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| 多学科协作教学模式在麻醉科住院医师规范化培训中的应用 |
| Application of multi-disciplinary team teaching method in the standardized training of residents in the department of anesthesia |
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| DOI：10.12089/jca.2022.06.013 |
| 中文关键词: 多学科协作 基于问题学习 麻醉学 教育 医学 |
| 英文关键词: Multi-disciplinary team Problem-based learning Anesthesiology Education Medical |
| 基金项目:河南省医学科技攻关计划项目（RKX202002030） |
| 作者 | 单位 | E-mail | | 信文启 | 475000,开封市,河南大学淮河临床医学院麻醉科 | xwq_mzk@163.com | | 杨晴 | 475000,开封市,河南大学淮河临床医学院麻醉科 | | | 丁涛 | 475000,开封市,河南大学淮河临床医学院麻醉科 | | | 梁丽敏 | 475000,开封市,河南大学淮河临床医学院麻醉科 | | | 江启亮 | 475000,开封市,河南大学淮河临床医学院麻醉科 | | | 张义轩 | 475000,开封市,河南大学淮河临床医学院麻醉科 | |
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| 中文摘要: |
目的 评价多学科协作（MDT）+SimMan模拟人+基于问题学习（PBL）教学模式用于麻醉科住院医师规范化培训（住培）教学中的效果。
方法 选择麻醉科住培医师60名，男27名，女33名。采用随机数字表法分为两组：传统教学模式组（C组）和MDT+SimMan模拟人+PBL教学模式组（M组），每组30名。教学结束后，评价住培医师理论考试成绩、实际操作技能水平、教学质量（急救意识增强、急救能力提高、队伍配合意识增强、主动学习积极性提高及理论结合实践能力提高）和教学满意度情况。
结果 M组理解记忆题、临床应用题、综合分析题得分、理论考试总分明显高于C组（P<0.05）。M组心肺复苏成功比例及胸外按压、人工呼吸、气管插管、硬膜外穿刺的单项操作得分明显高于C组（P<0.05）。M组住培医师的教学质量、教学满意度明显高于C组（P<0.05）。
结论 与传统教学模式比较，MDT+SimMan模拟人+PBL教学模式可提高麻醉科住培医师规范化培训的教学质量，提高住培医师满意度，值得推广。 |
| 英文摘要: |
Objective To evaluate the application effects of multi-disciplinary team (MDT) combined with SimMan simulator and problem-based learning (PBL) teaching method in the standardized training of residents in the department of anesthesia.
Methods Sixty residents for standardized training, 27 males and 33 females, were randomly divided into 2 groups: traditional teaching mode group (group C) and MDT combined with SimMan simulator and PBL teaching mode group (group M), 30 residents in each group. The two groups were evaluated with the examination score, actual operation level, teaching quality (first aid awareness, first aid ability, team coordination awareness, active learning and the ability of combining theory with practice were enhanced) and satisfaction towards teaching.
Results The examination total score, the score of understanding memory test, the score of clinical application test and the comprehensive analysis test in group M were higher than those in group C (P < 0.05). The score of the chest compression, the artificial respiration, the trachea cannula, the epidural puncture and the percentage of being successfully resuscitated in group M were higher than those in group C (P < 0.05). The teaching quality and the teaching satisfaction in group M were higher than those in group C (P < 0.05).
Conclusion Compared with traditional teaching mode, MDT combined with SimMan simulator and PBL teaching method can improve the teaching quality of standardized training residents in the department of anesthesia and has won popularity among standardized training residents, which make it worthy of promoting in clinical teaching. |
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