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逐步法结合案例式学习在中国耳内镜教学中的应用与实践

Application and practice of a step-by-step method combined with case-based learning in Chinese otoendoscopy education.

作者信息

Wei Fanqin, Sun Qiyang, Qin Zili, Zhuang Huiwen, Jiang Guangli, Wu Xuan

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, The First Affiliated Hospital, Sun Yat-sen University, 2nd Zhongshan Road 58#, Guangdong, 510080, Guangzhou, People's Republic of China.

Institute of Otorhinolaryngology Head and Neck Surgery, Sun Yat-sen University, Guangdong, 510080, Guangzhou, People's Republic of China.

出版信息

BMC Med Educ. 2021 Feb 4;21(1):89. doi: 10.1186/s12909-021-02513-1.

Abstract

BACKGROUND

Standardized training allows more physicians to master otoendoscopic surgery. However, the lecture-based learning (LBL) applied in otoendoscopy teaching may not be conducive to training students in clinical thinking and surgical ability. It is necessary to explore innovative methods for otoendoscopy teaching. This study aimed to determine the effect of a step-by-step (SBS) method combined with case-based learning (CBL) in otoendoscopy teaching.

METHODS

Fifty-nine physicians who participated in otoendoscopy training were selected as the study subjects and randomly divided into two groups (A and B). Group A underwent training with the SBS & CBL method, while Group B underwent training with the LBL & CBL method. The effects of these two methods for otoendoscopy training were compared by evaluation of professional skills and questionnaires before and after the training.

RESULTS

Proficiency in otoendoscopic anatomy and grades for both professional knowledge and otoendoscopic skills were significantly higher in Group A than in Group B(P < 0.05). In terms of learning interest, surgical ability, acting capacity during surgery, reducing surgical complications, and satisfaction with learning experience, all responses from Group A were better than those from Group B(P < 0.05).

CONCLUSIONS

The SBS & CBL method may help to improve ability in otoendoscopic surgery and clinical thinking and appears suitable for endoscopy teaching.

摘要

背景

规范化培训能让更多医生掌握耳内镜手术。然而,耳内镜教学中采用的基于讲座的学习(LBL)可能不利于培养学生的临床思维和手术能力。探索耳内镜教学的创新方法很有必要。本研究旨在确定逐步(SBS)法结合基于案例的学习(CBL)在耳内镜教学中的效果。

方法

选取59名参加耳内镜培训的医生作为研究对象,随机分为两组(A组和B组)。A组采用SBS&CBL法进行培训,而B组采用LBL&CBL法进行培训。通过培训前后的专业技能评估和问卷调查比较这两种耳内镜培训方法的效果。

结果

A组在耳内镜解剖熟练程度、专业知识和耳内镜技能评分方面均显著高于B组(P<0.05)。在学习兴趣、手术能力、手术中的应变能力、减少手术并发症以及对学习体验的满意度方面,A组的所有反馈均优于B组(P<0.05)。

结论

SBS&CBL法可能有助于提高耳内镜手术能力和临床思维,似乎适用于内镜教学。

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