摘要
目的探讨示教与反示教系统在住院医师规范化培训临床技能教学中的应用及效果。方法将湖南省儿童医院2018级40名儿科住院医师分成传统教学组、示教与反示教教学组,每组20人。对其进行执医技能培训,并对教师现场单项技能教学时间、两组学员掌握单项技能的时间、技能操作能力、综合能力进行比较分析;另外通过问卷星调查师生对示教与反示教系统教学的满意度。采用SPSS 17.0软件进行t检验和卡方检验。结果示教与反示教教学组教师现场单项技能教学时间[(21.75±3.24)min vs.(48.65±2.91)min]、住院医师单项技能掌握时间[(20.46±3.57)min vs.(30.24±4.73)min]均短于传统教学组(P<0.05)。示教与反示教教学组住院医师临床技能成绩[(92.96±5.21)vs.(84.13±3.28)]及综合能力评分[(91.23±5.06)vs.(85.23±5.72)]均高于传统教学组(P<0.05)。调查问卷显示住院医师对示教与反示教教学持肯定积极的态度:认为其具有便于全维度观看、提高学习兴趣、学习效果好等优势。结论示教与反示教系统在儿童专科医院住院医师规范化培训中的运用,能弥补在儿童专科医院少见的成人临床操作学习机会,迅速提高住院医师的专业技能,提高执业医师考试通过率,有助于提高住院医师岗位胜任力。
Objective To explore the application and effect of teaching and anti-teaching system in clinical skills teaching of the standardized residents training.Methods Forty pediatric residents of Batch 2018 in Hunan Children's Hospital were randomly divided into the conventional teaching group and the teaching and anti-teaching teaching group,20 in each group.All of them received the skills training for medical licensing examination.A comparative analysis of the teachers'on-site training time,and the time of mastering individual skill,the skill operation ability,and the comprehensive ability in the two groups was conducted.In addition,teachers and students'satisfaction with teaching and anti-teaching system was investigated by Wenjuanxing,a platform providing questionnaire survey.SPSS 17.0 software was used for t-test and Chi-square test.Results The teachers'on-site training time[(21.75±3.24)min vs.(48.65±2.91)min]and the residents'time of mastering skills and knowledge[(20.46±3.57)min vs.(30.24±4.73)min]in the teaching and anti-teaching teaching group were shorter than those in the conventional teaching group(P<0.05).The scores of clinical skills[(92.96±5.21)points vs.(84.13±3.28)points]and the comprehensive ability[(91.23±5.06)points vs.(85.23±5.72)points]of the residents in the teaching and anti-teaching teaching group were higher than those in the conventional teaching group(P<0.05).The questionnaire survey showed that the residents had a positive attitude towards the teaching and anti-teaching teaching.They believed that it had the advantage of facilitating full-dimensional viewing of the operation,improving the learning interest,and achieving better learning effect for the residents.Conclusion The application of teaching and anti-teaching system in the standardized training of residents in children's hospitals can make up for the rare adult clinical operation learning opportunities in children's hospitals,rapidly improve the professional skills of residents,improve the passing rate of medical licensing exa
作者
胡文静
王平
田甫翠
朱晟
Hu Wenjing;Wang Ping;Tian Fucui;Zhu Shen(Department of Neurology,Hunan Children's Hospital,Changsha 410007,China;Clinical Skills Center,Hunan Children's Hospital,Changsha 410007,China;Academic Affairs Office,Hunan Children's Hospital,Changsha 410007,China)
出处
《中华医学教育探索杂志》
2022年第11期1548-1553,共6页
Chinese Journal of Medical Education Research
基金
湖南省自然科学基金(2022JJ70006)
湖南省哲学社会科学基金(18YBA276)
湖南省卫生健康委员会课题(20200193)
湖南省卫生健康委员会课题(202115010591)
关键词
示教与反示教
住院医师规范化培训
岗位胜任力
Teaching and anti-teaching system
Standardized residency training
Post competency
