用以问题为基础的临床科研带教模式在消化内科病房带教中的应用

Application of problem-based clinical research training mode in gastroenterology ward

目的调查以问题为基础的教学(PBL)应用于北京协和医院消化内科临床科研实践教学中的效果,讨论目前的科研训练所存在的问题,探索更高效的科研训练模式。方法对参与本次消化内科PBL-临床科研带教的19名见习和实习医师进行问卷调查,对问卷结果进行描述性分析,对培训前后的差异问题进一步做统计分析。结果经过本项目培训,新增加6人首次参与科研活动。相比培训前,学生对于临床科研的兴趣更高,认为临床科研的难度更小;57.89%的学生希望通过科研训练提升论文撰写的能力;36.84%的学生希望提升实验设计的能力;受训学生认为本次科研训练对这两方面的能力提升都有很大帮助。在科研产出方面,受训学生已有23篇论文在项目过程中被正式接收或发表,其中有SCI论文2篇,国内核心期刊20篇。结论学生经过PBL-临床科研带教,在科研产出和科研能力方面都有所提高,但在效果评估和进一步的执行上仍旧存在问题。面临医学专业对于学生科研能力要求的日益提高,需要进一步探索更高效、更具可行性的临床科研教学模式。

Objective To investigate the practical outcome of problem-based learning (PBL) teaching pattern to the clinical research training in gastroenterology ward at Peking Union Medical College Hospital(PUMCH) and look into problems existing in current research training, so as to explore more efficient scientific research training models. Methods A questionnaire-based research was conducted in 19 medical students who received the clinical research training in gastroenterology ward. The difference between pre-training and post-training were analyzed. Results This training has increased the number of students involved in research by six. Compared with pre-training, students are more interested in research training and think it is less difficult. 57.89% of the students hope to improve their paper writing ability through research training, and 36.84% hope to improve their ability in experimental design. The trainees believe that this training is of great help to the improvement of the two abilities. In terms of output, 23 papers have been officially accepted or published in the course of this training, including 2 SCI papers and 20 domestic core journal papers. Conclusions Through this training, students have improved their scientific output and scientific research capacity, but there are still weakness in effect evaluation and further implementation. Faced with the increasing requirement on students scientific research ability, it is necessary to further explore a more efficient and practical teaching mode.