工作坊教学模式在全科医生转岗培训中的实践探索

Practical exploration of workshop teaching mode in general practitioners'transfer training

目的评价在全科医生转岗培训中开展以工作坊教学模式为主体的培训效果。方法选取2019年12月23日-2020年1月10日参与2019年安徽省城市医院全科医生转岗培训的所有学员作为研究对象。采用工作坊教学模式,对所有学员分别开展3场教学活动,包括全科门诊教学、病例讨论和全科教学查房。通过对学员的现场问卷调查评价教学活动效果,了解参加培训的全科转岗医师对工作坊教学模式的感受及体会。数据经整理后通过SPSS 22.0统计学软件进行描述性分析。结果共调查培训学员243人,现场回收有效调查问卷共计231份,有效回收率为95.1%。总体评价:学员认为该教学模式效果优秀的比例较高,达到84.0%,良好的为14.7%,一般的为1.3%。不同教学活动评价:病例讨论教学的认可度最高,优秀率达到81.8%;全科门诊教学演示优秀率相对较低,为72.7%。自我评价:大多数学员各维度能力均有很大提高[全科医学理论知识(83.1%)、全科门诊接诊能力(81.4%)、临床基本技能(82.3%)、病历书写(84.4%)、医患沟通技巧(81.4%)、以人为中心的临床思维(74.5%)、全科诊疗思维(82.7%)、自我学习能力(78.8%)]。学员提出的主要建议及意见包括疾病健康管理知识传授应加强(57.1%)、个性化培养不足(54.1%)、培养方案体系未标准化(36.8%)、教材建设不足(25.6%)、考核方案应进一步改善(22.5%)及应加强双语教学(15.2%)。结论工作坊教学模式对提升全科医生综合能力有很好的效果。

Objective To evaluate the training effect of the workshop teaching mode in general practitioners'transfer training.Methods'All students who participated in the transfer training of general practitioners of Anhui City Hospital from December 23,2019 to January 10,2020 were selected as the research objects.The workshop teaching model was used to carry out three teaching activities for all students,including general outpatient teaching,teaching case discussion and general teaching.The effects of teaching activities were assessed through on-site questionnaire survey.Moreover,the feelings and experience to the workshop teaching mode of general practice transfer physicians who participated in the training were investigated.The data were sorted and analysed by SPSS 22.0 software.Results A total of 243 trainees were investigated,and 231 valid questionnaires were recovered on site(95.1%).In general,the majority of students(84.9%)believed that the teaching model was excellent,and 14.7%and 1.3%of students thought it was good and general,respectively.In terms of training sessions,the recognition of case discussion teaching was the highest,with an excellent rate of 81.8%,whilst the excellent rate of general outpatient teaching demonstration was relatively low(72.7%).From the perspective of training effects,most students greatly improved their abilities in various dimensions;general practice theory(83.1%),general practice outpatient consultation ability(81.4%),basic clinical skills(82.3%),medical record writing(84.4%),doctor-patient communication skills(81.4%),human-centred clinical thinking(74.5%),general practice thinking(82.7%)and self-learning(78.8%).The main suggestions and opinions put forward by the trainees included strengthening the knowledge transfer of disease and health management(57.1%),insufficient personalised training(54.1%),unstandardised training program system(36.8%),insufficient teaching material construction(25.6%),improvement of assessment plan(22.5%)and strengthening of bilingual teaching(15.2%).Conclusion The workshop teaching model has an excellent effect on improving the comprehensive ability of general practitioners.