体验式教学结合文献沙龙教学对神经外科规范化培训教学质量的影响研究

Research on the influence of experiential teaching combined with literature salon on the teaching quality of neurosurgery standardized training

目的研究体验式教学结合文献沙龙教学对神经外科规范化培训教学质量的影响。方法选取陆军军医大学西南医院神经外科2018年1月至2020年1月期间的规培生120名,按照入科时间不同分为研究组(n=67)和对照组(n=53)。对照组进行传统临床教学,研究组进行体验式教学结合文献沙龙教学。比较教学前后两组规培生考核成绩(理论考试成绩、临床实践技能成绩和病例分析能力成绩)、问题分析能力和批判性思维的自信心,并比较两组教学满意度。应用SPSS 20.0进行t检验和卡方检验。结果教学后,两组规培生理论考试成绩、临床实践技能成绩和病例分析能力成绩较教学前都升高,且研究组临床实践技能成绩和病例分析能力成绩高于对照组(P<0.05);教学后,两组问题分析能力和批判性思维的自信心评分较教学前都升高,且研究组高于对照组(P<0.05);研究组规培生的教学满意度[91.04%(61/67)]高于对照组[73.58%(39/53)],差异有统计学意义(P<0.05)。结论体验式教学结合文献沙龙教学可提升神经外科临床教学质量,有助于提升规培生临床实践能力,可以提高教学满意度。

Objective To study the effect of experiential teaching combined with literature salon on the teaching quality of neurosurgery standardized training.Methods A total of 120 trainees having standardized training in the Department of Neurosurgery of Southwest Hospital,Army Medical University from January 2018 to January 2020 were selected in the study,and they were divided into study group(n=67)and control group(n=53)according to the time of admission.The control group received traditional clinical teaching,and the study group was given experiential teaching combined with literature salon.The assessment results(scores of theoretical examination,clinical practice skill and case analysis skill),problem analysis skills and self-confidence of critical thinking were compared between the two groups before and after teaching,and the teaching satisfaction of the two groups was compared.SPSS 20.0 was performed for t test and chi-square test.Results After teaching,the theoretical examination score,clinical practice skill score and case analysis ability score of the two groups were significantly increased compared with those before teaching,and the clinical practice skill score and case analysis ability score of study group were significantly higher than those of control group(P<0.05).After teaching,the scores of problem analysis ability and self-confidence of critical thinking of the two groups were significantly higher than those before teaching,and the scores of problem analysis ability and self-confidence of critical thinking were significantly higher in study group than those in control group(P<0.05).The teaching satisfaction of trainees in study group(91.04%,61/67)was significantly higher than that in control group(73.58%,39/53)(P<0.05).Conclusion Experiential teaching combined with literature salon teaching can significantly improve the quality of clinical teaching in department of neurosurgery,and it is helpful to improve the clinical practical ability and enhance the teaching satisfaction of students with standardized training.