基于PBL的三轨教学混合模式在肛肠科临床教学中的应用

Application of the Three-track Teaching Hybrid Model Based on PBL in the Clinical Teaching of Anorectal Department

目的探讨基于PBL的三轨教学混合模式即CTTM+MDT+手术视频联合模式在肛肠科临床教学中的应用效果,为肛肠科的临床教学提供更多选择,并进一步提高教学质量。方法将某中医院2021年10月01日-2023年5月31日分配到肛肠科的80名中医专业大学本科实习生随机分成2组,为对照组(PBL教学组)与观察组(PBL+三轨教学混合模式教学组)。出科后比较2组学生考核成绩及满意度评价。结果在考核成绩方面观察组和对照组的病史采集、病历书写成绩(27.45±1.08分vs.27.68±1.58分)没有显著性差异,而理论成绩(35.27±2.50分vs.33.03±3.36分)、操作技能成绩(26.57±1.85分vs.23.80±2.39分)、总成绩(89.30±4.55分vs.84.50±5.01分),差异明显;在满意度方面,观察组可明显提高学生自主学习能力、学习兴趣及创新思维能力,且能提高解决问题能力,较对照组有统计学意义;教学内容(17.45±1.20分vs.16.38±1.46分)、教学方法(26.23±1.56分vs.26.23±1.56分)评分及产生的教学效果(26.98±1.42分vs.25.15±1.72分)、教学总评分(89.00±3.75分vs.85.47±4.03分),观察组明显高于对照组,有统计学意义;带教态度(18.35±1.25分vs.18.68±1.10分)评分没有显著性差异。结论相较于单纯PBL组,基于PBL的三轨教学混合模式的应用在肛肠科本科实习教学中能够明显提高学生的学习兴趣,增加理论知识的掌握率,在培养学生学习、沟通和创新能力、提高教学满意度方面具有明显的优势。

Objectives This study aims to explore the application effect of the three-track teaching hybrid model based on PBL in the clinical teaching of anorectal department.Three-track teaching refers to the hybrid teaching mode of CTTM+MDT+surgical video.This approach provides more options for clinical teaching of anorectal medicine and further improve teaching quality.Methods A total of 80 undergraduate interns majoring in traditional Chinese medicine who were assigned to the anorectal department of a traditional Chinese medicine hospital from October 1,2021 to May 31,2023 were randomly divided into two groups,the control group(PBL teaching group)and the observation group(PBL+three-track teaching mixed mode teaching group).The assessment results and satisfaction evaluation of the two groups of students were compared after graduation.Results In terms of assessment scores,there was no significant difference between the observation group and the control group in medical history collection and medical record writing scores(27.45±1.08 points vs.27.68±1.58 points).However,the differences in theoretical scores(35.27±2.50 points vs.33.03±3.36 points),operational skills scores(26.57±1.85 points vs.23.80±2.39 points),and total scores(89.30±4.55 points vs.84.50±5.01 points)were significant.In terms of satisfaction,the observation group significantly improved students'autonomous learning ability,learning interest and innovative thinking ability,and improved their problem-solving ability,which was statistically significant compared with the control group.The scores of teaching content(17.45±1.20 points vs.16.38±1.46 points),teaching methods(26.23±1.56 points vs.26.23±1.56 points),teaching effect(26.98±1.42 points vs.25.15±1.72 points),and total teaching score(89.00±3.75 points vs.85.47±4.03 points)in the observation group were significantly higher than those in the control group,which was statistically significant.There was no significant difference in the scores of teaching attitude(18.35±1.25 points vs.18.68±1.10points).Conclusions Compared with the simple PBL group,the application of the three-track teaching hybrid model based on PBL in the undergraduate internship teaching of anorectal department can significantly improve students'learning interest and increase the mastery rate of theoretical knowledge.It has obvious advantages in cultivating students'learning,communication and innovation abilities and improving teaching satisfaction.