诊治指南结合案例教学在风湿免疫科住院医师规范化培训中的应用

Application of diagnosis and treatment guidelines combined with case-based learning in standardized residency training in the department of rheumatology and immunology

目的探索诊治指南结合案例教学在风湿免疫科住院医师规范化培训临床带教中的应用效果。方法将40名规范化培训学员随机分为两组,观察组采用基于诊治指南的案例教学法,对照组沿用传统临床带教方法,4周后进行考核和满意度测评。采用SPSS 19.0进行t检验和Mann-Whitney检验。结果观察组在体格检查和病例分析中的考核成绩显著优于对照组,在诊疗规范、临床思维、解决问题的能力、自学能力及对个人专业的帮助等方面,观察组学员的满意度均显著高于对照组。结论基于诊治指南的案例教学法是一种理想的理论与实际相结合的教学方式,能显著提高风湿免疫科住院医师规范化培训临床带教的效果。

Objective To explore the clinical teaching effect of case-based learning combined with diagnosis and treatment guidelines in standardized residency training in the department of rheumatology and immunology.Methods Forty standardized trainees were randomized into two groups.One was the observation group,which adopted case-based learning combined with diagnosis and treatment guidelines.The other one was the control group,which performed the traditional clinical teaching mode.After 4 weeks,the assessment and satisfaction evaluation were carried out among the two groups.SPSS 19.0 was used for t test and Mann-Whitney test.Results Students in observation group showed significantly better ability of physical examination and case analysis than those in the control group.The satisfaction degree of the students in the observation group was significantly higher in terms of diagnosis and treatment standard,clinical thinking,problem solving ability,self-learning ability and personal profession benefits than that in the control group.Conclusion Case-based learning with diagnosis and treatment guidelines is an ideal teaching method combining theory with practice perfectly,which can significantly improve the effect of clinical teaching of standardized residency training in the department of rheumatology and immunology.