案例式教学及交叉互学模式在住院医师规范化培训中的应用

The Application of Case-Based Teaching and Cross-Learning Mode in the Standardized Training of Resident Physicians

摘要: 目的：探讨案例式教学及交叉互学模式在中医住院医师规范化培训中的应用价值。方法：选取2016年1月~2017年1月在我科轮转的住院医师72位，按其学历随机分层分组后，分别运用案例式教学及交叉互学模式和传统教学模式进行带教，出科时进行理论和操作技能考核，对带教老师进行调查问卷以评价交叉互学的效果，将结果录入SPSS21.0，并进行统计分析。结果：案例式教学及交叉互学模式与传统教学模式相比，案例式教学及交叉互学模式带教的规培生的病例分析能力及临床技能均优于传统模式带教的规培生，且有统计学差异(P < 0.001)，带教老师的反馈情况实验组优于对照组且有统计学差异(P < 0.05)。结论：案例式教学及交叉互学模式更有助于提高住院医师规范化培训的教学效果，提高规培生的临床能力，也有利于拓展带教老师的综合能力。

Abstract: Objective: To explore the application value of case-based teaching and cross-reciprocal learning in the standardized training of residents of traditional Chinese medicine. Methods: From January 2016 to January 2017, a total of 72 students participated in the standardized training of resident physicians in our general surgery department were randomly divided into groups. Case-based teaching and cross-learning mode and traditional teaching mode were used for teaching. Theoret-ical examinations and practical skills assessments were conducted. Questionnaire surveys were conducted to understand the teachers’ evaluation of the results of mutual learning. SPSS 21.0 software was used to perform statistical analysis of the two groups of data. Results: Case-based teaching and cross-learning model compared with the traditional teaching model, case-based teaching and cross-reciprocal learning models taught the case analysis skills and clinical skills of the trained students better than the traditional model taught by the teacher, and there are differ-ences in statistics (P < 0.001). The feedback status of the teacher was better in the experimental group than in the control group (P < 0.05). Conclusion: The case-based teaching and cross-learning model is conducive to improve the standardized training of resident residents. Students generally prefer the teaching model. This model stimulates interest and initiative in learning, and is condu-cive to cultivating students’ team spirit.