PCMC结合PBL在急诊科实习生带教中的应用

Application of PCMC combined with PBL in teaching interns in department of emergency

目的 探讨启发式临床医学教学模式(problem-originated clinical medical curriculum, PCMC)与以问题为基础的学习(problem-based learning,PBL)教学结合在急诊科实习生带教中的应用效果。 方法 选取2018年1月至2020年1月急诊科接收的71名实习生为研究对象。根据带教方法不同分为观察组( n =38)与对照组( n =33),其中对照组接受传统带教,观察组采取PCMC结合PBL带教。观察两组综合能力评分及教学质量,并记录实习生对教学的满意度及患者对实习生的评价。采用SPSS 21.0软件对数据进行 t 检验。 结果 带教前两组理论考试成绩、病例分析能力、操作技能成绩比较差异无统计学意义,带教后均得到提升,且观察组提升效果优于对照组[(92.30±4.37)vs. (83.75±3.98);(90.24±5.31)vs.(85.35±4.57);(91.33±5.28)vs.(86.49±4.42), P <0.05];带教后两组基本工作掌握情况、工作态度、应变能力、医患沟通能力等方面的评分均提高,且观察组高于对照组( P <0.05);观察组实习生满意度及患者评价结果均优于对照组( P <0.05)。 结论 PCMC结合PBL用于急诊科实习生带教中,不仅能激发实习生的学习兴趣、增加其理论知识、提高其学习能力及操作实践能力,还能改善教学质量、提高其临床应变能力。

Objective To explore the application effect of the problem-originated clinical medical curriculum(PCMC)and problem-based learning(PBL)on teaching interns in the department of emergency.Methods A total of 71 interns received in the department of emergency from January 2018 to January 2020 were selected and divided into an observation group(n=38)and a control group(n=33)according to different teaching methods.Among them,the control group received traditional teaching,the observation group took PCMC combined with PBL teaching method.The comprehensive ability scores and teaching quality of the two groups of interns were observed,and their satisfaction with teaching and the patient's evaluation on them were recorded.SPSS was used for t test.Results There was no significant difference in the theoretical test scores,case analysis ability,and operational skills scores between the two groups before the teaching.After teaching,they were all improved,and the improvement effect of the observation group was significantly better than that of the control group[(92.30±4.37)vs.(83.75±3.98);(90.24±5.31)vs.(85.35±4.57);(91.33±5.28)vs.(86.49±4.42),all P<0.05];the scores of basic job mastery,work attitude,adaptability and doctor-patient communication of the two groups were all improved,and the observation group was higher than the control group(P<0.05);the satisfaction of the interns and the evaluation results of patients in the observation group were better than those of the control group(P<0.05).Conclusion PCMC combined with PBL used in the teaching of interns in the department of emergency can not only stimulate the interns'interest in learning,increase their theoretical knowledge,improve their learning ability and practical ability,but also improve the quality of teaching and improve their clinical resilience.