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| 中文摘要: |
| 目的 研究对分课堂用于皮肤性病学住院医师规范化培训对提升其实操能力的影响。方法 选取2018年11月至2020年12月于川北医学院附属医院皮肤性病学科规培的120名住院医师为研究对象。将其按入院时间顺序分为两组，2018年11月至2019年11月入选的60名住院医师为对照组，2019年12月至2020年12月入选的60名住院医师为试验组。对照组采用传统住培模式，试验组采取对分课堂教学模式。选用SPSS 22.0统计学软件对数据进行处理。通过t检验比较两组住院医师理论知识考核和技能操作考核成绩，通过卡方检验比较两组住院医师对教学效果的评价，通过秩和检验比较两组住院医师对教学的满意度。结果 试验组理论知识[（45.38±4.14）分]、技能操作[（42.35±4.32）分]、总分[（88.74±7.69）分]均高于对照组[（39.62±4.15）分、（36.25±4.27）分、（77.96±7.52）分]，两组比较差异有统计学意义（P<0.05）。试验组教学效果评价显示，49人（81.67%）认为激发了学习兴趣；51人（85.00%）认为提高了自学能力；47人（78.33%）认为提高了分析和解决问题能力；50人（83.33%）认为提高了医患沟通能力；49人（81.67%）认为提高了临床思维能力；52人（86.67%）认为提高了团队协作能力；50人（83.33%）认为提高了文献检索能力。满意度结果显示，在指导医师责任心、带教方式、带教内容及自我评价满意度方面，试验组均高于对照组。结论 对分课堂用于皮肤性病学住院医师规范化培训中，对调动住院医师学习积极性、培养住院医师自主学习能力具有积极作用，可提升住院医师实操及理论知晓度。 |
| 英文摘要: |
| Objective To study the effect of PAD (presentation-assimilation-discussion) class applied in the standardized residency training of dermatovenereology on improving residents' practical operation ability. Methods A total of 120 residents taking the standardized residency training of dermatovenereology in the Affiliated Hospital of North Sichuan Medical College from November 2018 to December 2020 were selected as the research objects and divided into two groups according to the time order of admission, among which, 60 residents enrolled from November 2018 to November 2019 were selected as the control group, and 60 residents enrolled from December 2019 to December 2020 were selected as the experimental group. The control group adopted the traditional standardized residency training mode, and the experimental group adopted the teaching mode of PAD class. SPSS 22.0 statistical software was used for data analysis. The results of theoretical knowledge assessment and skill operation assessment were compared between the two groups by t test, the evaluation of teaching effect was compared between the two groups by chi-square test, and the satisfaction of teaching was compared between the two groups by rank sum test. Results The theoretical knowledge [(45.38±4.14) points], skill operation [(42.35±4.32) points] and total score [(88.74± 7.69) points] of the experimental group were higher than those of the control group [(39.62 ± 4.15) points, (36.25±4.27) points, (77.96±7.52) points, respectively], with statistical significance (P<0.05). The evaluation of teaching effect in the experimental group showed that 49 residents (81.67%) believed that their learning interest had been stimulated; 51(85.00%) improved their self-learning ability; 47(78.33%)improved their ability of analyzing and solving problems; 50(83.33%) improved their doctor-patient communication ability; 49(81.67%) improved their clinical thinking ability; 52(86.67%) improved their teamwork ability; and 50(83.33%) improved their literature retrieval ability. The results of satisfaction showed that the experimental group was significantly higher than the control group in sense of responsibility, teaching methods, teaching contents and self-evaluation. Conclusion The application of PAD class in the standardized residency training of dermatovenereology plays a positive role in mobilizing the learning enthusiasm of residents and cultivating their independent learning ability, and can significantly improve the practical operation and theoretical awareness of residents. |
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