中国标准化住院医师培训（SRT）学生眩晕/头晕相关疾病临床教学中同伴辅助学习（PAL）方法的观察：一项随机、对照、多中心研究。
An observation of the peer-assisted learning (PAL) method in the clinical teaching of vertigo/dizziness-related diseases for standardized residency training (SRT) students in China: a randomized, controlled, multicenter study.
机构信息
Department of Neurology, The Second Affiliated Hospital, Army Medical University, Chongqing, 400037, China.
Department of Neurology, Chongqing Traditional Chinese Medicine Hospital, Chongqing, 400021, China.
出版信息
BMC Med Educ. 2021 Oct 14;21(1):532. doi: 10.1186/s12909-021-02969-1.
BACKGROUND
Vertigo and dizziness (VD) are among the most frequently seen symptoms in clinics and are important for medical students, especially for those in Chinese standardized residency training (SRT). The aim of our study was to examine the PAL method's feasibility in the clinical teaching of VD-related diseases for SRT students in China.
METHODS
This is a randomized, controlled, multicenter study. A total of 228 residents were invited to participate in this study, of which 198 completed the program. The students were randomized into two groups, and VD-related diseases were taught using lecture-based learning (control group) or peer-assisted learning (PAL). An examination paper and a rating scale were used to evaluate students' performance in the mastery of VD-related theoretical knowledge and clinical skills, meanwhile students' perceptions, satisfaction, and risk of burnout were also analyzed using a questionnaire. Independent-samples t-test and chi-square analysis were performed to evaluate statistical significance for continuous variables and categorical variables, respectively, using SPSS 18.0 software.
RESULTS
The PAL group performed better in mastering theoretical knowledge and clinical skills than the control group. And more students believed that PAL could help improve their personal qualities such as teamwork skills. However, more students reported that PAL increased the risk of burnout.
CONCLUSIONS
PAL was a suitable and effective method in the clinical teaching of some specialized diseases, especially it was recommended for students who had gained initial knowledge and skills, such as Chinese SRT students. However, we should draw attention to the increased risk of burnout if PAL is intended to be widely used in clinical teaching.
TRIAL REGISTRATION
ISRCTN registry, ISRCTN53773239 , 05/07/2021, retrospectively registered.
背景
眩晕和头晕（VD）是临床中最常见的症状之一，对医学生，尤其是参加中国规范化住院医师培训（SRT）的学生非常重要。我们的研究旨在探讨 PAL 方法在中国 SRT 学生 VD 相关疾病临床教学中的可行性。
方法
这是一项随机、对照、多中心研究。共邀请 228 名住院医师参加本研究，其中 198 名完成了该项目。学生被随机分为两组，分别采用讲座式学习（对照组）或同伴辅助学习（PAL）进行 VD 相关疾病教学。采用试卷和评分量表评估学生对 VD 相关理论知识和临床技能的掌握程度，同时采用问卷调查分析学生对教学方法的看法、满意度和倦怠风险。采用 SPSS 18.0 软件对连续变量和分类变量分别进行独立样本 t 检验和卡方分析，以评估统计学意义。
结果
PAL 组在掌握理论知识和临床技能方面的表现优于对照组。更多的学生认为 PAL 可以帮助提高他们的个人素质，如团队合作能力。然而，更多的学生报告说 PAL 增加了倦怠的风险。
结论
PAL 是一种适合且有效的专门疾病临床教学方法，特别是对于已经获得初步知识和技能的学生，如中国 SRT 学生。然而，如果 PAL 旨在广泛应用于临床教学，我们应该注意增加倦怠的风险。
试验注册
ISRCTN 注册，ISRCTN53773239，2021 年 5 月 7 日，回顾性注册。
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