多学科协作与案例导向学习组合教学方法与传统教学模式下的住院医师规范化培训学员影像诊断能力比较

Comparison of imaging diagnosis ability between multi-disciplinary team and case-based learning combined teaching method and traditional teaching mode in standardized training of residents

目的比较多学科协作(MDT)与案例导向学习(CBL)组合教学方法与传统教学模式下的住院医师规范化培训学员影像诊断能力。方法招募在西安交通大学第一附属医院接受住院医师规范化培训的60名学员,采用电脑随机分组法将其分为MDT-CBL组及传统教学组,各30人。MDT-CBL组接受MDT-CBL组合教学方法,传统教学组接受传统教学模式。比较两组学员的测验分数、能力自评量表评分及反馈问卷评分。结果MDT-CBL组的期中、期末测验总分及理论知识、案例分析得分高于传统教学组(P<0.001)。在期中和期末的能力自评中,MDT-CBL组的自学能力、临床思维能力、通科思维能力、团队合作能力、批判性思维能力、医患沟通技巧、影像诊断能力评分高于传统教学组(P<0.05)。MDT-CBL组的合理有效性、学习动力激发情况、趣味性及心理压力情况评分高于传统教学组(P<0.001)。结论MDT-CBL组合教学方法可以更好地提高住院医师规范化培训学员的影像诊断能力。

Objective To compare the imaging diagnostic ability of residents in standardized training under multi-disciplinary team(MDT)and case-based learning(CBL)combined teaching method and traditional teaching mode.Methods Sixty trainees who received standardized training of residents in the First Affiliated Hospital of Xi'an Jiaotong University were recruited and divided into MDT-CBL group and traditional teaching group by computer random grouping method,with 30 people in each group.The MDT-CBL group received the MDT-CBL combined teaching method,and the traditional teaching group received the traditional teaching mode.The test scores,ability self-rating scale scores and feedback questionnaire scores of the two groups were compared.Results The total scores,theoretical knowledge and case analysis of mid-term and final tests in the MDT-CBL group were higher than those in the traditional teaching group(P<0.001).In the mid-term and final self-assessment of abilities,the scores of self-study ability,clinical thinking ability,general thinking ability,teamwork ability,critical thinking ability,doctor-patient communication skills and imaging diagnosis ability in the MDT-CBL group were higher than those in the traditional teaching group(P<0.05).The scores of reasonable effectiveness,learning motivation,interest and psychological stress in the MDT-CBL group were higher than those in the traditional teaching group(P<0.001).Conclusion The MDT-CBL combined teaching method can better improve the imaging diagnosis ability of residents in standardized training.