基于PDCA的情景模拟教学在放射科中医住培学员中的应用探索

Application of PDCA-based Scene Simulation Teaching in the Residential Training Students of Traditional Chinese Medicine in Radiology Department

目的 探讨PDCA结合情景模拟教学在提高中医住培学员碘对比剂ADR处置能力中的应用效果。方法 将2020年9月-2021年5月在我科轮转的28名中医规培学员纳入对照组采用传统教学模式;将2021年6月-2022年2月在我科轮转的46名中医规培学员为试验组,采用PDCA+情景摸拟教学模式,试验组分为9个小组,每小组情景模拟教学中采用PDCA循环。将两组学员培训前、培训后的考核成绩,临床实践能力、学习兴趣、学习效率、团结协作能力和满意度纳入考核指标。结果 试验组和对照组培训后的考核成绩较培训前考核成绩均有显著提高(P<0.05);培训前的考核成绩两组间无统计学差异(P>0.05),培训后的考核成绩试验组高于对照组(P<0.05);在临床实践能力、学习兴趣、学习效率、团结协作能力和满意度方面试验组高于对照组(P<0.05)。结论 PDCA结合情景模拟教学方法有助于提高中医住培学员在碘对比剂ADR处置能力的教学效果,是一种值得推广的教学方法。

Objective To explore the application effect of PDCA combined with situational simulation teaching in improving the ability of ADR treatment of iodine contrast agents in residential training students of traditional Chinese medicine.Methods A total of 28 traditional Chinese medicine training trainees rotating in our department from September 2020 to May 2021 were included in the control group and the traditional teaching mode was adopted.A total of 46 traditional Chinese medicine training trainees rotating in our department from June 2021 to February 2022 were selected as the experimental group,and the PDCA combined with scenario simulation teaching model was adopted.The experimental group was divided into 9 groups,and PDCA cycle was adopted in each group's scenario simulation teaching.The assessment results of the two groups of trainees before and after training,clinical practice ability,learning interest,learning efficiency,solidarity and cooperation ability and satisfaction were included in the assessment indicators.ResultsThe test scores of the experimental group and the control group after training were significantly higher than those before training(P<0.05).There was no statistical difference between the two groups before the training(P>0.05),but the test scores after the training were higher in the experimental group than in the control group(P<0.05).In terms of clinical practice ability,learning interest,learning efficiency,solidarity and cooperation ability and satisfaction,experimental group was higher than control group(P<0.05).ConclusionPDCA combined with situational simulation teaching method is helpful to improve the teaching effect of Chinese medicine resident training students'ability to deal with ADR of iodine contrast agent,and it is a teaching method worth spreading.