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陆军军医大学第一附属医院麻醉科,重庆 400038
张娜,Email:zhangna29_01@163.com
收稿:2025-04-28,
纸质出版:2026-04-20
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李桂花, 李小东, 王漠然, 等. Seminar联合案例导入式教学在麻醉专业住院医师规范化培训中的应用效果[J]. 中华医学教育探索杂志, 2026, 25(4): 475-480.
Li Guihua, Li Xiaodong, Wang Moran, et al. Application effectiveness of seminar combined with case introduction teaching in the standardized training of anesthesiology residents[J]. Chinese Journal of Medical Education Research, 2026, 25(4): 475-480.
李桂花, 李小东, 王漠然, 等. Seminar联合案例导入式教学在麻醉专业住院医师规范化培训中的应用效果[J]. 中华医学教育探索杂志, 2026, 25(4): 475-480. DOI: 10.3760/cma.j.cn116021-20250428-02233.
Li Guihua, Li Xiaodong, Wang Moran, et al. Application effectiveness of seminar combined with case introduction teaching in the standardized training of anesthesiology residents[J]. Chinese Journal of Medical Education Research, 2026, 25(4): 475-480. DOI: 10.3760/cma.j.cn116021-20250428-02233.
目的
2
探讨Seminar联合案例导入式教学对麻醉住培医师的培训效果。
方法
2
选取2022年参加培训的20名麻醉住培医师为对照组;2023年参加培训的20名麻醉住培医师为研究组。对照组采用传统教学方法,研究组采用Seminar联合案例导入式教学,通过麻醉专科能力考核和教学满意度进行评价。采用SPSS 20.0进行独立样本
t
检验和
U
检验。
结果
2
研究组学员在知识掌握方面得分更高:理论考核得分[(92.30±2.36) vs. (86.05±3.71)]与指南应用能力[2.00(2.00~3.00)条vs. 1.00(1.00~2.00)条]。技能操作方面得分更高:复杂病例处置得分[(88.00±2.08) vs. (82.50±3.52)]与单项技术得分[(92.15±2.56) vs. (90.35±2.06)]。临床决策方面得分更高:资源分配优化度(89.03±2.32)% vs. (86.45±2.21)%与处理方案合理性[3.50(3.00~4.00)分vs. 3.00(2.00~3.00)分]。团队协作方面:信息传递耗时更短[(35.80±4.06) s vs. (39.70±3.72) s],角色混乱次数更少[(2.20±1.06)次vs. (3.50±1.15)次]。心理素质方面:压力操作稳定性更佳[失误率变化:(9.85±2.11)% vs. (12.95±1.93)%],应急创新能力更强[创新方案数:2.00(1.00~2.00)个 vs. 1.00(0.00~1.00)个]。满意度调查显示,研究组学员在案例贴合临床需求、研讨互动提升思维、模拟增强自信、反馈针对性、推荐意愿及自评能力信心等方面优势明显。
结论
2
Seminar联合案例导入式教学能有效提升麻醉住培医师的理论知识整合能力、临床操作水平及应急决策能力,具有重要的价值。
Objective
2
To explore the training effect of Seminar combined with case-based teaching on anesthesiologists undergoing residency training.
Method
2
Select 20 anesthesiologists who will participate in the training in 2022 as the control group; The research group consists of 20 anesthesiologists who will participate in the training in 2023. The traditional group adopts a three-stage teaching approach of theory operation training; The research group adopted a seminar combined with case-based teaching
and evaluated the anesthesia specialty ability assessment and teaching satisfaction. Perform independent sample
t
-test and
U
-test using SPSS 20.0.
Result
2
The research group students scored higher in terms of knowledge mastery: theoretical assessment score [(92.30±2.36) vs. (86.05±3.71)] and guideline application ability [2.00(2.00~3.00) vs. 1.00(1.00~2.00)]. Higher scores in skill operation: complex case handling score [(88.00±2.08) vs. (82.50±3.52)] and single technique score [(92.15±2.56) vs. (90.35±2.06)]. Higher scores in clinical decision-making: optimization of resource allocation (89.03±2.32)% vs. (86.45±2.21)% and rationality of treatment plans [3.50 (3.00~4.00) vs. 3.00 (2.00~3.00) points]. In terms of team collaboration
information transmission takes less time [(35.80±4.06) vs. (39.70±3.72 seconds)]
and there are fewer instances of role confusion [(2.20±1.06) vs. (3.50±1.15)]. In terms of psychological resilience
the stability of stress management is better [change in error rate: (9.85±2.11)% vs. (12.95±1.93)%]
and the ability to innovate in emergency situations is stronger [number of innovative solutions: 2.00 (1.00~2.00) vs. 1.00 (0.00~1.00)]. The satisfaction survey shows that the research group students have significant advantages in terms of case fit clinical needs
interactive discussions to enhance thinking
simulation to increase confidence
targeted feedback
recommendation willingness
and confidence in self-evaluation ability.
Conclusions
2
Seminar combined with case-based teaching can effectively enhance the theoretical knowledge integration ability
clinical operation level
and emergency decision-making ability of anesthesiologists
and has important value.
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