中华医学教育杂志 ›› 2023, Vol. 43 ›› Issue (7): 534-538.DOI: 10.3760/cma.j.cn115259-20220831-01100

• 住院医师规范化培训 • 上一篇    下一篇

分级进阶式以图导学在住院医师心脏超声教学中的应用

艾慧俊1, 周利芬1, 戴丽雅1, 卢陈英2, 周宁1, 叶玲红1, 陈方红1   

  1. 1温州医科大学附属第五医院 丽水市中心医院超声科,丽水 323000;
    2温州医科大学附属第五医院 丽水市中心医院放射科,丽水 323000
  • 收稿日期:2022-08-31 发布日期:2023-06-30
  • 通讯作者: 陈方红, Email: csyxkcfh@163.com

The application of hierarchical and advanced learning guidance with diagram in cardiac ultrasound teaching for residents

Ai Huijun1, Zhou Lifen1, Dai Liya1, Lu Chenying2, Zhou Ning 1,Ye Linghong1, Chen Fanghong1   

  1. 1Department of Ultrasound, Lishui Central Hospital & the Fifth Affiliated Hospital of Wenzhou Medical University, Lishui 323000, China;
    2Department of Radiology, Lishui Central Hospital & the Fifth Affiliated Hospital of Wenzhou Medical University, Lishui 323000,China
  • Received:2022-08-31 Published:2023-06-30
  • Contact: Chen Fanghong, Email: csyxkcfh@163.com

摘要: 目的 探讨分级进阶式以图导学在住院医师心脏超声教学中的应用效果。方法 采用试验对照方法。通过整群抽样方法,将2019年9月至2022年8月在丽水市中心医院超声医学科专业基地轮转的24名住院医师作为研究对象,采用随机数字表法将其均分为试验组和对照组,试验组住院医师采用分级进阶式以图导学教学,对照组住院医师采用传统教学。通过心脏超声操作技能考核成绩和临床思维考核成绩及住院医师自评来评价教学效果。采用Fisher精确检验和独立样本t检验进行数据分析。结果 试验组住院医师的心脏超声操作技能考核成绩[(96.19±1.85)分比(93.86±2.32)分]、心脏超声临床思维考核成绩[(76.61±2.61)分比(72.01±4.25)分]、自主学习能力评分[(109.16±11.03)分比(94.94±12.54)分]均高于对照组,差异均具有统计学意义(均P<0.05)。结论 分级进阶式以图导学有助于提高住院医师的心脏超声操作技能考核成绩和临床思维考核成绩,有助于提升其自主学习能力。

关键词: 超声学, 住院医师规范化培训, 心脏超声, 分级进阶教学, 以图导学

Abstract: Objective To explore the application effect of hierarchical and advanced learning guidance with diagram in cardiac ultrasound teaching for residents. Methods A trial control method was used. Using a cluster sampling method, 24 residents who rotated in the ultrasound medical department professional base of Lishui Central Hospital from September 2019 to August 2022 were selected as study subjects. They were equally divided into the experimental group and the control group using a random number table method. The residents in the experimental group used a hierarchical and advanced graphical guidance with diagram teaching, while the residents in the control group used traditional teaching. The learning effect was evaluated through the examination results of cardiac ultrasound operational skills, clinical thinking, and resident self-evaluation, and Fishers exact test and independent sample t-test were used for data analysis. Results The scores of cardiac ultrasound operational skills [(96.19±1.85)vs. (93.86±2.32)], clinical thinking [(76.61±2.61) vs. (72.01±4.25)], and autonomous learning ability [(109.16±11.03)vs. (94.94±12.54)] in the experimental group were higher than those in the control group, with statistically significant differences (all P<0.05). Conclusions Hierarchical and advanced guidance with diagram is helpful to improve resident doctors′ performance in cardiac ultrasound operational skills and clinical thinking assessment, and to enhance their autonomous learning ability.

Key words: Ultrasonics, Standardized residency training, Cardiac ultrasound, Hierarchical and advanced teaching, Learning guidance with diagram

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