Practice of stratified teaching in prosthodontic residency training

Zhu Chenyuan; Tang Tianhong; Zhu Ziyuan; Xu Chun

doi:10.3760/cma.j.cn116021-20230513-01519

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Practice of stratified teaching in prosthodontic residency training

Teaching Reform Special Column of Shanghai Jiao Tong University School of Medicine | 更新时间：2023-12-26

- Practice of stratified teaching in prosthodontic residency training
- Chinese Journal of Medical Education Research Vol. 22, Issue 12, Pages: 1781-1786(2023)
- 作者机构：
  
  上海交通大学医学院附属第九人民医院口腔修复科，上海交通大学口腔医学院，国家口腔医学中心，国家口腔疾病临床医学研究中心，上海市口腔医学重点实验室，上海市口腔医学研究所，上海　200011
- 作者简介：
  
  Xu Chun, Email: imxuchun@163.com
- 基金信息：
  
  Teaching Incentive Program of Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine(JYJLTD20213)
- DOI：10.3760/cma.j.cn116021-20230513-01519
  CLC： R33
- Published：20 December 2023，
  
  Received：13 May 2023，
扫描看全文
朱陈元, 唐天弘, 朱梓园, 等. 口腔修复住培学员分层教学的实践研究[J]. 中华医学教育探索杂志, 2023, 22(12): 1781-1786.

Zhu Chenyuan, Tang Tianhong, Zhu Ziyuan, et al. Practice of stratified teaching in prosthodontic residency training. [J]. Chinese Journal of Medical Education Research 22(12):1781-1786(2023)
朱陈元, 唐天弘, 朱梓园, 等. 口腔修复住培学员分层教学的实践研究[J]. 中华医学教育探索杂志, 2023, 22(12): 1781-1786. DOI： 10.3760/cma.j.cn116021-20230513-01519.

Zhu Chenyuan, Tang Tianhong, Zhu Ziyuan, et al. Practice of stratified teaching in prosthodontic residency training. [J]. Chinese Journal of Medical Education Research 22(12):1781-1786(2023) DOI： 10.3760/cma.j.cn116021-20230513-01519.

摘要

目的

本文旨在探索分层教学在口腔修复科住院医师规范化培训中的应用，及对提高临床教学效率和质量的有效性。

方法

选取上海交通大学医学院附属第九人民医院2020年1月起至2023年5月期间在口腔修复科完成规培且出科的297名学员作为研究对象。分层组培训时间为2021年9月至2023年5月，纳入研究对象141人；对照组培训时间为2020年1月至2021年8月，纳入研究对象156人。分层组依据学员专业、规培阶段及身份类别分为3个层级，采用分层式教学，并根据不同的教学目标设置相应的教学主题和教学方式。对照组则遵循传统教学模式。分别比较两组学员的病史采集、口腔检查、病例分析及技能操作的考核成绩和病例汇报评分。利用SPSSAU进行

检验、卡方检验。

结果

分层组学员出科考核成绩有所提高，第一层级学员的病例分析成绩（85.72±4.14）高于对照组（83.00±6.38），差异具有统计学意义（

=0.003）；第二层级分层组学员的病史采集成绩（88.20±7.14）高于对照组（85.38±5.63）；分层组住院医师病例汇报评为优秀的人数占比（第一层级：54.02%；第二层级：52.63%；第三层级：75.00%）均高于对照组（第一层级：42.65%；第二层级：45.33%；第三层级：46.15%）。

结论

在口腔修复科住培中实行分层教学，能有效提高学员的病例分析、病史采集及病例汇报能力，对于口腔修复专业学员技能操作水平的提升有待进一步探讨。

Abstract

Objective

To explore the effectiveness of stratified teaching in improving the efficiency and quality of clinical teaching in the standardized training of residents in the department of prosthodontics.

Methods

We enrolled a total of 297 participants who accomplished the standardized residency training in the Department of Prosthodontics of the Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from January 2020 to May 2023. They were divided into stratified group (141 trainees from September 2021 to May 2023) and control group (156 trainees from January 2020 to August 2021). The stratified group received stratified teaching at three levels according to the trainees' major

training stage

and identity category

and the teaching theme and teaching method were set according to teaching objectives. The control group used a traditional teaching mode. The two groups were compared in terms of medical history taking

oral examination

case analysis

skill practice

and case report scores. SPSSAU was used to perform the

test and chi-squared test for data analysis.

Results

The stratified group showed better performance in the final assessment: the case analysis score of the first-level trainees was significantly higher than that of the control group (85.72±4.14 vs. 83.00±6.38

=0.003); the second-level trainees had a higher medical history taking score than the control group (88.20±7.14 vs. 85.38±5.63); the proportions of trainees rated as excellent in case report in the stratified group (the first level

54.02%; the second level

52.63%; the third level

75.00%) were higher than those in the control group (the first level

42.65%; the second level

45.33%; the third level

46.15%).

Conclusions

In standardized residency training

the stratified teaching method can effectively improve trainees' case analysis

medical history taking

and case report abilities

and the effects in improving the skill practice level of trainees majoring in prosthodontics need to be further explored.

关键词

分层教学口腔修复住院医师规范化培训继续教育

Keywords

Stratified teachingProsthodonticsStandardized residency trainingContinuing education

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