沉浸式教学在急诊住院医规范化培训师资培训中的应用

Application on immersive course of faculty training in standardized training program of emergency residents

目的为提高住院医师规范化培训的师资水平,北京协和医院设计实施了沉浸式教学的师资培训课程,本研究旨在对该课程进行调查研究。方法研究纳入34位接受本课程培训的急诊住院医规培教师,对其进行针对教学查房和诊间教学的技能培训,培训内容为教案设计、评价工具设计、师生互动技巧、诊间教学方法。在培训前、培训后24 h内、培训后3个月进行问卷调查。采用U检验和非参数Kruskal-Wailis H检验评估培训前后的差异。结果培训后学员普遍认为该沉浸式课程非常重要。在师生互动技巧、对克服诊室环境不合适的诊间教学困难的信心,培训后24 h及3个月均有提高(P<0.05)。结论沉浸式教学方式可有效提高教学实效,可进一步在中国急诊住院医规培师资培训的课程优化和教学改革中进行推广。

Objective In order to improve the ability of clinical teachers in standardized training program of emergency residents Peking Union Medical College Hospital(PUMCH)design and run an immersive course in teacher training program.The study aims to investigate the effects of the training course.Methods Totally 34 trainees who were emergency clinical teachers accepted the immersive course training focus on clinical rounds and bedside teaching skills.The courses included curriculum design procedure,assessment tool,teacher-student interaction skills and bedside teaching methods.Questionnaire of pre-course,post-course immediately,and 3-month post-course were collected among the trainees.Non-parametric Kruskal-Wailis H test and U test were used to assess effects of the training.Results All trainees reported an increase in ability and confidence in teaching skills,especially significant in improving teacher-student interaction skills and significant increase in confidence in bedside teaching(P<0.05).And the effects have been last till 3-month later.Conclusions Immersive teachingmethod contributes to clinical teachers training.Further progress is expected to develop the trainers training.