目的 探讨基于团队学习(team-based learning,TBL)教学方法在显微外科住院医师规范化培训中的应用效果。方法 将2019年至2020年在武汉大学第二临床学院进行住院医师规范化培训的64名学员以随机数字表法平均分为试验组和对照组,分别采用TBL教学方法和传统教学方法进行显微外科规范化培训,并分别于培训后针对各组学员进行小血管吻合操作评分,同时进行匿名问卷调查并评分。结果 小血管吻合操作评分方面,试验组和对照组学员的操作熟练度[(2.28 ±0.58)分比(1.47±0.51)分]、吻合质量[(2.28 ±0.52)分比(1.53±0.51)分]等评分和总分[(11.25 ±1.83)分比(7.63±1.64)分]的差异均具有统计学意义(均P<0.05)。 问卷调查结果显示,试验组和对照组学员对小血管吻合培训感兴趣[(4.16±0.72)分比(3.09±0.89)分]、对教学课程安排满意度[(4.10±0.69)分比(2.93±0.80)分]等评分和总分[(19.38 ±1.58)分比(14.53±1.39)分]的差异均具有统计学意义(均P<0.05)。结论 应用TBL教学对学员进行显微外科规范化培训,有助于学员充分发挥其主观能动性,增强其学习兴趣,提高其操作技能。

Objective To evaluate the training outcomes of team-based learning (TBL) mode in the standardized training of microsurgery residents.Methods Totally 64 residents trained in the Second Clinical College of Wuhan University from 2019 to 2020 were trained in microsurgery, and they were randomly divided into experimental group and control group. TBL teaching mode was used in the experimental group for standardized microsurgery training, while the traditional teaching mode was used in the control group for standardized microsurgery training. After the training, the trainees were scored for small vessel anastomosis operation, and anonymous questionnaire survey was conducted and scored.Results Vascular anastomosis assessment results: operation proficiency score [(2.28 ± 0.58) vs. (1.47 ± 0.51)], and anastomosis quality score[(2.28 ± 0.52) vs. (1.53 ± 0.51)], total score [(11.25 ± 1.83) vs. (7.63 ± 1.64) ]. The difference was statistically significant (all P<0.05).Questionnaire survey results: the students' interest of small vessel anastomosis training [(4.16 ± 0.72) vs. (3.09 ± 0.89) ], the satisfaction scores of teaching [(4.10 ± 0.69) vs. (2.93 ± 0.80)], the total score [(19.38 ± 1.58) vs. (14.53 ± 1.39)]. The difference was statistically significant (all P<0.05).Conclusions The application of TBL in microsurgery standardized training can enable residents to fully exert their subjective initiative, improve their operational skills, enhance their teamwork awareness.