents with the teaching courses,categorized as very satisfied,satisfied,or dissatisfied,and the overall satisfaction was calculated.Results The research group had significantly higher scores in theoretical knowledge,case analysis,skill operation,and total scores compared to the control group(P<0.05).The research group also had higher scores in self-learning ability,comprehension ability,thinking ability,practical ability,and learning interest(P<0.05).The overall satisfaction evaluation of the research group was significantly higher(P<0.05).Conclusion In the teaching of radiation oncology,the MDT combined with PBL+CBL model,which focuses on the cultivation of practical and applied talents,can greatly enhance the enthusiasm and interest of residents in training,significantly improve

关 键 词：实践应用型人才培养 多学科教学模式 以问题为基础的教学 案例教学法 癌症 综合素质 

分 类 号：G643[文化科学—高等教育学]