Application of LPC teaching model in basic surgery observership for pediatric medical students of five-year program

Zhang Guoqiang; Wu Hongwei; Xie Xuehu; Liu Ning

doi:10.3760/cma.j.cn116021-20230707-01650

您当前的位置：

首页 >

文章列表页 >

Application of LPC teaching model in basic surgery observership for pediatric medical students of five-year program

更新时间：2024-02-29

- Application of LPC teaching model in basic surgery observership for pediatric medical students of five-year program
- Chinese Journal of Medical Education Research Pages: 1-4(2024)
- 作者机构：
  
  1.首都医科大学附属北京友谊医院骨科中心，北京;100050 中国
  2.首都医科大学附属北京友谊医院普通外科，北京　100050 中国
- 作者简介：
  
  Zhang Guoqiang, Email: zhangguoqiang@ccmu.edu.cn
- 基金信息：
  
  2023 School-Level Education and Teaching Reform Project of Capital Medical University(2023JYY150)
- DOI：10.3760/cma.j.cn116021-20230707-01650
  CLC： R192;R656
- Published Online：29 February 2024，
  
  Received：07 July 2023，
扫描看全文
Zhang Guoqiang, Wu Hongwei, Xie Xuehu, et al. Application of LPC teaching model in basic surgery observership for pediatric medical students of five-year program. [J/OL]. Chinese Journal of Medical Education Research 1-4(2024)
DOI：

Zhang Guoqiang, Wu Hongwei, Xie Xuehu, et al. Application of LPC teaching model in basic surgery observership for pediatric medical students of five-year program. [J/OL]. Chinese Journal of Medical Education Research 1-4(2024) DOI： 10.3760/cma.j.cn116021-20230707-01650.

摘要

目的

探讨LPC ［即lecture-based learning（以课堂授课为基础的模式）、problem-based learning（以问题为基础的模式）、case-based learning（以案例为基础的模式）] 综合教学模式在五年制儿科外科学总论见习教学中的应用及教学效果。

方法

选择在北京友谊医院见习外科学总论的首都医科大学2019、2020级五年制儿科专业69名学生作为研究对象。将其分为2组，33名学生作为试验组，采用LPC综合教学模式；36名学生作为对照组，采用LBL传统教学模式。分期完成授课及考核。对比两组学生的临床技能操作评分、临床思维能力、见习的积极性、对见习带教的满意度。采用SPSS 25.0进行

检验、卡方检验或秩和检验。

结果

LPC组学生的临床技能操作评分（99.91±0.29）、临床思维能力评分（91.06±5.93）都高于LBL组（84.72±10.21）（84.31±7.98）。见习的积极性良好，且差异具有统计学意义（

0.05）。LPC组学生掌握外科学技能操作比例（100.0% vs. 63.9%）、掌握外科学无菌原则比例（100.0% vs. 69.4%）、增强临床能力比例（97.0% vs. 66.7%）、提高沟通能力比例（93.9% vs.72.2%）、增强查阅文献的兴趣比例（90.9% vs. 63.9%）、增强科研的兴趣比例（93.9% vs. 69.4%）、满意教学氛围比例（100.0% vs. 72.2%）、满意见习带教方法比例（100.0% vs. 63.9%）均优于LBL组。

结论

LPC教学模式在五年制儿科外科学总论见习教学中的应用效果较LBL教学模式好，值得推广。

Abstract

Objective

To evaluate the teaching effects of a comprehensive LPC model (combining lecture-based learning

problem-based learning

and case-based learning) in the observership of basic surgery for pediatric medical students of the five-year program.

Methods

We divided 69 students of grades 2019 and 2020 majoring in pediatrics of the five-year program of Capital Medical University who were in the observership of basic surgery at Beijing Friendship Hospital into experimental group (

=33

adopting the LPC teaching mode) and control group (

=36

using the LBL teaching mode). Teaching and assessment were completed in stages. The two groups were compared in terms of clinical skill practice score

clinical thinking score

observership enthusiasm

and satisfaction with observership teaching. SPSS 25.0 was used for the

test

chi-square test

or rank sum test.

Results

The LPC group showed significantly higher scores in clinical skill practice (99.91±0.29 vs. 84.72±10.21

0.05) and clinical thinking (91.06±5.93 vs. 84.31±7.98

0.05) and significantly better enthusiasm for observership (

0.05) compared with the LBL group. The LPC group was superior to the LBL group with respect to the proportion of students with proficiency in surgical skills (100.0% vs. 63.9%

0.05)

the proportion of students with good literacy in aseptic surgical principles (100.0% vs. 69.4%

0.05)

the proportion of improvement in clinical competency (97.0% vs. 66.7%

0.05)

the proportion of improvement in communication ability (93.9% vs. 72.2%

0.05)

the proportion of increase in interest in literature search and review (90.9% vs. 63.9%

0.05)

the proportion of increase in interest in scientific research (93.9% vs. 69.4%

0.05)

the proportion of satisfaction with learning atmosphere (100.0% vs. 72.2%

0.05)

and the proportion of satisfaction with teaching methods (100.0% vs. 63.9%

0.05).

Conclusion

The LPC teaching model shows better effects than LBL in basic surgery observership teaching for pediatric medical students of the five-year program

which is worth promotion.

关键词

LBL教学模式LBL+PBL+CBL儿科外科学总论见习教学

Keywords

LBL teaching modelLBL+PBL+CBLPediatricsBasic surgeryObservership teaching

references

李小军. CBL联合PBL的双轨教学法在胸外科临床教学中的应用[J]. 中华全科医学， 2019， 17（8）： 1396-1398. DOI: 10.16766/j.cnki.issn.1674-4152.000953http://dx.doi.org/10.16766/j.cnki.issn.1674-4152.000953.

唐仕芳，张娅琴，伍莉，等. PBL联合模拟教学在综合性医院儿科临床见习中的应用[J]. 检验医学与临床， 2019， 16（19）： 2909-2911. DOI: 10.3969/j.issn.1672-9455.2019.19.052http://dx.doi.org/10.3969/j.issn.1672-9455.2019.19.052.

迟立群，马小龙. PBL教学法在心脏外科临床教学中的应用[J]. 医学教育管理， 2021， 7（Z1）： 108-111. DOI: 10.3969/j.issn.2096-045X.2021.S.029http://dx.doi.org/10.3969/j.issn.2096-045X.2021.S.029.

高深甚，陶永琳，陈烨，等. 两种不同教学法在上海市某医学院校儿科教学中的效果差异研究[J]. 医学与社会， 2018， 31（1）： 84-86. DOI: 10.13723/j.yxysh.2018.01.025http://dx.doi.org/10.13723/j.yxysh.2018.01.025.

林晓萌，李中，张征，等. PBL联合CBL教学模式在外科临床见习教学中的应用及探讨[J]. 当代医学， 2019， 25（10）： 174-176. DOI: 10.3969/j.issn.1009-4393.2019.10.077http://dx.doi.org/10.3969/j.issn.1009-4393.2019.10.077.

胡桂，郭一航，林昌伟，等. LBL、CBL及PBL三种教学方法联合在胃肠外科临床见习教学中的应用[J]. 中国继续医学教育， 2017， 9（23）： 14-16. DOI: 10.3969/j.issn.1674-9308.2017.23.007http://dx.doi.org/10.3969/j.issn.1674-9308.2017.23.007.

廉丽华，俞晓艺，钟瑞英，等. PBL+LBL+CBL混合教学模式在医学本科教育中面临的挑战与思考[J]. 新中医， 2022， 54（5）： 222-226. DOI: 10.13457/j.cnki.jncm.2022.05.052http://dx.doi.org/10.13457/j.cnki.jncm.2022.05.052.

倪田根，朱稀雯. PBL与LBL相结合的教学法对甲乳外科教学质量的改善评价[J]. 继续医学教育， 2023， 37（2）： 44-48. DOI: 10.3969/j.issn.1004-6763.2023.02.012http://dx.doi.org/10.3969/j.issn.1004-6763.2023.02.012.

荆薇. LBL-CBL-TBL教学在肿瘤科临床本科见习中的应用和意义[J]. 继续医学教育， 2020， 34（11）： 20-22. DOI: 10.3969/j.issn.1004-6763.2020.11.011http://dx.doi.org/10.3969/j.issn.1004-6763.2020.11.011.

刘佳，符静，段妍，等. 三轨教学模式在内分泌科临床实习教学中的应用[J]. 中国病案， 2018， 19（4）： 77-79. DOI: 10.3969/j.issn.1672-2566.2018.04.028http://dx.doi.org/10.3969/j.issn.1672-2566.2018.04.028.

袁元，文大光，唐鹤菡，等. CBL联合PBL在医学影像技师进修培训中的应用[J]. 中华医学教育探索杂志， 2020， 19（12）： E012. DOI: 10.3760/cma.j.issn.2095-1485.2020.12.112http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2020.12.112.

叶记超，侯景义，李登，等. 骨科见习教学中应用改良LBL-PBL-LBL教学模式的效果分析[J]. 继续医学教育， 2023， 37（1）： 49-52. DOI: 10.3969/j.issn.1004-6763.2023.01.013http://dx.doi.org/10.3969/j.issn.1004-6763.2023.01.013.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Opportunities and challenges of pediatric medical education in the new era of China

Operation management of teaching clinic for standardized training of pediatric residents

Vocational training for pediatric clinical research coordinators: current status and demand analysis

Factors influencing medical narrative competence and its correlation with psychological resilience in pediatric staff

Research hotspots and trends in humanistic education in pediatric medicine in China

Related Author

Shu Qiang

Ye Jing

Yu Shuang

Jin Jingyi

Lai Dengming

Song Chao

Hong Yunxia

Song Jiayao

Related Institution

Department of Pediatric Surgery, Children's Hospital, Zhejiang University School of Medicine/National Clinical Research Center for Child Health and Disorders

Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health and Disorders

Key Laboratory of Acupuncture and Neurology of Zhejiang Province, The Third Clinical Medical College of Zhejiang Chinese Medical University

Clinical Trial Institution Management Office, Children's Hospital, Zhejiang University School of Medicine/National Clinical Research Center for Child Health and Disorders

School of Pharmacy, Hangzhou Medical College

⁰