Implementation of a hierarchical teaching model guided by "residency-specialty integration" in the training base of oral and maxillofacial surgery

Zhen Jinze; Wang Yexin; Yang Rong; Wu Jinyang; Zhang Jingyi; Zhang Shanyong; Wang Xudong

doi:10.3760/cma.j.cn116021-20230901-01527

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Implementation of a hierarchical teaching model guided by "residency-specialty integration" in the training base of oral and maxillofacial surgery

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

- Implementation of a hierarchical teaching model guided by "residency-specialty integration" in the training base of oral and maxillofacial surgery
- Chinese Journal of Medical Education Research Vol. 22, Issue 12, Pages: 1787-1791(2023)
- 作者机构：
  
  上海交通大学医学院附属第九人民医院口腔颌面外科，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：
  
  Wang Xudong, Email: Xudongwang70@hotmail.com
- 基金信息：
  
  Postgraduate Medical Education Training and Management Innovation Project of Shanghai Jiao Tong University School of Medicine(BYH20220405)
- DOI：10.3760/cma.j.cn116021-20230901-01527
  CLC： R33
- Published：20 December 2023，
  
  Received：01 September 2023，
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甄锦泽, 王烨欣, 杨嵘, 等. 以“住-专一体化”为导向的分级带教模式在口腔颌面外科基地的实践研究[J]. 中华医学教育探索杂志, 2023, 22(12): 1787-1791.

Zhen Jinze, Wang Yexin, Yang Rong, et al. Implementation of a hierarchical teaching model guided by "residency-specialty integration" in the training base of oral and maxillofacial surgery. [J]. Chinese Journal of Medical Education Research 22(12):1787-1791(2023)
甄锦泽, 王烨欣, 杨嵘, 等. 以“住-专一体化”为导向的分级带教模式在口腔颌面外科基地的实践研究[J]. 中华医学教育探索杂志, 2023, 22(12): 1787-1791. DOI： 10.3760/cma.j.cn116021-20230901-01527.

Zhen Jinze, Wang Yexin, Yang Rong, et al. Implementation of a hierarchical teaching model guided by "residency-specialty integration" in the training base of oral and maxillofacial surgery. [J]. Chinese Journal of Medical Education Research 22(12):1787-1791(2023) DOI： 10.3760/cma.j.cn116021-20230901-01527.

摘要

目的

以上海交通大学医学院附属第九人民医院口腔颌面外科基地为研究对象，探索“住-专一体化”分级带教模式在口腔颌面外科住培与专培中的实践效果。

方法

在2022年6月至2023年4月期间，共计入组学员144名，其中试验组（住培72人、专培16人）和对照组（住培72人、专培16人）。分别采用传统模式与“住-专一体化”分级带教模式制订临床及学习任务，并记录学员在理论考核和自我评估中的表现。采用 SPSS 23.0进行

检验。

结果

“住-专一体化”分级带教模式在理论考核和学员自我评估中均取得了明显的效果。专培学员中，试验组（84.56±4.05）与对照组（81.13±2.78）之间分数差异具有统计学意义（

0.05）。住培学员中，试验组（84.74±4.85）相对于对照组（82.10±4.34）表现更好，组间差异具有统计学意义（

0.01）。自我评估问卷结果显示，试验组学员在多项自评指标中的积极评价比例高于对照组。

结论

本研究的结果表明，“住-专一体化”分级带教模式为口腔颌面外科住培与专培教育提供了一种有效的教学模式。该模式有助于提高学员学科兴趣、促进临床实践能力，并为我国医学教育提供有益经验和未来发展方向。

Abstract

Objective

To investigate the effectiveness of a hierarchical teaching model guided by "residency-specialty integration" in residency training and specialty training of oral and maxillofacial surgery with the training base of oral and maxillofacial surgery in Shanghai Ninth People's Hospital

Shanghai Jiao Tong University School of Medicine

as the research subject.

Methods

A total of 144 trainees receiving residency training and 32 receiving specialist training were enrolled from June 2022 to April 2023 and were divided into experimental group and control group

with 72 trainees receiving residency training and 16 receiving specialist training in each group. Clinical and learning tasks were designed using the traditional model for the control group and the hierarchical teaching model guided by "residency-specialty integration" for the experimental group

and the performance of trainees in theoretical assessments and self-evaluations was recorded. SPSS 23.0 was used to perform the

-test.

Results

The hierarchical teaching model guided by "residency-specialty integration" achieved a significant effect in both theoretical assessments and self-evaluations of the trainees. As for the trainees receiving specialty training

there was a significant difference in the score of theoretical assessment between the experimental group and the control group (84.56±4.05 vs. 81.13±2.78

0.05)

and as for the trainees receiving residency training

there was also a significant difference in this score between the experimental group and the control group (84.74±4.85 vs. 82.10±4.34

0.01). The results of self-assessment questionnaire showed that compared with the control group

the experimental group had a higher proportion of trainees giving positive evaluations of various indicators.

Conclusions

This study suggests that the hierarchical teaching model guided by "residency-specialty integration" provides an effective teaching model for residency training and specialty training of oral and maxillofacial surgery

and this model may help to enhance disciplinary interests and promote clinical practice abilities

thereby providing valuable insights for future medical education in China.

关键词

住院医师专科医师规范化培训口腔颌面外科

Keywords

ResidentSpecialistStandardized trainingOral and maxillofacial surgery

references

国家卫生计生委中央编办国家发展改革委教育部财政部人力资源社会保障部国家中医药管理局关于建立住院医师规范化培训制度的指导意见[J]. 中华人民共和国教育部公报， 2016（Z2）： 10-12.

国家卫生和计划生育委员会. 关于开展专科医师规范化培训制度试点的指导意见[J]. 中国实用乡村医生杂志， 2016， 23（2）： 12-14. DOI: 10.3969/j.issn.1672-7185.2016.02.007http://dx.doi.org/10.3969/j.issn.1672-7185.2016.02.007.

潘沛，王欣倍，严晓蕾，等. 上海交通大学医学院附属第九人民医院专科医师规范化培训的组织管理与实践[J]. 中国毕业后医学教育， 2019（2）： 117-120.

孙韫. 上海市口腔类住院医师规范化培训模式研究[D]. 上海：上海交通大学， 2018.

李亚珍，邱晨，吕猛. 住院医师和专科医师规范化培训有效衔接问题与思考[J]. 医学教育管理， 2022， 8（1）： 55-59， 64. DOI: 10.3969/j.issn.2096-045X.2022.01.011http://dx.doi.org/10.3969/j.issn.2096-045X.2022.01.011.

严晓蕾，潘沛，王欣倍，等. 培训基地住院医师规范化培训质量保证体系的建立[J]. 中国医院管理， 2019， 39（2）： 60-61， 67.

谢小洁，康英秀，张冯江，等. “住专一体化”的实践与探索[J]. 中国毕业后医学教育， 2019（3）： 238-242.

于洪波，王旭东，沈国芳. 口腔颌面外科专科医师规范化培训方法探索[J]. 中国医学教育技术， 2018， 32（3）： 317-319. DOI: 10.13566/j.cnki.cmet.cn61-1317/g4.201803021http://dx.doi.org/10.13566/j.cnki.cmet.cn61-1317/g4.201803021.

邱蔚六. 口腔颌面外科学[M]. 6版. 北京：人民卫生出版社，2008： 1-4.

李运峰. 案例教学模式和数字化技术联合培训模式在口腔颌面外科专科医师规范化培训中的应用[J]. 中国实用口腔科杂志，2021， 14（4）： 429-432. DOI: 10.19538/j.kq.2021.04.008http://dx.doi.org/10.19538/j.kq.2021.04.008.

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