Objective To explore the effect of innovative Sandwich teaching model in the standardized training of internal medicine residents. Methods From December 2021 to June 2024,a total of 49 residents trained in the Internal Medicine Department of the Affiliated LiHuiLi Hospital of Ningbo University were selected as the research objects. They were randomly divided into an experimental cohort and a control cohort. The experimental cohort (n=24) were trained with the innovative Sandwich teaching model, whereas the control cohort were trained with traditional methods. All residents received clinical thinking ability questionnaire survey, theoretical and practical skills exams and teaching quality evaluations questionnaire survey after training.The differences between the two cohorts were compared by U-test or t-test,and χ2 test. Results Comparison of assessment results, After training, the clinical thinking ability[176.50(22.50)], clinical thinking and decision-making scores(90.17±3.49), specialized technical skills scores(104.32±3.78), resident evaluations of teaching quality[41.00(3.75)] and instructor evaluations of teaching quality(24.54±2.87)in the experimental cohort were higher than those in the control cohort[148.00(57.00), (86.72±4.38), (101.41±5.10), 30.00(5.50), (18.72±2.81)], all P<0.05. Conclusions The innovative Sandwich teaching model is helpful to enhance clinical thinking ability and specialized practical skills, and improve the training effect of internal medicine residents.
Wang Fang
,
Chen Bin
,
Jiang Xiaoli
,
Zhao Feng
,
Xu Jianwei
,
Shen Zhouji
. Exploration and application of the innovative sandwich teaching model in the standardized training of internal medicine residents[J]. Chinese Journal of Medical Education, 2025
, 45(11)
: 838
-842
.
DOI: 10.3760/cma.j.cn115259-20250113-00040
[1] Deng G, Zhao D, Lio J, et al. Strategic elements of residency training in China: transactional leadership, self-efficacy, and employee-orientation culture[J]. BMC Med Educ, 2019,19(1):355. DOI: 10.1186/s12909-019-1792-7.
[2] 朱留宝, 何榕, 宋春梅, 等. 住院医师岗位胜任力分层递进培训体系建设[J].中华医[2] 学教育杂志,2022,42(9):848-852. DOI: 10.3760/cma.j.cn115259-20220222-00200.
[3] 黄珂,石守森,苏颉,等.沉浸式教学模式在内分泌科住培中的应用探讨[J].中国继续医学教育,2024,16(1):40-43. DOI:10.3969/j.issn.1674-9308.2024.01.010.
[4] Foster E, Stephenson J. Work-based learning and universities in the U.K.: a review of current practice and trends[J]. High Educ Res Dev, 1998, 17(2): 155-170.DOI:10.1080/0729436980170202.
[5] 陈星星,晏丹,袁修学.Sandwich教学法在我国医学教育改革中的应用[J].教育教学论坛,2015(31):99-100. DOI:1674-9324(2015)31-0099-02.
[6] 张艳,耿力,马婕,等.Sandwich联合案例教学法在神经内科临床实习中的应用[J].护理学杂志,2021,36(21):62-64. DOI:10.3870/j.issn.1001-4152.2021.21.062.
[7] 王明,李海洋,张玉凤,等.任务驱动教学法联合Sandwich教学法在口腔全科住院医师规范化培训中的应用[J].中华医学教育探索杂志,2022,21(9):1220-1224.DOI:10.3760/cma.j.cn116021-20220420-01002.
[8] 刘彦琦,陈平,高原,等.探讨互联网平台辅助教学在内科住院医师规范化培训中的应用效果[J].内蒙古医科大学学报,2023,45(S2):98-101.DOI:10.16343/j.cnki.issn.2095-512x.2023.s2.025.
[9] 李民,张杰,李帅,等.Sandwich联合角色扮演教学法在住培医师医患沟通能力培训中的应用[J].现代医药卫生,2024,40(13):2309-2312.DOI:10.3969/j.issn.1009-5519.2024.13.031.
[10] 陈晓铭,支李金,符彩燕.CBL联合Sandwich教学法在内分泌科住院医师规范化培训中的应用研究[J].现代医药卫生,2023,39(6):1050-1052.DOI:10.3969/j.issn.1009-5519.2023.06.033.
[11] Bordage G, Grant J, Marsden P. Quantitative assessment of diagnostic ability[J]. Med Educ, 1990,24(5):413-425. DOI: 10.1111/j.1365-2923.1990.tb02650.x.
[12] 胡靖.临床诊断思维问卷中文版修订及应用研究[D].长沙: 中南大学,2012.
[13] Wang M, Sun Z, Jia M, et al. Intelligent virtual case learning system based on real medical records and natural language processing[J]. BMC Med Inform Decis Mak, 2022,22(1):60. DOI: 10.1186/s12911-022-01797-7.