眼科日间病房DBL联合SLS教学查房模式的设计和应用  

Design and application of a teaching rounds model combining disease-based learning and slit lamp-side teaching in ophthalmology day wards

作　　者：吴向华[1] 赵秀娟[1] 胡安娣娜 张林燕 魏雁涛[1] 丁小燕[1] Wu Xianghua;Zhao Xiujuan;Hu Andina;Zhang Linyan;Wei Yantao;Ding Xiaoyan(Zhongshan Ophthalmic Center of Sun Yat-sen University,State Key Laboratory of Ophthalmology,Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science,Guangzhou510060,China)

机构地区：[1]中山大学中山眼科中心/眼病防治全国重点实验室/广东省眼科视觉科学重点实验室,广州510060

出　　处：《中华医学教育探索杂志》2024年第12期1707-1712,共6页Chinese Journal of Medical Education Research

基　　金：广东省临床教学基地教学改革研究项目(2021JD019)。

摘　　要：目的探索适应眼科日间病房模式的住院医师规范化培训教学查房模式。方法立足住院医师规范化培训教学查房指南,成立教学查房工作小组,设计了以疾病为基础的学习(disease based learning,DBL)和裂隙灯旁(slit lamp-side,SLS)相结合的教学查房模式,并在71位眼科住院医师规范化培训学员中进行实施。通过问卷调查进行教学效果评价,包括流程设计的合理性、查房内容的实用性、查房流程的顺畅度、住培学员的参与度和所涉及疾病的掌握程度,并与2022年同期接受传统教学查房培训的住培学员进行比较。结果针对DBL联合SLS模式教学查房进行满意度调查,63位(88.73%)学员对教学查房流程设计的合理性、住培学员的参与度及所涉及疾病的掌握程度非常满意,66位(92.96%)学员对查房内容的实用性非常满意,64位(90.14%)学员对查房流程的顺畅度非常满意。以上5个方面与传统床旁教学查房相比,满意度均较前有大幅度提高(P=0.022、P=0.023、P=0.003、P=0.019、P=0.025)。结论以疾病为基础的学习和裂隙灯旁查房相结合的眼科新型教学查房模式,可有效融入日间病房诊疗流程,住培学员满意度高,是适合眼科日间病房模式运行的新教学模式。ObjectiveTo explore a teaching rounds model tailored for the ophthalmology day ward in standardized resident training.MethodsBased on the guidelines for teaching rounds in standardized resident training,we set up a teaching round working group and designed a teaching rounds model combining disease-based learning(DBL)and slit lamp-side(SLS)teaching.This teaching rounds model was implemented in 71 ophthalmology residents undergoing standardized training.The teaching effectiveness was evaluated through a questionnaire survey,including the rationality of the process design,the practicality of round content,the smoothness of round process,trainee engagement,and knowledge on the diseases involved.The results were compared with those of residents who received traditional bedside teaching rounds during the same period in 2022.ResultsIn the survey of satisfaction for the teaching rounds model combining DBL and SLS,63(88.73%)trainees were very satisfied with the rationality of the teaching round process design,trainee engagement,and knowledge on the diseases involved,66(92.96%)trainees were very satisfied with the practicality of the round content,and 64(90.14%)trainees were very satisfied with the smoothness of the ward round process.Compared with the traditional bedside teaching rounds,the above five aspects of satisfaction were significantly improved(P=0.022,P=0.023,P=0.003,P=0.019,P=0.025).ConclusionsThe novel ophthalmology teaching rounds model combining DBL and SLS can be effectively integrated into the diagnosis and treatment processes in the day ward.The resident trainees showed high satisfaction with this model.This is an innovative teaching model well-suited for the operation of ophthalmology day wards.

关 键 词：日间病房 眼科住院医师 规范化培训 教学查房 

分 类 号：R770.4[医药卫生—眼科]