导师制结合TBL教学在风湿免疫科住院医师规范化培训中的应用

Application of tutorial system combined with TBL teaching in the standardized residency training of the department of rheumatology and immunology

目的探讨导师制结合TBL教学在风湿免疫科住院医师规范化培训中的作用。方法将2017年7月至2018年7月在海军军医大学附属长海医院风湿免疫科参加规范化培训的60位住院医师,按照规培时间不同分为实验组和对照组。实验组规培医师培养采取导师制+TBL教学,对照组规培医师培养采取传统培训方式。比较两组规培医师的临床和科研能力,以及问卷调查的满意度。以SPSS 19.0软件进行t检验、非参数检验和卡方检验。结果导师负责制+TBL教学组的规培医师出科考核成绩、科研能力、问卷调查满意度均高于传统带教组,差异具有统计学意义(P<0.05或P<0.01)。结论导师制结合TBL教学能有效提高风湿免疫科规培医师的诊治思维能力、实践操作技能,以及临床科研能力,增强其自学能力和团队意识,为提高住院医师规范化培训质量提供了新思路和新方法。

Objective To explore the role of tutorial system combined with TBL teaching method in standardized residency training of the department of rheumatology and immunology.Methods Sixty residents who participated in standardized training in the department of rheumatology and immunology of our hospital from July 2017 to July 2018 were divided into experimental and control groups according to the period of training.The experimental group adopted the tutorial responsibility system and TBL teaching method,and the control group adopted the traditional residency training mode.The clinical and scientific research abilities of the two groups were compared,and the questionnaires of satisfaction were compared.The statistical analysis was carried out by SPSS 19.0 software.Results The examination results,scientific research ability and questionnaire survey satisfaction of the tutorial responsibility system combined with TBL teaching method group were higher than those of the traditional teaching group,with statistical significance(P<0.05 or P<0.01).Conclusion The tutorial responsibility system combined with TBL teaching method can effectively improve the diagnosis and treatment thinking ability,practical operation skills,clinical scientific research ability,self-study ability and team consciousness,and provide new ideas and methods for improving the quality of standardized residency training.