The application of integrated teaching in the management of geriatric comorbidity in the standardized training of general practitioners

doi:10.3760/cma.j.cn115259-20220520-00655

Abstract

Abstract: Objective To explore the application of integrated teaching in improving the ability of geriatric comorbidity management in the standardized training of general practitioners. Methods A total of 91 residents who received standardized training in the general practice center of Shanghai East Hospital from August 2016 to April 2022 were enrolled. According to their years of training, 50 were assigned to the experimental group and 41 to the control group. The integrated teaching mode was used in the experimental group and whereas traditional teaching mode was used in the control group. We implemented process evaluation (reflective notes in five dimensions) and phased evaluation (multi station clinical skill assessment, annual theoretical assessment). The effects of the two groups were evaluated before and after this course. Results After training, the total score of experimental group was higher than that of the control group in five dimensions of reflective notes, with a statistically significant difference [(24.40±0.15) vs. (22.46±0.15), t=6.79, P<0.001]. The total score of experiment group was higher than that of the control group in the multi station clinical skill examination [(485.08±0.93) vs. (443.59±1.12)] and the annual theoretical examination [(82.18±3.33) vs. (71.24±10.59)],with a statistically significant difference (all P<0.001). Conclusions The ability to manage geriatric comorbidity was trained in the standardized training of general practitioners. The application of integrated teaching can promote students to form a systematic, holistic, and comprehensive clinical thinking, and improve the comprehensive diagnosis and treatment ability of geriatric comorbidity management and complex cases.

Key words: Integrated teaching, Comorbidity management, Multidisciplinary teachers, General practitioners, Resident standardized training

CLC Number:

Ge Jianli, Geng Shasha, Pu Lin, Jiang Hua. The application of integrated teaching in the management of geriatric comorbidity in the standardized training of general practitioners[J]. Chinese Journal of Medical Education, 2022, 42(12): 1143-1147.

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