Peyton四步教学法在泌尿外科临床实习带教中的应用

Application of Peyton′s four⁃step teaching method in clinical internship teaching of urology

目的 评估Peyton四步教学法在泌尿外科临床实习带教中的应用效果。方法 选取2023年4月至2024年2月在北京协和医院泌尿外科小组轮转的临床实习医师14人,随机分为研究组7名和对照组7名。研究组采用Peyton四步教学法进行临床带教,对照组采用常规教学法进行临床带教。两组实习医师经过1月轮转学习后,进行理论考核和临床技能考核,同时采用调查问卷的方式评价临床带教效果。结果 研究组和对照组两组实习医师的理论成绩分别为(93.60±3.05)分和(91.80±2.39)分,差异无统计学意义。临床技能考核成绩分别为(92.00±1.87)分和(86.80±3.27)分(P<0.05),在临床技能方面,研究组成绩提升明显。调查问卷结果反馈,Peyton教学组在学生满意度和教师满意度均优于对照组。结论 应用Peyton四步教学法可以明显提高实习医师的临床技能成绩,带教老师和学生均对Peyton四步教学法模式的满意度较高,适合在泌尿外科临床推广应用。

Objective To assess the application effect of Peyton′s four⁃step teaching method in clinical internship training of urology.Methods Ten clinical interns rotated in urology department of Peking Union Medical College Hospital from April 2023 to February 2024 were randomly divided into a study group and a control group with seven in each.The study group used Peyton′s four⁃step teaching method while the control group used classical method.After one month of rotating training,two groups of interns were evaluated by theoretical test and clinical skill assessments,and a survey by questionnaire was performed to evaluate the effectiveness of the training.Results The theoretical scores of the study group and the control group were 9360±305 vs 9180±239 and the clinical skills assessment scores were 9200±187 vs 8680±327,the difference was statistically significant(P<005).In terms of clinical skills,there was a significant improvement in clinical performance.The results of questionnaire survey showed that the Peyton′s teaching group is more comfortable by both trainees and trainers,as compared to that of control group.Conclusions The application of the Peyton′s four⁃step teaching method significantly improves operational skills of the trainees.Both the faculty staff and students are satisfied with the Peyton′s four⁃step teaching method,which is suit⁃able for clinical application in urology internship training.