以职业胜任力为导向的多元化教学法在急诊外科临床带教中的应用

Application of competency-based and diversified teaching methods in clinical teaching of emergency surgery

目的探讨以职业胜任力为导向的多元化教学法在急诊外科临床带教中的应用效果。方法选取在本院急诊外科实习的2018级学生60人为研究对象,按随机数字表法分为2组,实验组30人,采取以职业胜任力为导向的多元化教学法;对照组30人,采用传统教学进行临床授课。比较2组实习生在临床实习期间的理论、实践技能和人文关怀等综合考核成绩以及教师和实习生的评价结果。结果实验组实习生理论、实践技能和人文关怀等综合能力考核考试成绩[(80.93±5.30)分、(81.43±5.39)分、(81.33±5.65)分]高于对照组[(70.77±6.86)分、(71.03±6.69)分、(72.30±6.75)分],差异均有统计学意义(P<0.05)。临床教师对实验组实习生在临床基本能力、学习运用知识能力、医患沟通能力、团结协作能力、信息管理能力的评价评分均高于对照组(P<0.05)。实验组实习生对教师教学的满意度评分[(96.77±2.22)分]高于对照组[(90.90±2.50)分,P<0.05]。所有实验组实习生均对以职业胜任力为导向的多元化教学法表示认可。结论以职业胜任力为导向的多元化教学法运用于急诊外科临床带教,有助于理论知识、技能操作及人文关怀的掌握以及医学生职业胜任力的培养,可在急诊外科临床带教中推广应用。

Objective This study aims explore the effect of professional competence-oriented diversified teaching methods in the clinical teaching of emergency surgery.Methods A total of 60 students of Grade 2018 practicing in the Emergency Surgery Department of our hospital were selected as participants for this study.They were randomly divided into 2 groups:an experimental group consisting of 30 students who received diversified teaching methods oriented by professional competence,and a control group consisting of 30 students who were instructed by traditional teaching methods in clinical teaching.The evaluation results of theory,practical skills,humanistic care,as well as the assessments from teachers and interns,were compared between the two groups.Results The interns in the experimental group demonstrated higher test scores in theory(80.93±5.30),practical skills(81.43±5.39),humanistic care(81.33±5.65),and other comprehensive ability examinations compared to the control group(70.77±6.86,71.03±6.69,72.30±6.75),with statistically significant(P<0.05).The clinical teachers'evaluations of the experimental group's basic clinical ability,knowledge acquisition and application,doctor-patient communication,teamwork,and information management abilities were all higher than those of the control group(P<0.05).The satisfaction score of the experimental group(96.77±2.22)was significantly higher than that of the control group(90.90±2.50,P<0.05).Furthermore,all the interns in the experimental group acknowledged the effectiveness of the diversified teaching method oriented by professional competence.Conclusion The application of diversified teaching methods oriented by professional competence in clinical teaching of emergency surgery benefits the acquisition of theoretical knowledge,skill proficiency,and humanistic care,while also fostering the vocational competency of medical students.Therefore,the widespread adoption of these methods in clinical teaching of emergency surgery in recommended.