医学史融入内分泌科住院医师规范化培训的教学改革探索--以百年胰岛素史为例

Integration of history of medicine in the education and reform exploration of standardized residency training in endocrinology department—taking hundred years of history of insulin development as an example

目的:探讨内分泌科住院医师规范化培训中的与激素相关的教学方法。方法:对2022年2月至2022年6月在北京大学第三医院进行一阶段规范化培训的内分泌科住院医师25人,采用结合胰岛素百年发展史的教学模式,进行胰岛素教学实践,并在教学前后进行问卷评估。采用SPSS 20.0进行卡方检验。结果:共有31名医师参加培训,纳入其中的25名一阶段规范化培训住院医师进行分析。培训前仅有3人(12%)了解胰岛素的发展史,胰岛素临床使用的系列问题回答全部正确的为10人(40%)。接受培训后,23名(92%)住院医师表示了解或熟悉胰岛素发展史,20人(80%)在胰岛素临床使用问题的回答中全部正确,均比培训前提高,差异有统计学意义。结论:在内分泌科住院医师规范化培训中融入医学史讲授,能够有效地提升教学效果,增强青年医师人文素养,可以成为住院医师规范化培训的有效手段。

Objective To study the methods of hormone-related teaching in standardized residency training of endocrinology.Methods From February 2022 to June 2022,25 residents in the Department of Endocrinology,Peking University Third Hospital were given a standardized residency training.The teaching mode combined with a hundred years of insulin development was adopted to practice insulin teaching,and questionnaires were evaluated before and after the teaching.Chi-square test was performed by SPSS 20.0.Results A total of 31 physicians participated in the training,and 25 residents who were included in the first-stage standardized training were analyzed.Before the training,only 3 people(12%)knew the development history of insulin,and 10 people(40%)answered all the questions about clinical use of insulin correctly.After the training,23 residents(92%)said they knew or were familiar with the history of insulin development,and 20 residents(80%)answered the questions about the clinical use of insulin correctly,all of which were higher than those before the training,and the difference was statistically significant.Conclusion The integration of medical history in standardized residency training in endocrinology department can effectively improve the teaching effect,and enhance the humanity quality of young doctors,which can become an effective vehicle in standardized residency training.