全景式教学在呼吸科实习医师临床教学中的应用研究

Application study of panoramic teaching mode in the teaching of clinical interns in the department of respiratory medicine

目的探讨全景式教学在呼吸科临床实习教学中的价值。方法选取2019年10月至2020年6月在呼吸科进行3周轮转的临床实习医师35人,按进科先后顺序分为对照组(n=17)和研究组(n=18)。对照组采用传统教学,研究组采用全景式教学。教学结束后,通过理论知识、实践考核及问卷调查评估教学效果。运用SPSS 19.0进行t检验。结果两组实习医师理论考核成绩对比,差异无统计学意义[(89.62±4.05)分vs.(90.84±4.12)分,t=-0.891,P=0.379]。研究组实践考核(病例分析、呼吸科体格检查、病史问询和技能操作)成绩高于对照组,差异有统计学意义(P<0.05)。研究组实习医师在学习兴趣、自主学习能力、自学能力、医患沟通语言表达能力、文献查阅能力、临床思维能力、综合分析能力、知识拓展能力、系统诊断能力、团队协作能力、教学满意度等方面均优于对照组,差异有统计学意义(P<0.05)。结论全景式教学可有效提高实习医师掌握呼吸科临床诊疗能力,改善教学效果,提高实习医师今后的学习能力和临床胜任力。

Objective To explore the value of panoramic teaching in clinical practice teaching of department of respiratory medicine.Methods A total of 35 clinical interns who had a 3-week rotation in the department of respiratory medicine from October 2019 to June 2020 were selected,and they were divided into a control group(n=17)and a study group(n=18)according to the order of admission.The control group used traditional teaching,and the research group used panoramic teaching.After the teaching,the teaching effect was evaluated through theoretical knowledge assessment,practical assessment and questionnaire survey.SPSS 19.0 was used for t test.Results There was no statistically significant difference between the two groups of interns in theoretical assessment[(89.62±4.05)points vs.(90.84±4.12)points,t=-0.891,P=0.379].The results of practice assessment(case analysis,physical examination of the department,medical history inquiry and skills manipulation)of the study group were significantly higher than those of the control group(P<0.05).The interns in study group were better than those in control group in such aspects as learning interest,self-learning ability,self-study ability,doctor-patient communication language expression ability,literature review ability,clinical thinking ability,comprehensive analysis ability,knowledge development ability,system diagnosis ability,teamwork ability and teaching satisfaction(P<0.05).Conclusion Panoramic teaching can effectively improve the ability of interns to master the clinical diagnosis and treatment of respiratory medicine,improve the teaching effect,and improve the learning ability and clinical competence of interns in the future.