教学晨交班在综合医院中医学科临床教学中的研究及实践  

Research and practice of teaching morning handover on clinical teaching of traditional Chinese medicine in general hospital

作　　者：张晓鑫[1] 马天羽 林子琦[1] ZHANG Xiaoxin;MA Tianyu;LIN Ziqi(West China Center of Excellence for Pancreatitis,Institute of Integrated Traditional Chinese and Western Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;West China School of Medicine,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西医院中西医结合中心胰腺炎中心,成都610041 [2]四川大学华西临床医学院,成都610041

出　　处：《华西医学》2025年第1期101-105,共5页West China Medical Journal

基　　金：四川大学研究生教育教学改革研究项目(GSSCU2021143)。

摘　　要：目的探索教学晨交班在综合医院中医学科临床教学中的应用效果。方法回顾性纳入2023年4月—2024年3月在四川大学华西医院中西医结合中心临床学习的实习生、研究生/住院医师规范化培训生和住院医师/进修生共220名,其中2023年4月—9月学习的学员为对照组,2023年10月—2024年3月学习的学员为观察组。观察组在临床晨交班中加入教学晨交班,而对照组仅常规进行临床晨交班。由于基础知识及临床工作定位差异,将除实习生外的学员都归类于临床住院医师。比较两组间不同学员的主观问卷调查中对教学内容、教学方法、教学能力和教学管理的满意度及出科考核成绩(包括总分、闭卷考试分、临床过程性评定分及教学活动参与度)。结果分别与对照组的实习生(n=57)和临床住院医师(n=49)相比,观察组的实习生(n=78)和临床住院医师(n=36)在教学内容、教学方法及教学能力满意度方面差异均无统计学意义(P>0.05),而教学管理满意度提高(实习生P=0.002,临床住院医师P=0.022)。观察组实习生和临床住院医师的出科考核总分、闭卷考试及教学活动参与度均高于对照组(实习生P值分别为<0.001、0.001和<0.001,临床住院医师P值分别为<0.001、0.013和<0.001),而临床过程性评定两组间差异无统计学意义(P>0.05)。结论教学晨交班有助于提高综合医院中医学科临床教学质量,是中医学科临床教学管理的有效模式。Objective To investigate the effectiveness of teaching morning handover in clinical teaching of traditional Chinese medicine(TCM)in general hospitals.Methods A retrospective study was conducted at the Institute of Integrated Traditional Chinese and Western Medicine,West China Hospital of Sichuan University from April 2023 to March 2024,involving a total of 220 participants including interns,postgraduates/standardized training students,and residents/refresher students.The control group consisted of trainees who studied from April to September 2023,while the observation group included those who studied from October 2023 to March 2024.Teaching morning handover was added to the clinical morning report for the observation group,while the control group only conducted the conventional clinical morning report.Due to the differences in basic knowledge and clinical positioning,trainees except interns were classified as clinical residents.A questionnaire survey including satisfaction of teaching content,teaching methods,teaching ability and teaching management and graduation assessment including total score,theoretical assessment score,clinical process score and participation in teaching activities were compared between the two groups.Results Compared with those of the interns(n=57)and clinical residents(n=49)in the control group respectively,there was no statistically significant difference in satisfaction of teaching content,teaching methods or teaching ability of the interns(n=78)and clinical residents(n=36)in the observation group(P>0.05);however,teaching management satisfaction was significantly improved(interns P=0.002,clinical residents P=0.022).Both the interns and clinical residents in the observation group had a significantly higher total score as well as theoretical assessment score and increased participation in teaching activities(P values for interns were<0.001,0.001,and<0.001,respectively,and for clinical residents were<0.001,0.013,and<0.001,respectively).However,there was no significant difference observed b

关 键 词：教学晨交班 中医学科 综合医院 临床教学 

分 类 号：R-4[医药卫生]