目的 探讨基于成果导向教育(outcome-based education,OBE)理念结合情景式教学在儿童综合性医院麻醉实习教学中的应用效果。方法 采用试验对照方法。以2021年11月至2022年5月在重庆医科大学附属儿童医院麻醉科实习的2017级五年制麻醉学专业80名本科生为研究对象,采用随机数字表法将学生分为试验组和对照组各40人。试验组学生采取OBE结合情景式教学方式,对照组学生采取课堂讲授的教学方式,通过理论知识和技能操作考核成绩及学习成效自我评价量表评价教学效果,采用t检验进行数据分析。结果 试验组学生的理论知识考核成绩和实践能力考核成绩均高于对照组[(91.07±1.48)分比(86.44±2.24)分,(89.05±1.31)分比(85.27±2.22)分];试验组学生对提高解决问题的能力、提高自学信心、教学满意度评分均高于对照组(4.12±0.25)分比(3.05±0.27)分、(4.19±0.51)分比(3.07±0.41)分、(4.48±0.49)分比(2.98±0.33)分,差异均具有统计学意义(均P＜0.05)。结论 基于OBE理念结合情景式教学应用于儿科麻醉实习教学,有助于提升医学生的理论知识考核成绩和实践能力考核成绩,有助于激发学生的学习积极性、提升学生临床实践能力、提升学生的教学满意度。

Objective To explore the application of outcome-based education (OBE) combined with situational teaching for anesthesia internship in children′s general hospital. Methods An experimental control method was used. Eighty undergraduates of the five-year anesthesiology major of the class of 2017 who were interned in the Department of Anesthesiology of the Children′s Hospital of Chongqing Medical University from November 2021 to May 2022 were selected as the study subjects, and the students were divided into 40 students each in the study group and the control group. The study group adopted OBE combined with situational teaching method, and the control group adopted classroom lecture teaching method. The teaching effect was evaluated by the theoretical knowledge and skill operation assessment scores and learning effectiveness self-evaluation scale. Data were analyzed by using t-test. Results The theoretical knowledge assessment scores and practical ability assessment scores of the students in the study group were higher than those of the control group [(91.07±1.48) points vs. (86.44±2.24) points, (89.05±1.31) points vs. (85.27±2.22) points]. Students in the study group scored higher than the control group in terms of improving problem-solving skills, improving confidence in self-study, and satisfaction with the teaching [(4.12±0.25) points vs. (3.05±0.27) points, (4.19±0.51) points vs. (3.07±0.41) points, (4.48±0.49) points vs. (2.98±0.33) points], and the differences were all statistically significant (all P<0.05) . Conclusions OBE combined with situational teaching applied to the teaching of pediatric anesthesia clerkship helps to improve the theoretical knowledge assessment scores and practical ability assessment scores of medical students, which helps to stimulate students′ learning motivation, improve students′ clinical practice competence, and enhance students′ teaching satisfaction.