目的 探讨问题导向临床医学课程(problem-originated clinical medical curriculum,PCMC)教学法联合PDCA[计划(plan)、执行(do)、检查(check)、调整(action)]循环在神经重症进修人员颅脑超声临床培训中的应用价值。方法 将2018年1月至2019年12月进入河南省人民医院(郑州大学人民医院)神经外科ICU培训的32名进修医师按照入科时间分为对照组(14人)和观察组(18人)。观察组接受PCMC教学法与PDCA循环结合的教学模式进行颅脑超声临床培训,对照组采用演示示范、学员操练及教师评价的传统教学方法。在结业前1周,比较两组进修学员理论考核成绩、操作技能测评以及问卷调查结果的差异,评估临床教学培训效果。采用SPSS 23.0进行t检验和卡方检验。结果 观察组进修学员颅脑超声理论考核和操作考核的各单项成绩及总成绩分数与对照组相比有所提高,问卷调查显示观察组在7项教学效果和教学方法满意度方面均优于对照组,差异有统计学意义(P<0.05)。两组进修学员在提高学习兴趣方面比较,差异无统计学意义(P >0.05)。结论 PCMC教学法与PDCA循环相结合的教学模式能提高颅脑超声临床教学培训效果和满意度
Abstract
Objective To explore the effect of problem-originated clinical medical curriculum(PCMC) teaching method combined with PDCA(plan
do
check and action) circulation in the training of craniocerebral ultrasound for neurologically intensive refresher physicians. Methods Thirty-two refresher physicians who entered the neurosurgery ICU of Henan Provincial People's Hospital from January 2018 to December 2019 were divided into test group (n=18) and control group (n=14) according to the time of admission. The test group accepted the teaching mode of PCMC teaching method combined with PDCA circulation
the control group accepted the traditional teaching methods of demonstration
student practice and teacher evaluation. One week before graduation
the differences between two groups in the theoretical assessment
operational skills and questionnaire were compared to evaluate the effectiveness of teaching mode. SPSS 23.0 was used for t-test and chi-square test. Results Compared with the control group
the individual scores and total scores of the theoretical and operational assessments of craniocerebral ultrasound in the test group were significantly improved
and the questionnaire survey showed that the test group was superior to the control group in all the 7 items of teaching effect and satisfaction with the teaching method
with statistical significance (P < 0.05). There was no significant difference between the two groups in increasing their interest in learning (P > 0.05). Conclusion PCMC teaching method combined with PDCA circulation can improve the training effect and satisfaction of clinical teaching of craniocerebral ultrasound.