Volume 22 Issue 2
Feb.  2024
Turn off MathJax
Article Contents
WANG Gaoxiang, WU Mingsheng, XU Guangwen, WU Hanran, SUN Xiaohui, LIU Changqing, XIE Mingran. Application of peer combined with CBL into situational simulation teaching in standardized training of thoracic surgery residents[J]. Chinese Journal of General Practice, 2024, 22(2): 308-311. doi: 10.16766/j.cnki.issn.1674-4152.003391
Citation: WANG Gaoxiang, WU Mingsheng, XU Guangwen, WU Hanran, SUN Xiaohui, LIU Changqing, XIE Mingran. Application of peer combined with CBL into situational simulation teaching in standardized training of thoracic surgery residents[J]. Chinese Journal of General Practice, 2024, 22(2): 308-311. doi: 10.16766/j.cnki.issn.1674-4152.003391

Application of peer combined with CBL into situational simulation teaching in standardized training of thoracic surgery residents

doi: 10.16766/j.cnki.issn.1674-4152.003391
Funds:

 81973643

 202004j07020017

 2020xjyxm089

  • Received Date: 2023-08-05
    Available Online: 2024-03-27
  •   Objective  The aimed explore the effectiveness and feasibility of introducing case-based learning (CBL) for situational simulation teaching in the standardized training of thoracic and cardiac surgery residents.  Methods  Sixty residents who underwent residential training in the Department of Thoracic Surgery at the First Affiliated Hospital of University of Science and Technology of China, from January 2021 to April 2022, were selected as participants. They were randomly divided into two groups: the group A, which received traditional teaching method group, and the group B, which received CBL-based situational simulation teaching group, according to the admission order. The teaching methods included mini-clinical evaluation exercise(mini-CEX), direct observation, and direct observation of procedural skill (DOPS). At the end of the training, theory and skill assessment, as well as teaching satisfaction survey, were conducted.  Results  There were no significant differences between the two groups in terms of age, sex, highest education, major, and time of participation in training (P>0.05). The theoretical and skill scores of the group B were significantly higher than those of the group A (t=4.977, P < 0.001; t=3.607, P=0.001). The proportion of excellent Mini-CEX rating in the group B was higher than that in the group A (P < 0.05). Additionally, the Mini-CEX score in the group B was higher than that in the group A (t=2.670, P=0.010). There were no significant difference in DOPS rating and scores between the two groups (Z=-0.869, P=0.385; t=0.405, P=0.687). The satisfaction level of the group B was significantly higher than that of the group A (P < 0.05). Similarly, the satisfaction score of the group B was significantly higher than that of the group A (t=5.007, P < 0.001).  Conclusion  The implementation of peer and CBL-based situational simulation teaching mode has the potential to creat a conductive learning atmosphere, improve the independent learning and clinical thinking skills of resident physicians, and hold significant promise for advancement.

     

  • loading
  • [1]
    于丽丽, 茹国庆, 吴建宇, 等. PBL结合CBL教学在临床病理学住院医师规范化培训中的应用与初探[J]. 浙江临床医学, 2022, 24(10): 1576-1578.

    YU L L, RU G Q, WU J Y, et al. Application and exploration of PBL combined with CBL teaching in standardized training of clinical pathology resident physicians[J]. Zhejiang Clinical Medical Journal, 2022, 24(10): 1576-1578.
    [2]
    徐广文, 徐世斌, 徐美清, 等. 形成性评价在住院医师规范化培训胸外科规培中的应用[J]. 中华全科医学, 2020, 18(2): 307-310. doi: 10.16766/j.cnki.issn.1674-4152.001232

    XU G W, XU S B, XU M Q, et al. Application of formative assessment in standardized resident training of thoracic surgery[J]. Chinese Journal of General Practice, 2020, 18(2): 307-310. doi: 10.16766/j.cnki.issn.1674-4152.001232
    [3]
    李宾, 陈志军, 史莉瑾, 等. 胸心外科住院医师规范化培训中临床科研能力培养的探索[J]. 安徽医药, 2020, 24(6): 1257-1260. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYY202006050.htm

    LI B, CHEN Z J, SHI L J, et al. Cultivation of clinical research capability in the standardized training of cardiothoracic residents[J]. Anhui Medical and Pharmaceutical Journal, 2020, 24(6): 1257-1260. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYY202006050.htm
    [4]
    王缅. 朋辈学习与大学教学中的默会知识习得[J]. 中国大学教学, 2021(10): 67-72. https://www.cnki.com.cn/Article/CJFDTOTAL-JXCY202110012.htm

    WANG M. Peer learning and tacit knowledge acquisition in university teaching[J]. China University Teaching, 2021(10): 67-72. https://www.cnki.com.cn/Article/CJFDTOTAL-JXCY202110012.htm
    [5]
    黄珊珊. 学生学习成果导向下朋辈式教学模式的研究与实践[J]. 循证护理, 2019, 5(5): 452-455. https://www.cnki.com.cn/Article/CJFDTOTAL-XZHL201905016.htm

    HUANG S S. Research and practice of peer-based teaching model guided by students'learning achievements[J]. Chinese Evidence-Based Nursing, 2019, 5(5): 452-455. https://www.cnki.com.cn/Article/CJFDTOTAL-XZHL201905016.htm
    [6]
    董文霞, 徐冬妍, 徐德武, 等. 案例教学法在医学临床课程教学中的应用[J]. 中国继续医学教育, 2020, 12(25): 4-9. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202025002.htm

    DONG W X, XU D Y, XU D W, et al. The application of case-teaching method in teaching of clinical medicine[J]. China Continuing Medical Education, 2020, 12(25): 4-9. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY202025002.htm
    [7]
    王娟, 幸世峰, 吕忠英, 等. CBL结合三分钟+任务式教学模式在心血管内科临床实习中的应用效果[J]. 中华全科医学, 2020, 18(10): 1746-1749. doi: 10.16766/j.cnki.issn.1674-4152.001609

    WANG J, XING S F, LYU Z Y, et al. Application of CBL combined with 3-min+task teaching method for clinical teaching in department of cardiology[J]. Chinese Journal of General Practice, 2020, 18(10): 1746-1749. doi: 10.16766/j.cnki.issn.1674-4152.001609
    [8]
    张娴, 赵琳, 李艳红, 等. 混合式情景模拟教学法在儿科住院医师规范化培训学员医患沟通能力教学中的应用[J]. 昆明医科大学学报, 2020, 41(11): 154-157. https://www.cnki.com.cn/Article/CJFDTOTAL-KMYX202011031.htm

    ZHANG X, ZHAO L, LI Y H, et al. Effect of mixed situational simulation teaching on improving the doctor-patient communication ability of pediatric residents[J]. Journal of Kunming Medical University, 2020, 41(11): 154-157. https://www.cnki.com.cn/Article/CJFDTOTAL-KMYX202011031.htm
    [9]
    孙茹蓉, 吴敏, 张佩蓉, 等. PBL结合情境模拟教学法在风湿免疫科带教中的应用[J]. 教育教学论坛, 2019(25): 217-218. https://www.cnki.com.cn/Article/CJFDTOTAL-JYJU201925103.htm

    SUN R R, WU M, ZHANG P R, et al. Application of PBL combined with situational simulation training model in rheumatic teaching[J]. Education And Teaching Forum, 2019(25): 217-218. https://www.cnki.com.cn/Article/CJFDTOTAL-JYJU201925103.htm
    [10]
    李雪琴, 王功成, 卢正红. PBL/CBL联合情景模拟在全科医生转岗培训教学中的应用效果研究[J]. 中华全科医师杂志, 2023, 22(3): 304-307.

    LI X Q, WANG G C, LU Z H. Application of PBL/CBL combined scenario simulation in position-transition training for general practitioner[J]. Chinese Journal of General Practitioners, 2023, 22(3): 304-307.
    [11]
    刘静, 刘杨, 李玉梅, 等. PBL联合CBL在本科生肺癌临床见习带教中的应用研究[J]. 中华全科医学, 2023, 21(8): 1407-1410. doi: 10.16766/j.cnki.issn.1674-4152.003133

    LIU J, LIU Y, LI Y M, et al. Research on the application of PBL combined with CBL in the clinical practice teaching for lung cancer[J]. Chinese Journal of General Practice, 2023, 21(8): 1407-1410. doi: 10.16766/j.cnki.issn.1674-4152.003133
    [12]
    李凡, 周萍, 杨芳, 等. 情境教学联合CBL在妇产科住院医师规范化培训中的应用[J]. 中国基层医药, 2023, 30(6): 933-936.

    LI F, ZHOU P, YANG F, et al. Application of situational teaching combined with CBL in standardized training of resident physicians from department of obstetrics and gynecology[J]. Chinese Journal of Primary Medicine and Pharmacy, 2023, 30(6): 933-936.
    [13]
    岳梅, 张叶江. 互联网+PBL/CBL教学模式在终身医学教育改革中的应用场景研究[J]. 中国中医药现代远程教育, 2020, 18(22): 164-167. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYY202024073.htm

    YUE M, ZHANG Y J. Research on the Implementation Path of Internet+PBL/CBL Teaching Mode in Lifelong Medical Education Reform[J]. Chinese Medicine Modern Distance Education of China, 2020, 18(22): 164-167. https://www.cnki.com.cn/Article/CJFDTOTAL-ZZYY202024073.htm
    [14]
    俞璐. 自主学习能力培养在住院医师规范化培训临床教学中的现况和实践[J]. 中国医药导报, 2020, 17(4): 63-65, 69. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202004012.htm

    YU L. Situation and practice of cultivation of autonomous learning ability in clinical teaching of standardized training for residents[J]. China Medical Herald, 2020, 17(4): 63-65, 69. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202004012.htm
    [15]
    POÇAN S, ALTAY B, YAŞAROǦLU C. The effects of mobile technology on learning performance and motivation in mathematics education[J]. Educ Inf Technol (Dordr), 2023, 28(1): 683-712. doi: 10.1007/s10639-022-11166-6
    [16]
    MADDENS L, DEPAEPE F, RAES A, et al. Fostering students ' motivation towards learning research skills: the role of autonomy, competence and relatedness support[J]. Instr Sci, 2023, 51(1): 165-199. doi: 10.1007/s11251-022-09606-4
    [17]
    王艳, 胡志伟, 任伟, 等. 朋辈联合CBL在肾内科低年级住院医师技能教学中应用及效果评价[J]. 中国毕业后医学教育, 2020, 4(4): 369-372. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202004020.htm

    WANG Y, HU Z W, REN W, et al. Peer combined with CBL in teaching of first-year residents of nephrology[J]. Chinese Journal of Graduate Medical Education, 2020, 4(4): 369-372. https://www.cnki.com.cn/Article/CJFDTOTAL-BHYJ202004020.htm
    [18]
    林路, 胡晓文, 何玉. PBL结合CBL及情景式教学在妇产科实习带教中的应用[J]. 中华全科医学, 2022, 20(9): 1579-1582. doi: 10.16766/j.cnki.issn.1674-4152.002653

    LIN L, HU X W, HE Y. Application of PBL combined with CBL and situational teaching in practice teaching of obstetrics and gynecology[J]. Chinese Journal of General Practice, 2022, 20(9): 1579-1582. doi: 10.16766/j.cnki.issn.1674-4152.002653
    [19]
    朱超男, 郑贸根, 王国臣, 等. Mini-CEX联合DOPS在胸外科住院医师规范化培训中的应用[J]. 中国高等医学教育, 2022(8): 16-17. https://www.cnki.com.cn/Article/CJFDTOTAL-ZOGU202208007.htm

    ZHU C N, ZHENG M G, WANG G C, et al. Application of Mini-CEX combined with DOPS in standardized training of thoracic surgery residents[J]. China Higher Medical Education, 2022(8): 16-17. https://www.cnki.com.cn/Article/CJFDTOTAL-ZOGU202208007.htm
    [20]
    邹琪, 翁文娟, 刘成, 等. Mini-CEX模拟教学联合DOPS评估演练在重症医学住院医师规范化培训中的应用[J]. 中华全科医学, 2021, 19(4): 663-666. doi: 10.16766/j.cnki.issn.1674-4152.001888

    ZOU Q, WENG W J, LIU C, et al. The application of Mini-CEX simulation teaching combined with DOPS evaluation exercise in the standardized training of critical medical residents[J]. Chinese Journal of General Practice, 2021, 19(4): 663-666. doi: 10.16766/j.cnki.issn.1674-4152.001888
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(4)

    Article Metrics

    Article views (67) PDF downloads(8) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return