中华医学教育杂志

中华医学教育杂志 ›› 2017, Vol. 37 ›› Issue (5): 775-778.DOI: 10.3760/cma.j.issn.1673-677X.2017.05.030

• 住院医师培训 • 上一篇    下一篇

临床路径结合基于团队的学习教学方法在住院医师规范化培训中的应用

殷艳蓉, 杜媛, 任洁, 黄欣, 梁琦, 田刚, 薛小临   

  1. 710061 西安交通大学医学院第一附属医院心内科
  • 出版日期:2017-05-01 发布日期:2020-12-09
  • 通讯作者: 杜媛, Email:yronger@163.com
  • 基金资助:
    西安交通大学医学院第一附属医院教学改革项目 (17YB02)

An application of clinical pathway and team-based learning in teaching of cardiology during residents training

Yin Yanrong, Du Yuan, Ren Jie, Huang Xin, Liang Qi, Tian Gang, Xue Xiaolin   

  1. Department of Cardiology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061,China
  • Online:2017-05-01 Published:2020-12-09
  • Contact: Du Yuan, Email:yronger@163.com

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摘要： 目的 探讨临床路径(clinical pathway CP)结合基于团队的学习(team based-learning,TBL)教学方法在心内科住院医师规范化培训中的效果及意义。 方法 采用实验对照方法。选取2015年1月～2016年12月在西安交通大学医学院第一附属医院心内科规范化培训的学员40人为研究对象,将其随机分为实验组和对照组,每组20人。实验组采用CP结合TBL教学方法,对照组采用传统教学方法。培训3个月后,采用问卷调查和考核方式以评价教学效果。 结果 理论考试成绩:实验组为(84.6±9.3)分,对照组为(72.7±10.3)分,t=3.836,P<0.05;临床技能操作考核成绩:实验组为(86.8±7.9),对照组为(74.3±9.6)分,t=4.485,P<0.05。问卷调查结果显示,实验组学员对CP结合TBL教学方法的效果评价明显高于对照组学员对传统教学方法的评价。结论 CP结合TBL教学方法有助于提高心内科住院医师规范化培训质量。

关键词: 临床路径, 基于团队的学习, 心内科, 住院医师规范化培训

Abstract: Objective To explore the effectiveness of clinical pathway and team-based learning in the cardiovascular department during resident training.Methods 40 internal medicine residents in First Affiliated Hospital of Xi'an Jiaotong University were applied with two different teaching methods.clinical pathway and team-based learning were used in the intervention group, while the traditional teaching method was applied in the control group.Data were collected by means of a questionnaire and a clinical test.Results Compared with the control group,the intervention group did better in paper test on theories and clinical skills test(t=4.485,P<0.05).The questionnaire results showed that the intervention group had a strong initiative and independent learning ability, and mastered well of the clinical skills.Conclusions The integrated application of CP and TBL method can be a valuable strategy.

Key words: Clinical pathway, Team-based learning, Cardiology, Residents training