差异化培养结合多种教学法在脑血管病亚专科医师培养中的运用

Application of Differential Training Combined with Multiple Teaching Methods in the Training of Sub-specialists of Cerebrovascular Disease

目的探讨差异化培养结合多种教学法对不同基础的脑血管病亚专科医师的培训效果。方法选取2015年1月-2017年12月在复旦大学附属华山医院培养的96名脑血管病亚专科医师,根据不同的脑血管病亚专科临床工作时间、学历、职称、医院等级以及导师初评分为初级、中级和高级3组,针对性地采用差异化教学培养模式。采用学员自评和导师评价综合评估教学效果,评价等级分为好、较好、一般、较差和差5个等级。结果初级、中级和高级组的"好"评率分别为81.8%、71.4%和72.7%,平均75.3%±4.3%,无"一般""较差"和"差"评。差异化培养结合多种教学方法具有"因才施教"、阶梯性、系统性和全面性的特点。结论在现实存在的参差不齐水准的脑血管病亚专科医师中,差异化培养结合多种教学方法的教学模式可达到较好的亚专科医师培训效果。

Objective To investigate the training effect of differential training combined with multiple teaching methods for sub-specialists of cerebrovascular disease with different basis and background.Methods A total of 96 sub-specialists from Huashan Hospital of Fudan University between January 2015 to December 2017 were selected as subjects. According to everyone’s background(clinical work years, education background, professional title, hospital level and mentor), all the subjects were divided into 3 groups: primary, middle and high level groups. The differential training was carried out based on different goal, form and content, which was combined with multiple teaching methods. Training effect was evaluated by composite score of self, mutual and teacher’s assessment, and the evaluation results included 5 grades: good, better, general, poor and bad. Results The evaluation results showed that the rate of good grade for 3 groups were 81.8%, 71.4% and 72.7%, respectively, with the average rate was 75.3±4.3%, and without general, poor and bad. This kind of training method had the characteristics of "teaching students in accordance with aptitude", step by step, systematicness and comprehensiveness.Conclusions The differential training combined with multiple teaching methods could significantly improve the training effect for sub-specialists of cerebrovascular disease with different basis and background.