PBL和翻转课堂在骨伤科住院医师规范化培训中的应用

目的观察以PBL和翻转课堂理念为基础的自主讲课方式在骨伤科住院医师规范化培训中的应用效果。方法选取2017年3月至2018年2月在上海中医药大学附属岳阳中西医结合医院骨伤科接受住院医师规范化培训的住院医师102人,其中55人为观察组,47人为对照组;对照组安排常规临床教学,观察组在常规教学基础上安排自主讲课任务;月末以出科考试及问卷调查方式评估教学效果。采用SPSS 19.0软件进行t检验。结果观察组规培医师的病史问诊采集、体格检查、诊断鉴别诊断考试成绩高于对照组,调查问卷中观察组自学及查阅资料能力、发言讲演的自信及对教学的满意度方面均要优于对照组。结论自主讲课方式能够调动规培医师主动学习的积极性,增加了规培医师文献检索能力及学习满意度。

Application of PBL teaching combined with flipped classroom in standardized residency training of orthopedics

Objective To explore the application of self-teaching model based on PBL teaching combined with flipped classroom in standardized residency training of orthopedics.Methods There were 102 cases of residents who received standardized residency training from March 2017 to February 2018 in orthopedics department of Yueyang Hospital of Traditional Chinese and Western Medicine,among whom 55 were randomized into the observation group and 47 were divided into the control group.Traditional teaching was applied in the control group and self-teaching model was applied additionally in the observation group.At the end of the month,the teaching effect was evaluated by the department graduation examinations and questionnaire survey.SPSS 19.0 was used for t test.Results The ability of history inquiry,diagnosis and physical examination of the residents in the observation group were higher than those in the control group.The self-study and data access ability,confidence in presenting,and satisfaction with teaching in the observation group were better than those in the control group.Conclusion The self-teaching mode can arouse the learning initiative of residents,and increase residents'literature retrieval ability and their learning satisfaction.