
浏览全部资源
扫码关注微信
1. 第二军医大学附属长征医院普外二科杨德君,上海
2. 颜荣林
3. 蔡清萍,胸心外科肖健,急救科常亮,创伤骨科张帆,整形外科汪汇,外科学与野战外科学教研室沈宏亮通信作者
4. 沈宏亮
纸质出版日期:2017,
移动端阅览
杨德君, 颜荣林, 蔡清萍肖健常亮张帆汪汇, 等. 基于MDT引导的PBL教学在战创复合伤教学中的应用[J]. 中华医学教育探索杂志, 2017,16(5).
The implementation of PBL guided by MDT in clinical teaching of war wound and trauma caused by compound factors[J]. 2017,16(5).
目的 探讨以战创复合伤为案例开展多学科教学团队(multidisciplinary team
MDT)协同引导的PBL教学的价值。 方法 教学人员紧贴战场和临床实践设计战创复合伤仿真案例,并成立多学科教学成员组。将2012级临床实习学员随机分为实验组(23名)和对照组(22名)。实验组实施MDT引导的PBL教学,采取“六步法”,包括课前教员案例准备、学员独立分析、学员小组讨论、教员提炼问题与学员分工解答,课堂学员答题与辩论,课后学员梳理与总结;对照组采用传统教学模式:按照常规病例分析的步骤对战创伤案例进行课堂讲解,包括病例特点、诊断与诊断依据、需完善的检查、急救措施、一般及专科处理手段等。通过课堂评估和课后调研评价教学效果,采用卡方检验进行统计分析。 结果 课堂评估结果显示,18名 (78.3%) 参与基于MDT引导的PBL教学学员在提炼、分析与解答问题的能力和表达与演讲水平总体达到优良水平。课后调研结果表明,38名 (84.4%) 学员认为战创复合伤临床案例教学能够紧贴实战需求。基于MDT引导的PBL教学更有助于提高学员的战场救治能力和战创伤诊疗水平,更能强化卫勤医疗保障的角色意识;能使学术困惑得到更为专业简洁的解答;能够增强学员的团队观念;强化学员的全局意识。 结论 以战创复合伤为案例的MDT引导的PBL教学使临床实习学员不仅系统地复习了相关学科的重点知识,还锻炼了诊疗思路、熟悉了诊治方法,并做到了与战伤救治的有机结合,在临床医学和军事医学教学中具有重要应用价值
Objective To explore the value of practicing PBL which guided by MDT in teaching diagnoses and treatments of war wound and trauma caused by compound agents. Methods An emulational war wound case caused by compound factors had been designed and a multi-disciplinary team been organized
then totally 45 interns who would graduate in 2017 were divide into two groups randomly
experimental group which had 23 cases received PBL model combined with MDT followed “six step” procedure which included case preparation by teachers
independent analysis and group discussion by interns
problem extraction by teachers and division of solution by interns before class
then answer and debates problems by interns in class
conclusion and reports after class in the end
and control group which had 22 cases received traditional teaching model in accordance with common case discussion in class included characteristics of patient
diagnosis and diagnostic basis
examinations needed to carry out
first aid measures
professional treatments. The effect of new teaching model had been evaluated by assessment in class and questionnaire after class. The data was analyzed through Chi-square Test by SPSS22.0. Results Class assessment showed 18 (78.3%) interns in experimental group displayed good abilities of proposing
analyzing and resolving medical problem
as well as good presentation and speech skills. Questionnaire survey had not only showed clinical teaching of war wound and trauma could meet the demands of talent training in battlefield rescue
but also displayed new model could help interns to enhance abilities of first-aid and treatment of war wound on future warfield
reinforce the consciousness of military medical support and service
in addition
could clear confusion more professionally and strengthen teamwork and overall importance . Conclusion Applying PBL combined with MDT in teaching diagnoses and treatments of war wound and trauma could not only help interns to review and retain important knowledge of related subjects
but also improve the abilities of interns in clinical diagnoses and treatments
moreover
merged the medical knowledge and war wound cure together organically. In short
the new model is well worth applying in clinical teaching and military medical education because of its excellent effects.
PBL教学法多学科协作战创伤复合伤临床教学
problem-based learningmulti-disciplinary teamwar wound and traumacompound injuryClinical teaching
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621