Research on the application of Miller's pyramid theory combined with Bahrain's team activities in standardized residency training of burn surgeons

Shao Huawei; You Chuangang; Li Qiong; Wu Pengcheng

doi:10.3760/cma.j.cn116021-20211201-01392

您当前的位置：

首页 >

文章列表页 >

Research on the application of Miller's pyramid theory combined with Bahrain's team activities in standardized residency training of burn surgeons

Standardized Residency Training | 更新时间：2023-09-01

- Research on the application of Miller's pyramid theory combined with Bahrain's team activities in standardized residency training of burn surgeons
- Chinese Journal of Medical Education Research Vol. 22, Issue 8, Pages: 1230-1233(2023)
- 作者机构：
  
  浙江大学医学院附属第二医院烧伤与创面修复科，杭州　310000
- 作者简介：
  
  Shao Huawei, Email: 2504131@zju.edu.cn
- 基金信息：
  
  Zhejiang Provincial Natural Science Foundation Project(LGF19H150008)
- DOI：10.3760/cma.j.cn116021-20211201-01392
  CLC： R-05
- Published：20 August 2023，
  
  Received：01 December 2021，
扫描看全文
邵华伟, 有传刚, 李琼, 等. Miller金字塔理论结合巴林特小组活动在烧伤外科住院住院医师规范化培训中的应用研究[J]. 中华医学教育探索杂志, 2023, 22(8): 1230-1233.

Shao Huawei, You Chuangang, Li Qiong, et al. Research on the application of Miller's pyramid theory combined with Bahrain's team activities in standardized residency training of burn surgeons. [J]. Chinese Journal of Medical Education Research 22(8):1230-1233(2023)
邵华伟, 有传刚, 李琼, 等. Miller金字塔理论结合巴林特小组活动在烧伤外科住院住院医师规范化培训中的应用研究[J]. 中华医学教育探索杂志, 2023, 22(8): 1230-1233. DOI： 10.3760/cma.j.cn116021-20211201-01392.

Shao Huawei, You Chuangang, Li Qiong, et al. Research on the application of Miller's pyramid theory combined with Bahrain's team activities in standardized residency training of burn surgeons. [J]. Chinese Journal of Medical Education Research 22(8):1230-1233(2023) DOI： 10.3760/cma.j.cn116021-20211201-01392.

摘要

目的

探讨Miller金字塔理论结合巴林特小组活动在烧伤外科住院医师规范化培训中的应用研究。

方法

将在浙江大学医学院附属第二医院烧伤外科规培的74名住院医师纳入研究，按照不同的教学方法分为对照组和观察组。对照组37名学员予以传统教学，观察组37名学员予以Miller金字塔理论结合巴林特小组活动进行培训。评估两组学员对教学效果的评价及医患沟通技能。采用SPSS 22.0进行卡方检验和

检验。

结果

观察组学员对教学效果的评价优于对照组（

=3.01、3.47、3.49、3.32、2.54；

=0.004、0.001、0.001、0.001、0.013）。与培训前比较，培训后两组学员的医患沟通技能评价量表（Set Elicit Give Understand End，SEGUE）评分升高，且观察组高于对照组（

=3.23、2.99、2.07、3.62、3.00、7.89；

=0.002、0.004、0.042、0.001、0.004、

0.001）。

结论

Miller金字塔理论结合巴林特小组活动应用在烧伤外科住院医师规范化培训中，可提高学员对教学效果的评价，改善其医患沟通技能。

Abstract

Objective

To explore the application of Miller's pyramid theory combined with Bahrain's team activities in the standardized residency training (SRT) of burn surgeons.

Methods

Seventy-four residents who were on the SRT program in the Department of Burns

Wound Care in The Second Affiliated Hospital of Zhejiang University were enrolled in the study. The students were divided into control group and observation group according to the teaching methods. Thirty-seven students in the control group were provided with conventional teaching

and 37 students in the observation group were provided with training based on Miller' pyramid theory combined with Bahrain's team activities. The two groups were evaluated for teaching effectiveness and doctor-patient communication skills. SPSS22.0 was used for the chi-square test and

test.

Results

The evaluation outcome of teaching effectiveness in the observation group was better than that in the control group (

=3.01

3.47

3.49

3.32

and 2.54;

=0.004

0.001

and 0.013). After the training

the scores of Set Elicit Give Understand End scale in the two groups increased

with significantly higher scores achieved in the observation group than in the control group (

=3.23

2.99

2.07

3.62

3.00

and 7.89;

=0.002

0.004

0.042

0.001

0.004

and

0.001).

Conclusion

The application of Miller's pyramid theory and Bahrain's team activities in the SRT of burn surgeons can improve students' evaluation of teaching effectiveness and improve their doctor-patient communication skills.

关键词

Miller金字塔理论巴林特小组住院医师规范化培训医患沟通技能

Keywords

Miller' pyramid theoryBahrain's teamStandardized residency trainingDoctor-patient communication skill

references

丁政，常菲，郑兴锋，等. 医患沟通能力培训在烧伤科住院住院医师规范化培训中的应用[J]. 中华医学教育探索杂志， 2021， 20（12）：1460-1463. DOI：10.3760/cma.j.cn116021-20200222-00710http://dx.doi.org/10.3760/cma.j.cn116021-20200222-00710.

林晓红，徐建珍，张燕红，等. Miller金字塔理论在心血管内科护士专科培训中的应用与成效[J]. 循证护理， 2021， 7（10）： 1416-1420. DOI: 10.12102/j.issn.2095-8668.2021.10.033http://dx.doi.org/10.12102/j.issn.2095-8668.2021.10.033.

余春华，李俊英，郑儒君，等. 巴林特小组活动在促进肿瘤科护士心理健康中的效果探讨[J]. 华西医学， 2017， 32（5）： 749-752. DOI: 10.7507/1002-0179.201703009http://dx.doi.org/10.7507/1002-0179.201703009.

申丽君，孙刚. 基于SEGUE量表的医生医患沟通技能评价研究[J]. 中国全科医学， 2017， 20（16）： 1998-2002. DOI: 10.3969/j.issn.1007-9572.2017.16.019http://dx.doi.org/10.3969/j.issn.1007-9572.2017.16.019.

李旭文，宋培军，李薇，等. 标准化病人联合案例式教学方法在烧伤外科学教学中的效果分析[J]. 淮海医药， 2021， 39（2）： 203-205. DOI: 10.14126/j.cnki.1008-7044.2021.02.030http://dx.doi.org/10.14126/j.cnki.1008-7044.2021.02.030.

徐僖，车丹丹，钱翠玉，等. 医患沟通不良在医疗纠纷中的影响案例分析[J]. 现代医药卫生， 2021， 37（4）： 714-716. DOI: 10.3969/j.issn.1009-5519.2021.04.056http://dx.doi.org/10.3969/j.issn.1009-5519.2021.04.056.

邹亦庐，郑秀，胡继芬，等. Miller金字塔原理的模拟教学分层应用模式在妇产科临床教学中的应用[J]. 吉林医学， 2018， 39（6）： 1194-1196. DOI: 10.3969/j.issn.1004-0412.2018.06.089http://dx.doi.org/10.3969/j.issn.1004-0412.2018.06.089.

陈丽英，朱泽玲，张佳，等. 医患沟通核心技能课程在全科住院医师规范化培训中的应用：巴林特小组活动[J]. 中华全科医师杂志， 2017， 16（12）： 977-980. DOI: 10.3760/cma.j.issn.1671-7368.2017.12.019http://dx.doi.org/10.3760/cma.j.issn.1671-7368.2017.12.019.

张华，尚培培，吴玲玲，等. 巴林特小组活动对精神科护士职业压力及职业倦怠的影响[J]. 临床心身疾病杂志， 2020， 26（4）： 95-98， 108. DOI: 10.3969/j.issn.1672-187X.2020.04.025http://dx.doi.org/10.3969/j.issn.1672-187X.2020.04.025.

谭丽英. 以Miller金字塔原理为导向构建护理临床实习评价指标体系的研究[J]. 吉林医学， 2018， 39（6）： 1196-1199. DOI: 10.3969/j.issn.1004-0412.2018.06.090http://dx.doi.org/10.3969/j.issn.1004-0412.2018.06.090.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Construction and application of a mixed-reality distance teaching model in neurosurgery

Streamlined modular teaching based on organ system in standardized residency training in emergency department

Application of Eurorad database in the teaching of radiology in standardized residency training: A case study of teaching film-reading

Value of annual professional proficiency test results in predicting the theoretical examination score of completion assessment in standardized residency training

Application of electronic rotation registration manual for residency training based on hospital information system docking: Practice and exploration

Related Author

Hui Rui

Zhao Hulin

Cheng Gang

Liu Wei

Wang Zhi

Zhang Jianning

Fang Yu

Yu Shanshan

Related Institution

Beijing Weizhuo Zhiyuan Medical Science and Technology Development Co., Ltd.

Department of Neurosurgery, The First Medical Center of Chinese PLA General Hospital

Department of Neurology, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology

Department of Emergency/Critical Care Medicine, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology

Department of Radiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

⁰