摘要
目的探讨基于案例的学习(case-based learning,CBL)联合教学查房在血液科住院医师规范化培训中的应用价值。方法选取2015年8月至2018年7月在血液科进行规范化培训的124名住院医师为研究对象,随机分为实验组和对照组,实验组采用CBL联合教学查房,对照组采用传统的教学查房。对两组的出科考核成绩和教学质量评价进行对比研究。采用SPSS 19.0进行t检验。结果实验组在血液系统理论知识和病例分析两项出科考核成绩优于对照组,差异有统计学意义(P<0.05);实验组评价CBL联合教学查房能够激发对血液疾病学习的兴趣和提高自学能力,能更好地将理论知识与临床实践相结合,从而加强对血液系统疾病的认识并锻炼临床思维能力。结论CBL联合教学查房在血液科住院医师规范化培训中初步取得较好的成效,这种教学方法值得在内科基地其他专业的规范化培训中推广。
Objective To investigate the application value of case-based learning (CBL) combined with teaching rounds in the standardized training of residents in department of hematology. Methods A total of 124 residents who received standardized training in department of hematology from August 2015 to July 2018 were selected and randomly divided into experimental group and control group. The residents in the experimental group received the teaching method of CBL combined with teaching rounds, while those in the control group received traditional teaching rounds. The two groups were compared in terms of department examination scores and teaching quality. Results Compared with the control group, the experimental group had significantly higher scores of the department examinations of hematological theoretical knowledge and case analysis (P<0.05). The residents in the experimental group thought that the new teaching method of CBL combined with teaching rounds could stimulate their interest in learning hematological diseases, improve self-study abilities, help them to combine theoretical knowledge with clinical practice, enhance their knowledge of hematological diseases, and cultivate their clinical thinking ability. Conclusion CBL combined with teaching rounds has achieved good results in standardized training of residents in department of hematology, and thus it holds promise for application in standardized training of other specialties in internal medicine.
作者
窦红菊
王鸣明
杭海芳
林文洁
程毅敏
Dou Hongju;Wang Mingming;Hang Haifang;Lin Wenjie;Cheng Yimin(Department of Hematology, Shanghai Ninth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200011, China)
出处
《中华医学教育探索杂志》
2019年第6期640-643,共4页
Chinese Journal of Medical Education Research
关键词
基于案例的学习
教学查房
血液科
住院医师规范化培训
Case-based learning
Teaching round
Department of hematology
Standardized training of residents
