MDT联合PBL教学法在肿瘤学规范化培训中的应用

Application of MDT Combined With PBL Teaching Method in Standardized Training of Oncology

目的探讨多学科诊疗协作模式(multi-disciplinary treatment,MDT)联合以问题为基础的教学法(problem-based learning,PBL)在肿瘤学规范化培训中的应用。方法选取2022年6月—2023年6月在锦州医科大学附属第一医院肿瘤科进行住院医师规范化培训的60名学生为对象,随机将学生分为传统教学组(n=30)与改革教学组(n=30)。改革教学组采用MDT联合PBL教学法,传统教学组采用传统教学法。教学结束后,对学生进行随堂测试,比较2组学生的教学成绩,并对2组的教学满意度加以评估和对比。结果改革教学组的理论知识成绩和病例分析成绩分别为(94.24±7.35)分、(92.56±8.83)分,高于传统教学组的(81.56±8.47)分、(84.35±9.47)分,差异有统计学意义(P<0.05)。改革教学组在提高学习兴趣、提高自主学习能力、提高团体合作能力、提高自信心、提高基础理论掌握、提高临床诊治能力等方面的教学满意度均优于传统教学组(P<0.05)。结论MDT联合PBL教学法在肿瘤学规范化培训中的应用可获得较好的教学效果,对于提高学生的临床综合思维和实践能力均有一定程度的帮助,且学生满意度较高。

Objective To explore the application of multi-disciplinary treatment(MDT)combined with problembased learning(PBL)teaching method in standardized training of oncology.Methods A total of 60 students who received standardized training and teaching for residents in the department of oncology,the First Affiliated Hospital of Jinzhou Medical University from June 2022 to June 2023 were selected as the subjects.According to a random method,the students were divided into traditional teaching group(n=30)and reform teaching group(n=30).The reform teaching group was treated with MDT mode combined with PBL teaching method.The traditional teaching group was taught with traditional teaching methods.After the teaching,the students were tested in class,the teaching scores of the two groups of students were compared,and the teaching satisfaction of the two groups were evaluated and compared.Results The theoretical knowledge scores and case analysis scores of the reform teaching group were(94.24±7.35)points and(92.56±8.83)points,respectively,which were higher than(81.56±8.47)points and(84.35±9.47)points of the traditional teaching group,and the difference was statistically significant(P<0.05).The teaching satisfaction of the reform teaching group was better than that of the traditional teaching group in improving learning interest,autonomous learning ability,group cooperation ability,selfconfidence,basic theory mastery and clinical diagnosis and treatment ability(P<0.05).Conclusion The application of MDT combined with PBL teaching method in the standardized training and teaching of oncology can obtain better teaching effect,which is helpful to improve students'clinical comprehensive thinking and practical ability to a certain extent,and students'satisfaction is high.