Application of "group-based" TA guidance model in the construction of homogenized clinical skill training system

Shen Mengwen; Ding Chunlei; Zhao Lei; Gu Wenyan; Sun Qi; Zhang Liang; Qian Fenghua

doi:10.3760/cma.j.cn116021-20210111-01321

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Application of "group-based" TA guidance model in the construction of homogenized clinical skill training system

Clinical Teaching | 更新时间：2023-07-15

- Application of "group-based" TA guidance model in the construction of homogenized clinical skill training system
- Chinese Journal of Medical Education Research Vol. 22, Issue 6, Pages: 908-911(2023)
- 作者机构：
  
  1.上海中医药大学附属岳阳中西医结合医院急诊医学科，上海　200437
  2.上海中医药大学岳阳临床医学院急救教研室，上海　200437
- 作者简介：
  
  Qian Fenghua, Email:smileqian1975@qq.com
- 基金信息：
- DOI：10.3760/cma.j.cn116021-20210111-01321
  CLC： R-05
- Published：20 June 2023，
  
  Received：11 January 2021，
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沈梦雯, 丁纯蕾, 赵雷, 等. “小组化”助教指导模式在临床技能同质化培训体系建设中的应用[J]. 中华医学教育探索杂志, 2023, 22(6): 908-911.

Shen Mengwen, Ding Chunlei, Zhao Lei, et al. Application of "group-based" TA guidance model in the construction of homogenized clinical skill training system. [J]. Chinese Journal of Medical Education Research 22(6):908-911(2023)
沈梦雯, 丁纯蕾, 赵雷, 等. “小组化”助教指导模式在临床技能同质化培训体系建设中的应用[J]. 中华医学教育探索杂志, 2023, 22(6): 908-911. DOI： 10.3760/cma.j.cn116021-20210111-01321.

Shen Mengwen, Ding Chunlei, Zhao Lei, et al. Application of "group-based" TA guidance model in the construction of homogenized clinical skill training system. [J]. Chinese Journal of Medical Education Research 22(6):908-911(2023) DOI： 10.3760/cma.j.cn116021-20210111-01321.

摘要

目的

评价“小组化”助教指导模式在临床技能同质化培训中的应用效果。

方法

以心肺复苏实训课程为试点，将上海中医药大学2018级中西医结合临床专业（五年制）32位学生作为研究对象，随机分为对照组及助教授课（teaching assistant，TA）组，各16人。对照组实施传统授课方法；TA组内再分为A小组、B小组、C小组、D小组，分别由4位研究生助教进行小组化授课。比较两组学生的满意度和考核成绩。采用SPSS 25.0进行

检验和方差分析。

结果

与对照组相比，TA组在学生满意度调查结果中，增加实践机会、临床技能操作能力、学习效果、总体满意度均高于对照组，差异有统计学意义。课堂考核成绩，TA组［（85.19±2.93）分］和对照组［（82.75±4.52）分］比较差异无统计学意义，30 d后考核成绩比较，TA组（83.50±5.13）分优于对照组（74.68±3.87）分；且对照组30 d后成绩低于即刻成绩，前后对比有统计学意义（

0.001），TA组成绩前后比较差异无统计学意义。

结论

“小组化”助教指导模式在临床技能同质化培训中效果较好，且有稳定的远期培训效果，学生满意度高。

Abstract

Objective

To evaluate the application effect of the "group-based" teaching assistant (TA) guidance model in homogenized clinical skill training.

Methods

A pilot study was conducted on the cardiopulmonary resuscitation training course

and 32 students majoring in clinical integrative Chinese and Western medicine (five-year program) who were admitted to Shanghai University of Traditional Chinese Medicine in 2018 were randomly divided into control group (

= 16) and TA group (

= 16). The control group received traditional teaching methods

and the TA group was further divided into subgroups A

and D

with four graduate TAs providing group-based teaching. The groups were compared in terms of their satisfaction and test scores. SPSS 25.0 was used for

-test and analysis of variance.

Results

The satisfaction survey showed that compared with the control group

the TA group had significantly higher degree of satisfaction with the increased practical opportunities

clinical skill practical ability

learning effect

and overall satisfaction. The immediate test showed that there was no significant difference in test score between the TA group (85.19±2.93) points and the control group (82.75±4.52) points. The test 30 days later showed that the TA group (83.50±5.13) points had a significantly higher test score than the control group (74.68±3.87) points

and the control group had a significantly lower test score than that in the immediate test (

0.001); however

there was no significant difference in the TA group's score between the immediate test and the test 30 days later.

Conclusion

The "group-based" TA guidance model has a good effect in homogenized clinical skill training

and has a stable long-term effect

with high student satisfaction.

关键词

助教制度小组化授课临床技能培训同质化

Keywords

TA systemGroup-based teachingClinical skills trainingHomogenization

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