5A教学模式在普通外科住院医师规范化培训中的应用

Application of 5A Teaching Model in Standardized Training Residents in General Surgery

目的探讨5A教学模式在普通外科住院医师规范化培训中的应用效果。方法采用随机对照研究方法,以2020年1月至2022年12月在解放军总医院第一医学中心普通外科医学部接受住院医师规范化培训并进入本研究团队主诊组轮转学习的学员为研究对象,随机分为试验组和对照组。试验组20名,采用5A教学模式;对照组20名,采用传统教学模式。对2组学员进行理论考核、临床技能考核和综合能力考核,记录考核成绩,并比较2组的教学效果。结果相对于对照组,试验组学员在消毒铺巾、切开缝合和腔镜技能考核3个方面的成绩得到提高,差异有统计学意义(P<0.05);试验组学员在团队协作和科学研究2个方面的成绩高于对照组,差异有统计学意义(P<0.05);试验组学员带教满意度高于对照组,差异有统计学意义(P<0.05)。结论5A教学模式可以显著提高学员的临床实践操作、团队协作和科学研究能力,可作为普通外科住院医师规范化培训的有效教学方法。

Objective To explore the application effect of the 5A teaching model in the standardized training of resident doctors in general surgery.Methods A randomized controlled study was adopted.The subjects were trainees who received standardized training for resident doctors in the department of general surgery of First Medical Center of Chinese PLA General Hospital from January 2020 to December 2022 and entered the rotation learning of the research team.They were randomly divided into an experimental group and a control group.The experimental group consisted of 20 trainees who were taught with the 5A teaching model,while the control group consisted of 20 trainees who were taught with the traditional teaching model.The two groups of trainees were evaluated on theoretical examinations,clinical skill assessments,and comprehensive ability assessments,and their scores were recorded.The teaching effects of the two groups were compared.Results Compared with the control group,the experimental group performed better in the assessments of draping and gowning,incision and suturing,and laparoscopic skills,with statistically significant differences(P<0.05).The experimental group also outperformed the control group in teamwork and scientific research,with statistically significant differences(P<0.05).The experimental group had higher satisfaction with the teaching than the control group,with a statistically significant difference(P<0.05).Conclusion The 5A teaching model can significantly improve trainees'clinical practice skills,teamwork,and scientific research abilities,and can serve as an effective teaching method for the standardized training of resident doctors in general surgery.