TSP联合OSCE教学模式在创伤骨科学规范化培训中的应用效果评价

目的研究教师模拟标准化病人(TSP)联合临床医师技能培训考试系统(OSCE)教学模式创伤骨科学规范化培训中的应用效果。方法选取85名住院医师规范化培训学生，根据随机数字法分为观察组41名和对照组44名。观察组实施TSP结合OSCE教学模式，对照组实施传统教学模式。比较2组学生理论考核成绩、临床技能考核成绩和教学满意度。结果观察组学生理论成绩总分明显高于对照组(P < 0.01)，2组学生基本知识考核成绩差异无统计学意义(P>0.05)，观察组学生病例分析成绩明显高于对照组(P < 0.01)。观察组学生在体格检查、骨牵引制动、复位石膏固定方面的考核成绩均明显高于对照组(P < 0.01)。观察组学生在提高学习兴趣、解决问题能力、沟通能力、团队协作能力、教学互动、自学能力方面的教学满意度均明显高于对照组(P < 0.01)。结论在创伤骨科学规范化培训中引入TSP联合OSCE教学模式，能显著提高学生的病例分析能力及临床动手能力，有助于提高教学质量。

Evaluation of the application effect of TSP combined with OSCE teaching mode in standardized training of trauma osteology

ObjectiveTo explore the application effect of teachers standardized patient (TSP) combined with objective structured clinical examination (OSCE) teaching mode in the standardized training of trauma osteology.MethodsA total of 85 students of resident standardized training were selected and divided into observation group(n=41) and control group(n=44) according to random number method.The observation group implemented TSP combined with OSCE teaching mode, while the control group implemented traditional teaching mode.The theoretical examination results, clinical skill examination results and teaching satisfaction of the two groups were compared.ResultsThe total theoretical examination score of students in the observation group was significantly higher than that in the control group (P < 0.01), there was no significant difference in basic knowledge examination results between the two groups (P>0.05), and the case analysis results of students in the observation group were significantly higher than those in the control group (P < 0.01).The results of physical examination, bone traction and immobilization, reduction and plaster fixation in the observation group were significantly higher than those in the control group (P < 0.01).The teaching satisfaction of students in the observation group was significantly higher than that in the control group in improving their learning interest, problem-solving ability, communication ability, teamwork ability, teaching interaction and self-learning ability (P < 0.01).ConclusionsThe introduction of TSP combined with OSCE teaching mode in the standardized training of trauma osteology can significantly improve the case analysis ability and clinical practice ability of students, and is helpful to improve the teaching quality.