MDT联合CBL教学法在内科学住培医师教学中的应用

The Application of MDT Combined Wi t h CBL Teaching Method in the Training of Physicians in Internal Medicine

目的探索多学科诊疗(multi disciplinary team,MDT)联合以案例为基础的教学法(case-based learning,CBL)在内科学住培医师教学中的应用。方法选择2022年3-9月于内科轮转的2020级内科学住培医师30名作为试验组,采用MDT联合CBL教学法,2021年3-9月于内科轮转的2019级内科学住培医师30名作为对照组,采用CBL教学法。比较2组基础理论及基本技能考试成绩、临床思维能力以及学生满意度。结果对照组和试验组在基础理论成绩方面的比较[(83.98±3.04)分vs.(83.01±3.03)分]差异无统计学意义(P>0.05),但在基本技能成绩[(84.31±2.72)分vs.(91.25±3.40)分]、临床思维能力[(81.37±2.76)分vs.(91.15±3.90)分]和满意度(56.67%vs.93.33%)方面,试验组成绩优于对照组,且差异有统计学意义(P<0.05)。结论MDT联合CBL教学法可以有效地提高内科学住培医师的临床思维能力,具有较好的教学效果。

Objective To explore the application of multi-disciplinary team(MDT)combined with case-based learning(CBL)in the training of physicians in internal medicine.Methods A total of 30 resident physicians of Grade 2020,who were studied in internal medicine department from March to September 2022,were selected as the experimental group and MDT combined with CBL teaching method were adopted.A total of 30 resident physicians of grade 2019,who were studied in internal medicine department from March to September of 2021,were used as control group and CBL teaching method was adopted.The scores of basic theory and skill examination,clinical thinking ability and student satisfaction were compared between the two groups.Results The comparison of basic theory scores between the experimental group and the control group[(83.98±3.04)vs.(83.01±3.03)]had no significant difference(P>0.05),but in terms of the basic skill score[(84.31±2.72)vs.(91.25±3.40)],clinical thinking ability[(81.37±2.76)vs.(91.15±3.90)]and satisfaction(56.67%vs.93.33%),the experimental group was all better than those of control group,and the difference was statistically significant(P<0.05).Conclusion The combination of MDT combined with CBL teaching method can effectively improve the clinical thinking ability of resident physicians in internal medicine,and it has good teaching effect.