摘要
目的探讨情景模拟联合(Debriefing-GAS)方法在产前遗传咨询能力教学中的应用效果。方法选取2021年5月至2022年5月在中山大学附属第一医院进行遗传咨询培训的30名2017至2018级五年制和八年制临床医学专业本科生作为研究对象,采用情景模拟联合Debriefing-GAS方法对学生进行胎儿疾病产前遗传咨询教学。通过教师考核比较教学过程中遗传咨询能力的变化,并通过问卷调查学生对于教学的满意度。采用SPSS 26.0统计软件进行数据分析;正态分布计量资料采用(均数±标准差)表示,非正态分布计量资料采用中位数(四分位数)表示,计数资料采用频数及率表示;采用配对样本t检验比较教学前后考核成绩。结果经过教学后,学生遗传咨询考核成绩与教学前比较有所提高[(74.5±18.6)分vs(.87.2±14.5)分,t=4.10,P<0.001],临床能力[(35.4±9.6)分vs(.41.1±6.9)分,t=3.72,P=0.001)]、医患沟通能力[(17.5±4.6)分vs.(20.8±3.8),t=4.34,P<0.001]、专业素养[(11.0±2.5)分vs(.12.5±2.3)分,t=2.89,P=0.007]、团队合作能力[(3.5±1.0)分vs.(4.2±0.8)分,t=3.67,P=0.001),以及组织效能[(7.1±2.0)分vs.(8.3±1.7)分,t=2.94,P=0.006]等综合能力均得到提升,差异有统计学意义。问卷调查结果显示,学生对遗传咨询教学整体实施流程及环节设置合理性[3.0(3.0,4.0)分]、教学质量[3.5(3.0,4.0)分]、教学能否有效增加学生的学习兴趣及主动性[4.0(3.0,4.0)分]、提高理论知识水平[4.0(3.0,4.0)分]、遗传咨询沟通技巧的掌握[3.0(3.0,4.0)分],以及相关技术研究和应用前景了解[3.0(3.0,4.0)分]的满意度评价等级均在满意之上。但有2名(6.7%)学生认为,此种教学方式并不能高效地达到教学目的,因为教学过程稍显冗长复杂。结论情景模拟联合Debriefing-GAS方法在产前遗传咨询教学中获得了较好的应用效果,可以帮助本科生掌握产前遗传咨询理论知识,提高其临床综合素养,学生满意度较高,可在
Objective To investigate the application effect of situational simulation combined with the Debriefing-GAS method in the teaching of prenatal genetic counseling.Methods A total of 30 medical students of the five-and eight-year programs in the classes of 2017 and 2018 who received genetic counseling training in The First Affiliated Hospital of Sun Yat-sen University from May 2021 to May 2022 were selected as research subjects,and situational simulation combined with the debriefing-GAS method was used for the teaching of prenatal genetic counseling.Assessment was performed by the teacher to evaluate the change in genetic counseling abilities during the teaching process,and a questionnaire survey was conducted to investigate the degree of satisfaction with teaching among the students.SPSS 26.0 software was used for data analysis;normally distributed continuous data were expressed as mean±standard deviation,non-normally distributed continuous data were expressed as Md(P25,P75),and categorical data were expressed as frequency and rate;the paired samples t-test was used for comparison of assessment scores before and after teaching.Results After teaching,there were significant increases in the assessment scores of genetic counseling[(74.5±18.6)points vs.(87.2±14.5)points,t=4.10,P<0.001]and comprehensive abilities such as clinical ability[(35.4±9.6)points vs.(41.1±6.9)points,t=3.72,P=0.001],doctor-patient communication[(17.5±4.6)points vs.(20.8±3.8)points,t=4.34,P<0.001],professional literacy[(11.0±2.5)points vs.(12.5±2.3)points,t=2.89,P=0.007],teamwork[(3.5±1.0)points vs.(4.2±0.8)points,t=3.67,P=0.001],and organizational effectiveness[(7.1±2.0)points vs.(8.3±1.7)points,t=2.94,P=0.006].The questionnaire survey showed that the degree of satisfaction among students was rated above satisfaction for the reasonability of the implementation process and links of genetic counseling teaching[3.0(3.0,4.0)points],teaching quality[3.5(3.0,4.0)points],whether the teaching model could effectively increase the interest and
作者
刘婧宇
赵婧雅
黄轩
黄林环
何志明
罗艳敏
陈海天
周祎
Liu Jingyu;Zhao Jingya;Huang Xuan;Huang Linhuan;He Zhiming;Luo Yanmin;Chen Haitian;Zhou Yi(Department of Obstetrics and Gynecology,The First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China)
出处
《中华医学教育探索杂志》
2024年第5期677-682,共6页
Chinese Journal of Medical Education Research
基金
2021中山大学本科教学质量与教学改革工程项目(31911130-210407)
2022年中山大学附属第一医院毕业后医学教育教学改革(B202218)
2022年广东省本科高校教学质量与教学改革工程项目(粤教高函〔2023〕4号)。
关键词
复盘
遗传咨询
胎儿医学
医学模拟教育
教学改革
Debriefing
Genetic counseling
Fetal medicine
Simulation-based medical education
Teaching reform
