基于核心胜任力的科普+师生角色互换病例讨论教学模式在全科住院医师规范化培训中的应用  

Application of the innovative teaching model of popular science+the role reversal between teachers and students based on core competency in standardized training teaching of general practice residents

作　　者：黄贇[1] 沈珍珍 吴丽丽 陈柳 杨膺[1] 符莉[1] Huang Yun;Shen Zhenzhen;Wu Lili;Chen Liu;Yang Ying;Fu Li(Department of Pediatrics,Xuhui District Central Hospital,Shanghai 200031,China)

机构地区：[1]上海市徐汇区中心医院儿科,上海200031

出　　处：《中国毕业后医学教育》2025年第2期117-121,共5页Chinese Journal of Graduate Medical Education

基　　金：复旦大学上海医学院毕业后医学教育研究课题(FDYXYBJ-20222014)。

摘　　要：目的探讨全科住院医师在儿科轮转期间应用科普+师生角色互换病例讨论教学模式的效果。方法选取2019年1月1日—2022年12月31日在上海市徐汇区中心医院儿科轮转的全科住院医师42名,随机分成观察组和对照组,各21人。观察组采取科普+师生角色互换教学模式,对照组采取儿科常规教学。对两组理论知识、病史书写(采用Mini-CEX量表)、医患沟通技能(采用SEGUE量表)进行考核或评价,并对教学效果进行评价。结果两组在培训前理论知识考核、病历书写、医患沟通技能方面差异无统计学意义(均P>0.05)。培训后两组各项指标均有提升,其中观察组在理论知识考核、医患沟通技能、病历书写中的人文关怀、卫教咨询、组织效能和整体表现方面均优于对照组,差异有统计学意义(均P<0.05)。在对教学效果评价上,观察组对在自主学习能力、学习积极性、团队协作能力、临床思维能力的提升,以及自信心提高方面的评价优于对照组,差异均具有统计学意义(均P<0.05)。结论科普+师生角色互换病例讨论教学模式能提高住院医师理论知识的掌握、医患沟通和病历书写的能力。Objective To explore the effect of the innovative teaching mode of popular science+role reversal between teachers and students for general practitioner residents during their pediatric rotation.Methods 42 general practitioner residents who rotated in the Pediatrics Department of Xuhui Central Hospital in Shanghai from January 1,2019 to December 31,2022 were selected and randomly divided into an observation group and a control group,with 21 residents in each group.The observation group adopted the innovative teaching mode of popular science+role reversal between teachers and students,while the control group received routine pediatric teaching.The theoretical knowledge,medical history writing(Mini-CEX scale)and doctor-patient communication skills(SEGUE scale)of both groups were evaluated or assessed,and the teaching effectiveness was evaluated.Results Before the training,there were no statistically significant differences between the two groups in theoretical knowledge assessment,medical history writing and doctor-patient communication skills(all P>0.05).After the training,both groups showed improvements in various indicators.Specifically,the observation group significantly outperformed the control group in theoretical assessment,doctor-patient communication skills,humanistic care in medical history writing,health education consultation,organizational efficiency and overall performance,with statistically significant differences(all P<0.05).In evaluating the teaching effectiveness,the observation group demonstrated significantly better evaluations in terms of autonomous learning ability,learning enthusiasm,team collaboration ability,improvement in clinical thinking skills,and increased self-confidence compared with the control group,with statistically significant differences(all P<0.05).Conclusion The innovative teaching mode of"popular science+role reversal between teachers and students"can enhance resident physicians'mastery of theoretical knowledge,doctor-patient communication skills,and medical history writing a

关 键 词：核心胜任力 师生角色互换 全科 儿科 住院医师规范化培训 

分 类 号：G40-034[文化科学—教育学原理] R72[文化科学—教育学]