基于OBE的混合式教学在麻醉科住院医师规范化培训中的应用

Application of Blended Learning Based on OBE in Standardized Training of Anesthesiology Residents

目的探讨基于成果导向教育(outcome-based education,OBE)理念的混合式教学在麻醉科住院医师规范化培训教学中的应用效果。方法选取2022年6月—2023年6月在武汉大学人民医院麻醉科进行住院医师规范化培训的50名住院医师,采用随机数字表法分为对照组和研究组,每组25名。对照组开展传统的教学方法,研究组开展以OBE理念为基础,运用微课、腾讯视频会议、钉钉、微信平台等“互联网+”进行混合式教学。经过分组培训后,比较2组学员的麻醉理论知识考核成绩、实践技能成绩和教学质量理想率;评估2组学员对麻醉学的学习兴趣、学习积极性、临床思维以及教学满意度。结果研究组学员的理论考核成绩[(91.67±5.74)分]和实践操作成绩[(90.86±5.12)分]均高于对照组的成绩[(73.56±3.81)分,(75.23±4.50)分],差异有统计学意义(P<0.05)。研究组学员对麻醉学的学习兴趣[(90.59±5.27)分]、学习积极性[(91.50±4.86)分],和临床思维评分[(92.15±5.45)分],均高于对照组[(74.23±4.56)分,(72.78±3.98)分,(76.25±5.10)分],差异有统计学意义(P<0.05)。此外,研究组的教学质量理想率(96.00%)和满意度(92.00%)均高于对照组(60.00%,52.00%),差异有统计学意义(P<0.05)。结论基于OBE理念的混合式教学,可有效提高麻醉科住院医师的临床理论知识和技能操作水平,有利于提升学员的综合能力、增强其对麻醉学的兴趣、学习积极性和临床麻醉思维,进一步提高了麻醉科住院医师规范化培训的教学质量和满意度。

Objective To explore the application effect of blended learning based on outcome-based education(OBE)concept in standardized training of anesthesiology residents.Methods A total of 50 resident physicians received standardized training in the department of anesthesiology at Renmin Hospital of Wuhan University from June 2020 to June 2023 were randomly divided into control group and research group,with 25 residents in each group.The control group adopted traditional teaching methods,the research group adopted blended learning based on the OBE concept,by using"Internet plus"such as micro classes,Tencent video conferences,DingTalk and WeChat platform.After the group training,the scores of theoretical knowledge and practical operation ability of clinical anesthesiology were observed;the teaching quality of the two groups were compared;the interest in anesthesiology,learning motivation,clinical thinking and teaching satisfaction of anesthesiology residents in two groups were evaluated.Results The theoretical knowledge of clinical anesthesiology[(91.67±5.74)points]and practical operation scores[(90.86±5.12)points]in the research group were higher than those of the control group[(73.56±3.81)points,(75.23±4.50)points],and the difference were statistically significant(P<0.05).The anesthesiology residents in research group showed a higher learning interest[(90.59±5.27)points],enthusiasm[(91.50±4.86)points],and clinical thinking ability in anesthesiology[(92.15±5.45)points]were significantly higher than those of the control group[(74.23±4.56)points,(72.78±3.98)points,(76.25±5.10)points],and the difference was statistically significant(P<0.05).Moreover,the ideal rate of teaching quality(96.00%)and teaching satisfaction of research group(92.00%)were significantly higher than those of the control group with 60.00%and 52.00%,and the difference was statistically significant(P<0.05).Conclusion The blended learning based on OBE concept can effectively improve the clinical theoretical knowledge and skill operation level of anesthesiology residents,also promoting the comprehensive ability of residents,enhancing their interest in anesthesiology,learning enthusiasm,and clinical thinking ability,further improving the teaching quality and satisfaction of standardized training of anesthesiology residents.