基于PBL的情景模拟教学在重症医学科住院医师规范化培训中的应用

徐华; 刘盛兰; 孔金丹; 金钧

doi:10.3760/cma.j.cn116021-20200929-01184

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基于PBL的情景模拟教学在重症医学科住院医师规范化培训中的应用

住院医师规范化培训 | 更新时间：2023-04-14

- 基于PBL的情景模拟教学在重症医学科住院医师规范化培训中的应用
- Application of PBL-based scenario simulation teaching in the standardized residency training in the department of critical care medicine
- 中华医学教育探索杂志 2023年22卷第2期页码：250-252
- 作者机构：
  
  苏州大学附属第一医院重症医学科，苏州　215000
- 作者简介：
  
  金钧，Email：doctorxu8004@163.com
- 基金信息：
  
  苏州大学附属第一医院住院医师规范化培训研究课题(ZPKJ20190204)
- DOI：10.3760/cma.j.cn116021-20200929-01184
  中图分类号： R-05
- 纸质出版日期：2023-02-20，
  
  收稿日期：2020-09-29，
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徐华, 刘盛兰, 孔金丹, 等. 基于PBL的情景模拟教学在重症医学科住院医师规范化培训中的应用[J]. 中华医学教育探索杂志, 2023, 22(2): 250-252.

Xu Hua, Liu Shenglan, Kong Jindan, et al. Application of PBL-based scenario simulation teaching in the standardized residency training in the department of critical care medicine[J]. Chinese Journal of Medical Education Research, 2023,22(2):250-252.
徐华, 刘盛兰, 孔金丹, 等. 基于PBL的情景模拟教学在重症医学科住院医师规范化培训中的应用[J]. 中华医学教育探索杂志, 2023, 22(2): 250-252. DOI： 10.3760/cma.j.cn116021-20200929-01184.

Xu Hua, Liu Shenglan, Kong Jindan, et al. Application of PBL-based scenario simulation teaching in the standardized residency training in the department of critical care medicine[J]. Chinese Journal of Medical Education Research, 2023,22(2):250-252. DOI： 10.3760/cma.j.cn116021-20200929-01184.

摘要

目的

探讨基于以问题为基础的学习（problem-based learning，PBL）的情景模拟教学在重症医学科住院医师规范化培训中的作用和效果。

方法

选取2019年3月至2019年12月在苏州大学附属第一医院重症医学科规范化培训的住院医师48人，分为试验组和对照组，每组各24人。试验组采用基于PBL的情景模拟教学，对照组采用传统教学。教学任务结束后比较两组规培学员成绩，对比和分析调查问卷结果差异。应用SPSS 17.0进行

检验。

结果

试验组的理论考核成绩（85.50±5.15）分和技能考核成绩（82.38±5.64）分均高于对照组[（77.04±8.69）分、（70.92±5.65）分]，差异有统计学意义（

0.05）。试验组在提升学习兴趣和效率、提高临床工作能力、强化临床思维能力、提高团队协作能力和提高医患沟通能力等5个方面均高于对照组，差异有统计学意义（

0.05）。

结论

基于PBL的情景模拟与传统教学相比优势明显，值得推广。

Abstract

Objective

To explore the role and effect of problem-based learning (PBL)-based scenario simulation teaching in the standardized residency training in the department of critical care medicine.

Methods

A total of 48 residents who received standardized residency training in the Department of Critical Care Medicine of the First Affiliated Hospital of Soochow University from March 2019 to December 2019 were randomly divided into the experimental group and the control group

with 24 ones in each group. The experimental group used PBL-based scenario simulation teaching

while the control group adopted the traditional teaching. After the end of the teaching

the exam scores of the two groups were observed and compared. Then the questionnaire was used to analyze the differences of the results. SPSS 17.0 was used for

-test.

Results

The scores of theoretical assessment (85.50±5.15) and skill assessment (82.38±5.64) in the experimental group were higher than those in the control group[(77.04±8.69) and (70.92±5.65)]

and the differences were statistically significant (

0.05). The experimental group was higher than the control group in improving learning interest and efficiency

improving clinical work ability

strengthening clinical thinking ability

improving teamwork ability

and improving doctor-patient communication ability

and the difference was statistically significant (

0.05).

Conclusion

The PBL-based scenario simulation teaching has more advantages over the traditional teaching and is worthy of promotion.

关键词

重症医学科规范化培训以问题为基础的学习情景模拟教学

Keywords

Department of critical care medicineStandardized trainingProblem-based learningScenario simulation teaching

references

任佰玲，叶山东，钱立桃，等. 住院医师规范化培训的实践探索[J]. 中华医学教育杂志， 2007， 27（4）： 110-111. DOI: 10.3760/cma.j.issn.1673-677X.2007.04.043http://dx.doi.org/10.3760/cma.j.issn.1673-677X.2007.04.043.

刘宁，董丹江，唐健，等. 重症医学科住院医师规范化培训模式与考核体系的探讨[J]. 中华医学教育探索杂志， 2015， 14（6）： 623-626. DOI: 10.3760/cma.j.issn.2095-1485.2015.06.021http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2015.06.021.

潘芸，高永良，赵恒光，等. 多媒体结合PBL教学法在皮肤科中的应用探索[J]. 重庆医学， 2015， 44（13）： 1843-1845. DOI: 10.3969/j.issn.1671-8348.2015.13.041http://dx.doi.org/10.3969/j.issn.1671-8348.2015.13.041.

Aljarallah B, Hassan MS. Problem based learning (PBL) vs. Case based curriculum in clinical clerkship, Internal Medicine Innovated Curriculum, Student prospective [J]. Int J Health Sci (Qassim), 2015, 9(2): 147-152.

吴媛，张明，王小闯，等. PBL联合CBL教学法在重症医学科住院医师规范化培训中的应用[J]. 中国继续医学教育， 2018， 10（29）： 16-19. DOI: 10.3969/j.issn.1674-9308.2018.29.007http://dx.doi.org/10.3969/j.issn.1674-9308.2018.29.007.

Langdorf MI, Strom SL, Yang L, et al. High-fidelity simulation enhances ACLS training [J]. Teach Learn Med, 2014, 26(3): 266-273. DOI: 10.1080/10401334.2014.910466http://dx.doi.org/10.1080/10401334.2014.910466.

Green R, Curry N. Simulation training improves clinical knowledge of major haemorrhage management in foundation year doctors [J]. Transfus Med, 2014, 24(6): 379-384. DOI: 10.1111/tme.12161http://dx.doi.org/10.1111/tme.12161.

梁书静，姜冠潮，张斯琴，等. 八年制临床医学专业学生模拟教学效果探析[J]. 中华医学教育杂志， 2016， 36（4）： 555-558. DOI: 10.3760/cma.j.issn.1673-677X.2016.04.019http://dx.doi.org/10.3760/cma.j.issn.1673-677X.2016.04.019.

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