留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

以职业胜任力为导向的多元化教学法在急诊外科临床带教中的应用

解福臣 张太哲 邱兆磊 窦贺贺 焦玉萌 宣玲 王振杰

解福臣, 张太哲, 邱兆磊, 窦贺贺, 焦玉萌, 宣玲, 王振杰. 以职业胜任力为导向的多元化教学法在急诊外科临床带教中的应用[J]. 中华全科医学, 2024, 22(4): 682-684. doi: 10.16766/j.cnki.issn.1674-4152.003479
引用本文: 解福臣, 张太哲, 邱兆磊, 窦贺贺, 焦玉萌, 宣玲, 王振杰. 以职业胜任力为导向的多元化教学法在急诊外科临床带教中的应用[J]. 中华全科医学, 2024, 22(4): 682-684. doi: 10.16766/j.cnki.issn.1674-4152.003479
XIE Fuchen, ZHANG Taizhe, QIU Zhaolei, DOU Hehe, JIAO Yumeng, XUAN ling, WANG Zhengjie. Application of competency-based and diversified teaching methods in clinical teaching of emergency surgery[J]. Chinese Journal of General Practice, 2024, 22(4): 682-684. doi: 10.16766/j.cnki.issn.1674-4152.003479
Citation: XIE Fuchen, ZHANG Taizhe, QIU Zhaolei, DOU Hehe, JIAO Yumeng, XUAN ling, WANG Zhengjie. Application of competency-based and diversified teaching methods in clinical teaching of emergency surgery[J]. Chinese Journal of General Practice, 2024, 22(4): 682-684. doi: 10.16766/j.cnki.issn.1674-4152.003479

以职业胜任力为导向的多元化教学法在急诊外科临床带教中的应用

doi: 10.16766/j.cnki.issn.1674-4152.003479
基金项目: 

安徽省教育厅质量工程项目教学研究一般项目 2020jyxm1202

安徽省教育厅质量工程项目教学研究重点项目 2021jyxm0949

详细信息
    通讯作者:

    宣玲,E-mail:17893466@qq.com

  • 中图分类号: R192 R605.97

Application of competency-based and diversified teaching methods in clinical teaching of emergency surgery

  • 摘要:   目的  探讨以职业胜任力为导向的多元化教学法在急诊外科临床带教中的应用效果。  方法  选取在本院急诊外科实习的2018级学生60人为研究对象,按随机数字表法分为2组,实验组30人,采取以职业胜任力为导向的多元化教学法;对照组30人,采用传统教学进行临床授课。比较2组实习生在临床实习期间的理论、实践技能和人文关怀等综合考核成绩以及教师和实习生的评价结果。  结果  实验组实习生理论、实践技能和人文关怀等综合能力考核考试成绩[(80.93±5.30)分、(81.43±5.39)分、(81.33±5.65)分]高于对照组[(70.77±6.86)分、(71.03±6.69)分、(72.30±6.75)分],差异均有统计学意义(P < 0.05)。临床教师对实验组实习生在临床基本能力、学习运用知识能力、医患沟通能力、团结协作能力、信息管理能力的评价评分均高于对照组(P < 0.05)。实验组实习生对教师教学的满意度评分[(96.77±2.22)分]高于对照组[(90.90±2.50)分, P < 0.05]。所有实验组实习生均对以职业胜任力为导向的多元化教学法表示认可。  结论  以职业胜任力为导向的多元化教学法运用于急诊外科临床带教,有助于理论知识、技能操作及人文关怀的掌握以及医学生职业胜任力的培养,可在急诊外科临床带教中推广应用。

     

  • 表  1  2组实习生临床专业水平测试考核理论、实践技能及人文关怀等综合能力比较(x±s,分)

    Table  1.   Comparison of the scores of clinical professional level test and assessment of theory, practical skills and humanistic care of 2 groups of interns(x±s, points)

    组别 人数 理论成绩 实践技能 人文关怀等综合能力
    对照组 30 70.77±6.86 71.03±6.69 72.30±6.75
    实验组 30 80.93±5.30 81.43±5.39 81.33±5.65
    t 6.419 6.630 5.619
    P <0.001 <0.001 <0.001
    下载: 导出CSV

    表  2  2组实习生职业胜任力评价成绩比较(x±s,分)

    Table  2.   Comparison of professional competency evaluation results of 2 groups of interns(x±s, points)

    组别 人数 临床基本能力 学习运用知识能力 医患沟通能力 团结协作能力 职业素养能力 信息管理能力
    对照组 30 71.30±7.41 71.60±7.93 72.07±8.10 71.17±7.48 80.17±5.57 70.90±7.71
    实验组 30 80.83±5.47 80.97±5.17 81.03±5.05 80.73±5.70 80.77±5.46 80.87±5.78
    t 5.667 5.421 5.141 5.568 0.421 5.667
    P <0.001 <0.001 <0.001 <0.001 0.675 <0.001
    下载: 导出CSV

    表  3  2组实习生对教师教学的满意度评价比较(x±s,分)

    Table  3.   Comparison of the evaluation of the satisfaction of the two groups of interns on the teaching of teachers(x±s, points)

    组别 人数 满意度得分
    对照组 30 90.90±2.50
    实验组 30 96.77±2.22
    t 9.616
    P <0.001
    下载: 导出CSV

    表  4  实验组实习生对多元化教学法的评价情况[人(%)]

    Table  4.   Evaluation of the diversity teaching method by the interns in the experimental group[people(%)]

    评价项目 非常认可 认可 一般 不认可 非常不认可
    喜欢该教学方法 14(46.7) 16(53.3) 0 0 0
    提高学习主动性和积极性 13(43.3) 16(53.3) 1(3.3) 0 0
    提高实践动手能力 12(40.0) 17(56.7) 1(3.3) 0 0
    提高处理临床问题能力 15(50.0) 15(50.0) 0 0 0
    提高团队协作能力 16(53.3) 13(43.3) 1(3.3) 0 0
    提高信息管理能力 14(46.7) 14(46.7) 2(6.7) 0 0
    提高表达和沟通技能 12(40.0) 16(53.3) 2(6.7) 0 0
    培养爱岗敬业精神 19(63.3) 11(36.7) 0 0 0
    培养创新探索精神 11(36.7) 16(53.3) 3(10.0) 0 0
    培养学生综合素质 15(50.0) 14(46.7) 1(3.3) 0 0
    下载: 导出CSV
  • [1] 宋宁, 李康之, 凌霞, 等. 临床医学硕士研究生专业认同现况及其与师徒功能、职业胜任力相关性研究[J]. 中华医学教育探索杂志, 2022, 21(3): 373-378. doi: 10.3760/cma.j.cn116021-20211120-00806

    SONG N, LI K Z, LING X, et al. Investigation and study of the professional dentity and its correlation with mentoring function and professional competency among clinical medicine postgraduates[J]. Chinese Journal of Medical Education Research, 2022, 21(3): 373-378. doi: 10.3760/cma.j.cn116021-20211120-00806
    [2] 史迪, 朱华栋, 徐军, 等. 北京协和医学院八年制医学生急诊医学临床培训的现状调查分析[J]. 中国急救医学, 2020, 40(9): 870-873. doi: 10.3969/j.issn.1002-1949.2020.09.014

    SHI D, ZHU H D, XU J, et al. A survey on emergency medicine clinical training of eight-year medical education program in peking union medical college[J]. Chinese Journal of Critical Care Medicine, 2020, 40(9): 870-873. doi: 10.3969/j.issn.1002-1949.2020.09.014
    [3] MCCLELLAND D C. Testing for competence rather than for"intelligence"[J]. Am Psychol, 1973, 28(1): 1-14. doi: 10.1037/h0034092
    [4] 陈扬霖, 胡亚洲, 李香蕊. 基于职业胜任力的临床医学研究生培养及相关问题分析[J]. 医院管理论坛, 2021, 38(3): 84-86. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYG202103024.htm

    CHEN Y L, HU Y Z, LI X R. Analysis of clinical medicine postgraduates training and related issues based on professional competency[J]. Hospital Management Forum, 2021, 38(3): 84-86. https://www.cnki.com.cn/Article/CJFDTOTAL-GWYG202103024.htm
    [5] 何嫒婷, 李玉丹, 杜春梅, 等. 基于岗位胜任力的医学影像学科住培学员教学探索实践[J]. 中国继续医学教育, 2022, 14(15): 151-154. doi: 10.3969/j.issn.1674-9308.2022.15.039

    HE Y T, LI Y D, DU C M, et al. Exploration and practice of medical imaging training trainees teaching based on post competence[J]. China Continuing Medical Education, 2022, 14(15): 151-154. doi: 10.3969/j.issn.1674-9308.2022.15.039
    [6] 薄双玲, 李钊, 周敏, 等. 以岗位胜任力为导向的组织学实验教学研究: 以医学实验技术本科专业为例[J]. 中国高等医学教育, 2023(6): 57-58. https://www.cnki.com.cn/Article/CJFDTOTAL-ZOGU202306023.htm

    BO S L, LI Z, ZHOU M, et al. The research of histological experiment teaching oriented by post competence: taking medical experiment technology undergraduate as an example[J]. China Higher Medical Education, 2023(6): 57-58. https://www.cnki.com.cn/Article/CJFDTOTAL-ZOGU202306023.htm
    [7] 禹莉, 郝艳梅, 徐慧, 等. 基于医学检验岗位胜任力培养为导向的教学模式探索[J]. 右江医学, 2022, 50(11): 865-869. doi: 10.3969/j.issn.1003-1383.2022.11.015

    YU L, HAO Y M, XU H, et al. The exploration of teaching mode based on the training of competence in medical laboratory post[J]. Chinese Youjiang Medical Journal, 2022, 50(11): 865-869. doi: 10.3969/j.issn.1003-1383.2022.11.015
    [8] 马杰, 李秀川, 周平辉, 等. 基于岗位胜任力的OSCE教学在护理实习带教中的效果评价[J]. 中华全科医学, 2022, 20(12): 2131-2133, 2150. doi: 10.16766/j.cnki.issn.1674-4152.002786?viewType=HTML

    MA J, LI X C, ZHOU P H, et al. Effect evaluation of OSCE teaching based on post competence in nursing practice teaching[J]. Chinese Journal of General Practice, 2022, 20(12): 2131-2133, 2150. doi: 10.16766/j.cnki.issn.1674-4152.002786?viewType=HTML
    [9] 段永春, 陈安宝, 嫡娥姆, 等. 构建急诊医学混合式教学模式的几点体会[J]. 中国继续医学教育, 2022, 14(5): 158-161. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202205042.htm

    DUAN Y C, CHEN A B, DI E M, et al. Some experience in constructing a mixed teaching model of emergency medicine[J]. China Continuing Medical Education, 2022, 14(5): 158-161. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202205042.htm
    [10] 潘林林, 王恩允, 马璐璐, 等. 混合式教学联合情景模拟教学在急诊医学中的应用[J]. 中国医药科学, 2023, 13(14): 64-67. https://www.cnki.com.cn/Article/CJFDTOTAL-GYKX202314016.htm

    PAN L L, WANG E Y, MA L L, et al. The application of blended teaching+scenario simulation teaching in emergency medicine teaching[J]. China Medicine And Pharmacy, 2023, 13(14): 64-67. https://www.cnki.com.cn/Article/CJFDTOTAL-GYKX202314016.htm
    [11] 江山, 江城, 杨菲虹, 等. 基于岗位胜任力的强化入科培训在急诊科住院医师规范化培训中的应用[J]. 中国毕业后医学教育, 2022, 6(5): 435-438, 442. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202205007.htm

    JIANG S, JIANG C, YANG F H, et al. Application of clinical-competence-oriented intensive entry education in standardized residency training of emergency medicine[J]. Chinese Journal of Graduate Medical Education, 2022, 6(5): 435-438, 442. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202205007.htm
    [12] 宋洋, 张晓云. 基于岗位胜任力的"传承-创新-实践"三位一体教学模式在中医急诊后期临床教学中的构建[J]. 中国中医急症, 2023, 32(4): 729-732, 748. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJZ202304044.htm

    SONG Y, ZHANG X Y. Construction the trinity of"Inheritance-Innovatioii-Practice"teaching mode based on occupation competence-oriented in later clinical teaching of the emergency traditional Chinese medicine[J]. Journal of Emergency in Traditional Chinese Medicine, 2023, 32(4): 729-732, 748. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJZ202304044.htm
    [13] 郑光威, 林劲权, 方志鹏. BOPPPS模式下岗位胜任力培养的混合式教学应用: 以急救医学专业研究生为例[J]. 教育教学论坛, 2023, 37(9): 129-132. https://www.cnki.com.cn/Article/CJFDTOTAL-JYJU202337032.htm

    ZHENG G W, LIN J Q, FANG Z P. Application of blended teaching in post competency training under BOPPPS model graduate students majoring in emergency medicine[J]. Education And Teaching Forum, 2023, 37(9): 129-132. https://www.cnki.com.cn/Article/CJFDTOTAL-JYJU202337032.htm
    [14] 黄展明, 庞润华. PBL-CBL联合教学法在胃肠外科本科教育中的应用价值[J]. 中国继续医学教育, 2023, 15(16): 88-92. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202316019.htm

    HUANG Z M, PANG R H. The application value of PBL-CBL combined teaching method in undergraduate education of gastrointestinal surgery[J]. China Continuing Medical Education, 2023, 15(16): 88-92. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202316019.htm
    [15] 夏子茗, 徐敏, 黄承军, 等. CBL与PBL教学模式在脊柱骨科临床实习的应用[J]. 中国中医药现代远程教育, 2023, 21(8): 32-35. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYY202308012.htm

    XIA Z M, XU M, HUANG C J, et al. The application of PBL combined with CBL teaching method in clinical practice teaching of spine surgery[J]. Chinese Medicine Modern Distance Education of China, 2023, 21(8): 32-35. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYY202308012.htm
    [16] 沈涛, 李伯恩, 宣玲, 等. 角色扮演法在急诊医学实习带教中的应用[J]. 淮海医药, 2020, 38(4): 4431-4432. https://www.cnki.com.cn/Article/CJFDTOTAL-HHYY202004038.htm

    SHEN T, LI B E, XUAN L, et al. Application of role-playing in teaching of emergency medicine[J]. Journal of Huaihai Medicine, 2020, 38(4): 4431-4432. https://www.cnki.com.cn/Article/CJFDTOTAL-HHYY202004038.htm
    [17] SU B, ZHANG T, YAN L, et al. Online medical teaching in china during the COVID-19 pandemic: tools, modalities, and challenges[J]. Front Public Health, 2021, 9: 797694. DOI: 10.3389/fpubh.2021.797694.
  • 加载中
表(4)
计量
  • 文章访问数:  64
  • HTML全文浏览量:  18
  • PDF下载量:  1
  • 被引次数: 0
出版历程
  • 收稿日期:  2023-12-08
  • 网络出版日期:  2024-05-29

目录

    /

    返回文章
    返回