Miller金字塔教学结合PBL教学在急诊实习医师教学中的运用效果

Miller Pyramid Teaching Combined with Pbl Teaching in the Use Effect of Emergency Intern Teaching

目的分析在急诊实习医师教学中运用Miller金字塔教学结合以问题为基础(problem-based leaning,PBL)教学的效果。方法选取2023年3月—2024年1月在山东第二医科大学附属医院急诊科实习的60名实习医师,经随机数字表法将其分成两组,对照组与研究组各30名,对照组实习医师选择常规教学模式开展教学工作,而研究组实习医师则选择Miller金字塔教学结合PBL教学模式开展教学工作,对两组的教学效果进行观察比较。结果研究组的出科考核成绩(93.23±2.34)分高于对照组(85.26±4.78)分,差异有统计学意义(t=8.202,P<0.05)。与对照组相比较,研究组应变能力、体格检查、临床诊疗及抢救、病情评估、病史采集及诊断的考核评分均更高,差异有统计学意义(P均<0.05)。研究组的团队合作意识、培养解决问题的能力、学习主动性、授课方式、授课内容的满意度评分均更高,差异有统计学意义(P均<0.05)。结论在急诊实习医师教学中运用Miller金字塔教学结合PBL教学模式,不仅能让学生更好地了解和掌握基础理论知识,提升其操作水平,而且实习医师的满意度高。

Objective To analyze the effect of using Miller's pyramid teaching in the teaching of emergency intern doctors.Methods Sixty intern doctors in Emergency Department of Affiliated Hospital of Shandong Second Medical University from March 2023 to January 2024 were selected and divided into two groups through random digital tables,with thirty each.The teaching mode is carried out in the control group,while the research group combineed the Miller pyramid teaching combined with the PBL teaching mode.Observe and compare the teaching effects of the two groups.Results The test score of the study group was 93.23±2.34,significantly higher than 85.26±4.78 of the control group,the difference was statistically significant(t=8.202,P<0.05).Compared with the control group,the test scores of strain ability,physical examination,clinical diagnosis and rescue,disease assessment,history collection and diagnosis of the study group were higher,the differences were statistically significant(all P<0.05).The satisfaction scores of teamwork consciousness,problem-solving ability,learning initiative,teaching method and teaching content of the study group were significantly higher,the differences were statistically significant(all P<0.05).Conclusion In the teaching of emergency intern doctors,the use of Miller pyramid teaching combined with PBL teaching model can not only allow students to better understand and master basic theoretical knowledge and improve their operational level,but also have high satisfaction of intern doctors.