中华医学教育杂志 ›› 2021, Vol. 41 ›› Issue (5): 452-455.DOI: 10.3760/cma.j.cn115259-20200629-00971

• 临床教学 • 上一篇    下一篇

多样化考核分级下基于团队学习教学方法在麻醉科住院医师规范化培训中的应用

李维, 刘慧敏, 冷燕, 熊永红, 李文远, 陈榕, 吴洋, 夏中元, 孟庆涛   

  1. 武汉大学人民医院麻醉科 430060
  • 收稿日期:2020-06-29 发布日期:2021-04-29
  • 通讯作者: 孟庆涛, Email: mengqingtao2018@126.com, 电话: 027-88041911
  • 基金资助:
    中华医学会医学教育分会和中国高等教育学会医学教育专业委员会2018年医学教育研究课题(2018B-N05039);武汉大学医学部教学改革研究项目(2020031)

Application of diversified assessment and grading guided team-based learning method in standardized training for residents in department of anesthesiology

Li Wei, Liu Huimin, Leng Yan, Xiong Yonghong, Li Wenyuan, Chen Rong, Wu Yang, Xia Zhongyuan, Meng Qingtao   

  1. Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan 430060, China
  • Received:2020-06-29 Published:2021-04-29
  • Contact: Meng Qingtao, Email: mengqingtao2018@126.com, Tel: 0086-27-88041911
  • Supported by:
    Medical Education Branch of Chinese Medical Association and Medical Education Professional Committee of Chinese Association of Higher Education Medical Education Research Project in 2018 (2018b-N05039); Teaching Reform Research Project of Wuhan University Medical Department(2020031)

摘要: 目的 探讨多样化考核分级下基于团队学习教学方法(team-based learning, TBL)在麻醉科住院医师规范化培训中的应用效果。方法 本研究采用试验对照方法。选取2018年8月至2019年8月在武汉大学人民医院麻醉科接受住院医师规范化培训的60名住院医师为研究对象,采用随机数字表方法将其随机分为试验组和对照组,每组30人,试验组采用多样化考核分级下TBL教学方法,对照组采用传统TBL教学方法。设计并构建多样化考核评级制度。根据多样化考核分数,将学员分为R1、R2、R3级,对比两组住培医师的教学效果。结果 R1级试验组住培医师考核成绩(94.79±4.41)分,对照组住培医师(90.72±4.08)分;R2级试验组住培医师考核成绩(89.22±4.51)分,对照组住培医师(83.08±4.23)分;R3级试验组住培医师考核成绩(81.63±4.81)分,对照组住培医师(75.22±4.24)分;对各组进行多重比较,其差异均具有统计学意义(均P<0.05),同时试验组住培医师满意度[(23.18±1.23)分]高于对照组[(21.22±1.12)分],其差异具有统计学意义(t=3.61,P<0.01)。结论 多样化考核分级下TBL教学方法在病例分析教学中,有利于提高麻醉科住院医师规范化培训教学质量,住院医师普遍更愿意接受该教学模式。

关键词: 多样化考核分级, 基于团队学习, 麻醉科, 住院医师规范化培训

Abstract: Objective To explore the effect of diversified assessment guide implementation of team-based learning (TBL) in the standardized training for residents in department of anesthesiology. Methods Using experimental control method. Sixty residents joined the training from August 2018 to August 2019, were randomly divided into two groups as diversified assessment guide TBL group (experimental group) and traditional TBL group (control group). Design and build a diversified assessment and rating system. According to the diversified assessment scores, the students were divided into R1, R2 and R3 grades, and the learning outcomes of two groups are compared. Results The assessment scores of resident standardized training between the R1 experimental group (94.79±4.41) and the control group (90.72±4.08), the R2 experimental group (89.22±4.51) and the control group (83.08±4.23), R3 experimental group (81.63±4.81), and the control group (75.22±4.24) are all significantly different (all P<0.05). Satisfaction between experimental group (23.18±1.23) and control group (21.22±1.12) is also significantly different (t=3.61,P<0.01). Conclusions TBL teaching method under the guidance of diversified assessment and rating improves the standardized training quality of resident in anesthesiology, and residents are generally more inclined to this training mode.

Key words: Diversified assessment, Team-based learning, Anesthesiology, Resident standardized training

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