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基于胜任力的教育和多学科团队教学对放射肿瘤学规范化培训住院医师的影响

Impact of Competency-Based Education and Multidisciplinary Team Teaching for Standardized Training Resident on Radiation Oncology.

作者信息

Liu Min, Dong Biao, Pang Xiaonan, Liu Bailong

机构信息

Department of Radiation Oncology, The Second Affiliated Hospital of Anhui Medical University, 678 Furong Road, Hefei, 230601, Anhui, China.

State Key Laboratory On Integrated Optoelectronics, College of Electronic Science and Engineering, Jilin University, Changchun, 130021, China.

出版信息

J Cancer Educ. 2025 Jul 12. doi: 10.1007/s13187-025-02686-z.

Abstract

Radiation oncology is a pivotal discipline in cancer management, requiring the integration of clinical expertise and technical skills. Traditional methods often fall short in fostering essential competencies such as interdisciplinary collaboration and problem-solving. This study evaluated the effectiveness of competency-based education (CBE) combined with multidisciplinary team (MDT) teaching in improving hospital standardized training trainees' academic performance and clinical competencies during their radiation oncology rotations. This trial involved 128 hospital standardized training trainees from Anhui Medical University, split into two groups: 64 trainees from the 2023 cohort received traditional teaching, while 64 trainees from the 2024 cohort were taught using the CBE-MDT model. The outcomes were assessed through rotation completion exams (100-point scale) and a 25-item Likert-scale survey. Statistical analysis included independent t tests and chi-square tests. The two groups were comparable in their general characteristics, such as sex and age (P > 0.05). The experimental group showed significant improvements in final exam scores (98.3 ± 1.9 vs. 97.7 ± 1.3, P < 0.05) and higher satisfaction scores (95.92 ± 2.80 vs. 87.73 ± 3.35, P < 0.001). The integration of CBE and MDT teaching significantly enhances academic performance and competency development in radiation oncology training. These findings support the adoption of innovative pedagogical approaches in medical education to prepare future healthcare professionals for multidisciplinary clinical challenges.

摘要

放射肿瘤学是癌症治疗中的关键学科,需要整合临床专业知识和技术技能。传统方法在培养跨学科协作和解决问题等关键能力方面往往存在不足。本研究评估了基于能力的教育(CBE)与多学科团队(MDT)教学相结合在提高医院标准化培训学员放射肿瘤学轮转期间学术成绩和临床能力方面的有效性。该试验涉及安徽医科大学的128名医院标准化培训学员,分为两组:2023届的64名学员接受传统教学,而2024届的64名学员采用CBE-MDT模式教学。通过轮转结业考试(百分制)和一项包含25个条目的李克特量表调查来评估结果。统计分析包括独立t检验和卡方检验。两组在性别和年龄等一般特征方面具有可比性(P>0.05)。实验组在期末考试成绩(98.3±1.9对97.7±1.3,P<0.05)和满意度得分(95.92±2.80对87.73±3.35,P<0.001)方面有显著提高。CBE与MDT教学的整合显著提高了放射肿瘤学培训中的学术成绩和能力发展。这些发现支持在医学教育中采用创新教学方法,为未来的医疗专业人员应对多学科临床挑战做好准备。

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