基于TBL的分层教学模式在神经内科住院医师规范化培训中的应用  

Application of the hierarchical teaching mode based on TBL in standardized training of neurology residents

作　　者：伍嫦珠[1] 王恩[1] 柯绍发[1] 虞丹[1] 王凤[1] 胡晓飞[1] Wu Changzhu;Wang En;Ke Shaofa;Yu Dan;Wang Feng;Hu Xiaofei(Department of Neurology,Taizhou Hospital of Zhejiang Province,Taizhou 317000,Zhejiang,China)

机构地区：[1]浙江省台州医院神经内科,浙江台州317000

出　　处：《中国毕业后医学教育》2025年第1期24-27,共4页Chinese Journal of Graduate Medical Education

基　　金：台州恩泽医疗中心(集团)规培科研专项基金项目(21EZGP11)。

摘　　要：目的探讨基于团队的学习(team-based learning,TBL)的分层教学模式在神经内科住院医师规范化培训(简称住培)中的应用效果。方法选取2021年7月—12月及2022年7月—12月在浙江省台州医院神经内科轮转的住院医师119人为研究对象,2021年为观察组,采取分层递进TBL教学法;2022年为对照组,采取传统教学法。比较两组在教学满意度及综合能力考核两方面的培训效果。结果在教学满意度评价方面,指导医师、教学秘书对观察组的满意度评价高于对照组,差异有统计学意义(P<0.05),观察组对科室满意度评价高于对照组,差异有统计学意义(P<0.05)。综合能力考核方面,观察组的SOAP、理论成绩、体格检查、临床思维和病史采集考核的成绩高于对照组,差异有统计学意义(P<0.05)。结论基于TBL的分层教学模式在神经内科住培中的应用可以满足不同层次住院医师的要求,提高总体满意度及考核成绩,增强住院医师主动学习及临床思维能力。Objective To explore the effect of the hierarchical teaching mode based on TBL(teambased learning)in the standardized training of neurology residents.Methods A total of 119 residents who rotated in the Neurology Department of Taizhou Hospital of Zhejiang Province from July to December 2021 and from July to December 2022 were selected as the study subjects.Residents in 2021 were enrolled in the hierarchical TBL teaching group(observation group),and residents in 2022 were enrolled in the traditional teaching group(control group).The training effects of the two groups in teaching satisfaction and comprehensive ability assessment were compared.Results In terms of teaching satisfaction evaluation,the guidance doctors and teaching secretaries had higher satisfaction in the observation group than in the control group(P<0.05).The satisfaction evaluation of department in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).In terms of comprehensive ability assessment,the scores of SOAP,theory,medical history collection,physical examination,clinical thinking and medical history collection in the observation group were significantly higher than those in the control group(P<0.05).Conclusion The application of TBL based hierarchical teaching model in the standardized training of neurology residents can meet the requirements of residents at different levels,improve the overall satisfaction and assessment results,and enhance the students'active learning and clinical thinking ability.

关 键 词：神经内科 住院医师规范化培训 基于团队的学习 分层递进 

分 类 号：G40-034[文化科学—教育学原理] R74[文化科学—教育学]