交互式病例讨论会在外科住院医师跨专业学习中的作用

doi:10.3969/j.issn.2096-045X.2018.02.009 ·

医学教育管理 ›› 2018, Vol. 4 ›› Issue (2): 117-121,130.doi: 10.3969/j.issn.2096-045X.2018.02.009 ·

交互式病例讨论会在外科住院医师跨专业学习中的作用

安帅¹，陈丽芬²，邢冉²，曹峰³，王亚军^{2, 3}，曹光磊¹，刘利民¹，鲁世保¹

1. 首都医科大学宣武医院骨科，北京100053；2. 首都医科大学宣武医院教育处，北京100053；3. 首都医科大学宣武医院普通外科，北京100053

收稿日期:2017-12-20 出版日期:2018-04-20
通讯作者: 陈丽芬

Effect of interactive case symposium for surgical residents in interprofessional learning

An Shuai¹，Chen Lifen²，Xing Ran²，Cao Feng³，Wang Yajun^2,3，Cao Guanglei¹，Liu Limin¹，Lu Shibao¹

1. Department of Orthopaedics, Xuanwu Hospital, Capital Medical University, Beijing 100053, China;2. Department of Education, Xuanwu Hospital, Capital Medical University, Beijing 100053, China; 3.Department of General Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China

Received:2017-12-20 Online:2018-04-20
Contact: Chen Lifen

摘要/Abstract

摘要： 目的探讨交互式病例讨论会在外科住院医师跨专业基本知识、基本理论和基本技能培训中的应用效果。方法采用住院医师主导病例讨论－指导老师点评指导的方式，对2011 年9 月～ 2016 年8 月在宣武医院轮转的91 名外科住院医师进行每月1 次的典型病例和学科进展的培训。采用课后答题、座谈会和无记名问卷调查的方法对病例讨论会的效果进行调查并进行统计分析。结果 91 名外科住院医师按时参加了病例讨论会。座谈会无记名投票显示，病例讨论的满意度为70%。讨论会后完成无记名问卷调查，从讨论病例的典型性、汇报和查体准备的充分程度、点评的深度和广度、知识掌握的效果、知识考核结果5 个方面进行评价和比较，调
查问卷回收率100%，有效率98%。问卷总成绩为73.6±13.5 分，2011 年～ 2016 年，各年间分值无明显统计学差异；不同月份之间分值变化较明显，说明不同学科比较，最低分和最高分学科的讨论效果和掌握情况存在差异。结论交互式外科住院医师病例讨论会受到住院医师的支持，效果较满意，但仍需要进一步改进，可以在教学改革中适度推广

Abstract: Objective To explore the effect of interactive case symposium on the basic knowledge, basic theory and basic skills training of surgical residents in interprofessional learning (IPL). Methods The case study was conducted as resident physicians presented case and guided discussion, supplemented by supervisors comments and suggestions. From September 2011 to August 2016, 91 residents of Xuanwu Hospital were trained in typical cases of different disciplines.The post-class Q&A, seminars and questionnaire survey methods were used to evaluate the educational effects of the case discussions. The data were dealt with by statistical analysis. Results 91 surgeons participated in case sessions on a regular basis and completed a questionnaire survey. All the questionnaires were retrieved and 98% of them were valid. The result of seminars shows that the satisfaction of the case discussion is 70%. The questionnaire was completed and the evaluation and comparison were made from five aspects: the typicality of the case, the adequacy of the report and the preparation of the examination, the depth and breadth of the evaluation, the effect of knowledge and the results of knowledge examination.The total score of the questionnaire was 73.6 ± 13.5 points. Among them, there was no significant difference in the scores between the years 2011 to 2016. However, the scores were different in some months, indicating that the scores of the different subjects were manifest. Conclusion The Interactive Surgery Resident Case Symposium is supported and
welcomed by the resident, yet needs further improvement and can be promoted in teaching reform.

安帅，陈丽芬，邢冉，曹峰，王亚军，曹光磊，刘利民，鲁世保. 交互式病例讨论会在外科住院医师跨专业学习中的作用[J]. 医学教育管理, 2018, 4(2): 117-121,130.

An Shuai, Chen Lifen, Xing Ran, Cao Feng, Wang Yajun, Cao Guanglei, Liu Limin, Lu Shibao. Effect of interactive case symposium for surgical residents in interprofessional learning[J]. Medical Education Management, 2018, 4(2): 117-121,130.

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交互式病例讨论会在外科住院医师跨专业学习中的作用

Effect of interactive case symposium for surgical residents in interprofessional learning

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