基于远程教学模式的超声教学查房探索

Ultrasonic teaching ward rounds based on remote teaching mode

目的探索基于远程教学模式的超声教学查房的实施方法,并探讨其教学效果及改进措施。方法基于远程教学模式的超声教学查房的实施方案包括查房前准备、远程教学查房过程及查房后随访、反馈与归档。分析2017年1月至2018年12月北京协和医院超声医学科的教学查房反馈问卷,问卷来自2016年和2017年进入北京协和医院超声医学科参加住院医师规范化培训的学生,共29人。通过教学查房反馈问卷,对教学效果进行评估,同时对改进建议进行汇总。结果96.55%的学生认为规范的教学查房比病例分析的学习效果更好。教学查房对学生的临床思维能力及超声诊断能力提升最明显(学生投票率分别为89.66%及79.31%),同时对学生的医患沟通能力、基础知识、超声操作能力及人文关怀、隐私保护等职业素养均有所提升(学生投票率分别为48.28%、41.38%、31.03%及20.69%)。教学查房过程中收获最大的两个环节为病例讨论及查房前准备(学生投票率分别为51.72%、31.03%),需要改进的两个环节为查房后病例随访及病例讨论(学生投票率分别为58.62%、20.69%)。学生针对病例选择、病例讨论及随访总结等环节均提出了建设性的意见,为教学查房的持续改进提供了依据。结论基于远程教学模式的超声教学查房能够提高学生的临床能力及职业素养,有助于提升学生的岗位胜任力,同时远程教学具有灵活便捷、突破空间限制的优势,具有良好的应用前景。

Objective To explore the method of implementing ultrasonic teaching ward rounds based on remote teaching mode,evaluate the teaching effects,and discuss its improvement methods.Methods The implementation of ultrasonic teaching ward rounds based on remote teaching mode consists of preparation before ward rounds,teaching ward rounds based on remote teaching mode,and follow-up,feedback,and archiving after ward rounds.The questionnaires on teaching ward rounds in the Department of Ultrasound Medicine of Peking Union Medical College Hospital from January 2017 to December 2018 were analyzed,and the questionnaires were collected from 29 students who attended the standardized resident training in the Department of Ultrasound Medicine of Beijing Union Medical College Hospital in 2016 and 2017.The effects of teaching were evaluated and the improvement suggestions were summarized.Results Totally,96.55%of the students agreed that the effects of the standard teaching ward rounds were better than those of case-based discussion.Through the teaching ward rounds,the most obviously improved skills were clinical thinking ability and ultrasonic diagnosis ability(reported by 89.66%and 79.31%of the students,respectively),and skills of communication with patients,basic clinical knowledge,clinical skills,and awarenesses of humanitarian respect and privacy protection were also improved(reported by 48.28%,41.38%,31.03%,and 20.69%of the students,respectively).The steps of ultrasonic teaching ward rounds in which students gained the most were case discussion and preparation before ward rounds(reported by 51.72%and 31.03%of the students,respectively),and the steps that need to be improved were case follow-up after ward rounds and case discussion(reported by 58.62%and 20.69%of the students,respectively).The students made constructive suggestions on case selection,case discussion,and follow-up process for the continuous improvement of teaching ward rounds.Conclusion The ultrasonic teaching ward rounds based on remote teaching mode can improve the clinical skills and professional ability of students to improve their competency.Meanwhile,it has the advantages of being flexible and convenient and breaking the limits of space,and hence has good application potential.