多学科诊疗模式联合基于问题学习的教学法在神经内科实践教学中的应用

Application of Multidisciplinary Team Mode Combined with PBL Teaching Method in Practical Teaching of Neurology

目的探讨多学科诊疗模式(multi-disciplinary team,MDT)联合基于问题的学习(project-based learning,PBL)教学法在神经内科实践教学中的应用。方法选取2022年7月—2023年6月在长治医学院附属和济医院神经内科实习的70名实习生为研究对象,按教学模式的不同分为对照组和观察组,每组35名。对照组使用常规教学模式,观察组使用MDT模式联合PBL教学法,对比两组的教学效果、迷你临床评价量表(Mini-Clinical Evaluation Exercise,Mini-CEX)评分、教学满意度。结果观察组理论成绩(92.74±2.31)分、操作成绩(93.68±2.04)分、病案成绩(93.07±2.25)分均高于对照组(83.08±5.72)分、(82.54±5.41)分、(82.84±5.62)分,差异有统计学意义(t=7.980、9.821、8.589,P均<0.05)。观察组体格检查、病史询问、人文关怀、临床判断、卫教咨询、组织效能和整体表现等Mini-CEX评分均高于对照组,观察组的教学满意度均高于对照组,差异有统计学意义(P均<0.05)。结论MDT模式联合PBL教学法在神经内科实践教学中的应用效果较好,能有效提升教学质量和实习生的成绩,还能提高实习生的临床能力、增进对教学的满意度。

Objective To explore the multidisciplinary team(MDT)combined with the application of project-based learning(PBL)teaching method in the practice teaching of neurology.Methods From July 2022 to June 2023,seventy interns in the Department of Neurology of Heji Hospital Affiliated to Changzhi Medical College were selected as the research objects.According to the different teaching modes,they were divided into control group and observation group,thirty-five in each group.The control group used conventional teaching mode,and the observation group used MDT mode combined with PBL teaching method.The teaching effect,Mini-Clinical Evaluation Exercise(Mini-CEX)score and teaching satisfaction of the two groups were compared.Results In the observation group,the score of theoretical was 92.74±2.31,the score of operation was 93.68±2.04,and the score of record was 93.07±2.25 were higher than those in the control group 83.08±5.72,82.54±5.41,82.84±5.62,the differences were statistically significant(t=7.980,9.821,8.589,all P<0.05).The Mini-CEX scores of physical examination,medical history inquiry,humanistic care,clinical judgment,health education consultation,organizational effectiveness and overall performance in the observation group were higher than those in the control group,the teaching satisfaction of the observation group was higher than that of the control group,and the differences were statistically significant(all P<0.05).Conclusion The application effect of MDT mode combined with PBL teaching method in the practical teaching of neurology is better,which can effectively improve the teaching quality and the performance of interns,and also improve the clinical ability of interns and enhance the satisfaction of teaching.