目的 评价基于问题学习(problem-basedlearning,PBL)联合微信教学平台在妇科教学中的应用效果。方法 选取首都医科大学附属北京世纪坛医院63名妇科进修医师为研究对象,采用随机数字表法将其分为实验组和对照组,实验组30名进修医师,对照组33名进修医师。在异常子宫出血疾病的教学过程中,实验组采用PBL联合微信教学平台教学方法,对照组采用PBL教学方法,培训前后分别对两组进修医师进行岗位胜任力评分,同时在培训后对两组进修医师进行临床考核,以评价其相关理论知识的掌握情况。结果 培训后与培训前相比,实验组进修医师在临床基本能力[5(4,5)分比2(1,3)分]、医学职业素质与精神[5(4,5)分比4(3,4)分]、基本公共卫生服务能力[4(4,5)分比3(2,4)分]等岗位胜任力方面均有明显提高,其差异均具有统计学意义(均P<0.05)。培训后,实验组进修医师临床考核得分[(76.00±19.41)分],明显高于对照组进修医师[(61.52±22.10)分],其差异具有统计学意义(t=2.753,P=0.008)。结论 PBL联合微信教学平台的教学方法有助于妇科进修医师掌握异常子宫出血相关知识和提高岗位胜任力,有助于提高医疗水平。

Objective To evaluate the effect of WeChat learning platform combined with problem-based learning (PBL) teaching model in refresher physician training of gynecology.Methods A total of 63 refresher doctors who studied in Obstetrics and Gynecology Department of Beijing Shijitan Hospital were selected as observation group (PBL+ WeChat group,n=30) or control group (PBL group,n=33) randomly.Knowledge of abnormal uterine bleeding (AUB) and job competency score were used to evaluate the training effect.Results Compared with pre-training and post-training,the competency of PBL+WeChat group in clinical basic ability [5(4,5) vs 2(1,3)],medical professional quality and spirit [5(4,5)vs 4(3,4)],basic public health service ability [4(4,5) vs 3(2,4)] was significantly improved,with statistical significance (all P<0.05).AUB average knowledge points of PBL+ WeChat group were 76.00±19.41 which were significantly higher than 61.52±22.10 of PBL group (t=2.753,P=0.008).Conclusions WeChat learning platform combined with PBL teaching model can help to improve clinician's clinical skills and job competency.