以问题为导向联合循证医学教学方法在高级卒中中心住院医师规范培训中的应用效果

doi:10.3969/j.issn.1673-5765.2022.06.020

摘要/Abstract

摘要：

目的探讨以问题为导向的教学法（problem-based learning，PBL）联合循证医学教学法（evidencebasedmedicine，EBM）在高级卒中中心进行住院医师规范化培训中的应用效果。

方法连续入组2019-2021年在神经内科高级卒中中心学习的60名规培住院医师，随机分为观察组和对照组各30名，观察组采用PBL+EBM教学法，对照组采用授课式教学法（lecture-based learning，LBL），以3个月为培训周期，培训后对2组进行理论及操作实践考核，比较教学效果，并对培训人员进行教学满意度的调查。

结果观察组的理论测试成绩（83.66±5.12分 vs. 75.53±7.36分，P＜0.001）、临床操作实践测试成绩合格率（93.3% vs. 73.3%，P =0.040）以及教学满意度（76.6% vs. 40.0%，P =0.001）均高于对照组。

结论 PBL联合EBM教学法可提高高级卒中中心规范化培训的教学效果。

关键词: 以问题为导向教学法; 循证医学教学法; 神经内科; 住院医师规范化培训; 高级卒中中心

Abstract:

Objective To explore the teaching results of problem-based learning (PBL) combined with evidence-based medicine (EBM) teaching method in standardized training for residents at advanced stroke center.

Methods Sixty residents who studied at advanced stroke center from 2019 to 2021 were enrolled in this study. They were randomly divided into observation group and control group. The PBL combined with EBM teaching method was used in observation group, the lecture-based learning (LBL) was used in the control group. The training period was 3 months. The teaching results were evaluated by theory and skill exams and satisfaction survey of the two groups.

Results The scores of theory (83.66±5.12 vs. 75.53±7.36, P<0.001), the percent of pass of clinical skill (93.3% vs. 73.3%, P=0.040) and satisfaction rate (76.6% vs. 40.0%, P=0.001) of residents in observation group were higher than those of the control group.

Conclusions PBL combined with EBM can improve the teaching results of standardized training for residents at advanced stroke center.

Key words: Problem-based learning; Evidence-based medicine; Department of neurology;Standardized training for residents; Advanced stroke center

孟涛, 杨柳, 张惠玲, 王进平, 王兴, 林岢, 杨娜, 王沛, 王谑菲, 王晓莉, 杨冬美. 以问题为导向联合循证医学教学方法在高级卒中中心住院医师规范培训中的应用效果[J]. 中国卒中杂志, 2022, 17(06): 664-666.

MENG Tao, YANG Liu, ZHANG Huiling, WANG Jinping, WANG Xing, LIN Ke, YANG Na, WANG Pei, WANG Xuefei, WANG Xiaoli, YANG Dongmei. Application Effect of Problem-based Learning Combined with Evidence-based Medicine Teaching Method in Standardized Training for Residents at Advanced Stroke Center[J]. Chinese Journal of Stroke, 2022, 17(06): 664-666.

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以问题为导向联合循证医学教学方法在高级卒中中心住院医师规范培训中的应用效果

Application Effect of Problem-based Learning Combined with Evidence-based Medicine Teaching Method in Standardized Training for Residents at Advanced Stroke Center

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