目的 研究临床路径结合典型病案教学法在中医肿瘤内科住院医师规范化培训(简称住培)中的应用效果。方法 选取2021年4月到2022年5月在上海中医药大学附属龙华医院肿瘤六科参加住培的医师60名,按照随机数字表法,分为试验组和对照组各30名。试验组采用临床路径结合典型病案教学,对照组采用常规教学。2个月后,比较两组学员的出科总成绩和教学满意度。采用t检验和χ2检验比较两组间差异。结果 试验组学员出科总成绩高于对照组学员,分别为(94.28±4.33)分和(90.56±8.93)分,其差异具有统计学意义(t=2.06,P=0.044);试验组学员的教学满意度高于对照组学员,分别为(96.63±5.40)分和(89.40±9.35)分,其差异具有统计学意义(t=3.67,P=0.001)。结论 临床路径结合典型病案教学法在中医肿瘤内科住培带教中效果较好,值得推广。
Objective To study the training effect of clinical pathway combined with typical cases in standardized residents training of traditional Chinese medicine (TCM) oncology. Methods A total of 60 physicians were randomized into experimental group (n=30) and control group (n=30) to receive standardized residents training in department VI of medical oncology Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from April 2021 to May 2022. The experimental group received clinical pathway combined with typical cases method, and the control group received conventional teaching method. The examination results and course satisfaction were evaluated after 2 months. T-test and χ2 test were used to compare differences between two groups. Results The examination results was better in the experimental group than that of the control group [(94.28±4.33) vs.(90.56±8.93), t=2.06, P=0.044)], and course satisfaction was better in the experimental group than that of the control group [(96.63±5.40) vs. (89.40±9.35), t=3.67, P=0.001)]. Conclusions The clinical pathway combined with typical cases method resulted in a satisfactory teaching effect for TCM oncology.
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