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LSPPDM模式下同伴辅助学习在住院医师临床技能培训中的应用

Application of peer-assisted learning under the LSPPDM mode in resident clinical skill training.

作者信息

Jin Peipei, Chen Jinyu, Wang Ping, Xie Yadian, Zhang Cen, Shen Liqiong, He Li, Ye Yanqing

机构信息

Department of Hematology, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Hubei, Wuhan, 430071, China.

Department of Teaching office, Zhongnan Hospital of Wuhan University, Wuhan, 430071, Hubei, China.

出版信息

BMC Med Educ. 2025 Apr 23;25(1):595. doi: 10.1186/s12909-025-06813-8.

Abstract

BACKGROUND

Currently, several studies have explored the LSPPDM teaching model and peer-assisted learning to enhance teaching outcomes. Nevertheless, no study has integrated the LSPPDM model with peer mutual learning to explore its possible beneficial effects. The present study aims to explore the role of peer-assisted learning under the LSPPDM mode in improving the clinical competency of residents.

METHODS

A total of 129 residents of Zhongnan Hospital of Wuhan University were selected as study subjects, including 68 residents in Grade 2022 as the control group (traditional teaching mode) and 61 residents in Grade 2023 as the experimental group (peer-assisted learning under the LSPPDM mode). To compare the grades of the basic clinical skills course and the after-department examination performance of the two groups of residents and to analyze the residents' evaluation of the effectiveness of their teaching, questionnaires were used.

RESULTS

The experimental group achieved a significantly higher total score in the clinical basic skills course (90.62) compared to the control group (86.23, P < 0.05). The average scores of theory, skills and case reports of the residents in the experimental group were 83.75, 90.98 and 89.74, respectively, which were higher than the 82.83, 89.11 and 87.41, respectively, in the control group. The difference between the skill score and case report score was statistically significant (P < 0.05), and the theoretical score difference was not statistically significant (p = 0.476). Residents in the experimental group were significantly satisfied with each teaching session compared with the test value (4 points = satisfaction) (P < 0.001).

CONCLUSION

Peer-assisted learning under the LSPPDM mode significantly improves residents' clinical competency and achieves high satisfaction levels, offering valuable insights for optimizing clinical skill training in other hospitals.

摘要

背景

目前,已有多项研究探索了以问题为导向的学习(LSPPDM)教学模式和同伴辅助学习以提高教学效果。然而,尚无研究将LSPPDM模式与同伴互助学习相结合来探究其可能的有益效果。本研究旨在探讨LSPPDM模式下同伴辅助学习在提高住院医师临床能力方面的作用。

方法

选取武汉大学中南医院129名住院医师作为研究对象,其中2022级68名住院医师作为对照组(传统教学模式),2023级61名住院医师作为实验组(LSPPDM模式下的同伴辅助学习)。采用问卷调查的方式比较两组住院医师基础临床技能课程成绩和出科考试成绩,并分析住院医师对教学效果的评价。

结果

实验组临床基础技能课程总成绩(90.62)显著高于对照组(86.23,P<0.05)。实验组住院医师理论、技能和病例报告的平均成绩分别为83.75、90.98和89.74,均高于对照组的82.83、89.11和87.41。技能成绩和病例报告成绩差异具有统计学意义(P<0.05),理论成绩差异无统计学意义(P = 0.476)。与测试值(4分=满意)相比,实验组住院医师对各教学环节的满意度显著更高(P<0.001)。

结论

LSPPDM模式下的同伴辅助学习显著提高了住院医师的临床能力,并获得了较高的满意度,为其他医院优化临床技能培训提供了有价值的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d6a/12016344/03d7161ac11a/12909_2025_6813_Fig1_HTML.jpg

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