| 基金项目:2017年河南省医学教育研究项目(Wjlx2017227);漯河医学高等专科学校2019年度创新创业发展能力提升工程-教育教学改革研究项目(2019-LYZJGYB037) |
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| 中文摘要: |
| 目的 探讨临床路径（clinical pathway，CP）教学在妇科住院医师规范化培训中的效果及意义。方法 选取2016年6月至2019年6月在妇科轮转的60名规范化培训住院医师为研究对象，分为对照组和试验组。对照组（n=30）采用传统教学方法，试验组（n=30）采用CP教学方法。培训结束后，对两组住院医师均进行基本理论、病例分析及临床技能考核，同时对两组住院医师均进行教学满意度调查，并对试验组住院医师进行CP教学效果调查。采用SPSS 23.0软件进行描述统计、t检验及卡方分析。结果 试验组基本理论[（86.30±7.04） vs. （75.30±5.27）]、病案分析[（84.97±6.49） vs. （78.60±4.78）]、临床技能[（83.90±6.32） vs. （77.40±8.29）]考核成绩及对教学满意度均高于对照组，差异有统计学意义（P<0.05）。试验组住院医师认为CP教学有助于提高自学能力、临床思维能力、沟通能力、科研能力，并支持CP教学继续应用及推广。结论 CP教学有利于提高妇科住院医师规范化培训质量，建议在妇科住院医师规范化培训中推广应用。 |
| 英文摘要: |
| Objective To explore the effect and significance of clinical pathway (CP) teaching method in the standardized residency training of gynecology. Methods The study included in 60 residents having standardized residency training of gynecology from June 2016 to June 2019 as research subjects, and they were randomized into control group and experimental group. The traditional teaching method was applied in the control group (n=30), while CP teaching method were used in the experimental group (n=30). All residents in the two groups were tested for the basic theory, case analysis and clinical skill after training. At the same time, they all had a teaching satisfaction survey, and the effectiveness of CP teaching was investigated among residents of the experimental group. Descriptive statistics, t test and chi-square analysis were performed by SPSS 23.0 software. Results The results of examination about the basic theory [(86.30±7.04) vs. (75.30±5.27)], case analysis [(84.97±6.49) vs. (78.60±4.78)] and clinical skill [(83.90±6.32) vs. (77.40±8.29)] in the experimental group were higher than those in the control group, with statistical differences (P<0.05). And residents in the experimental group believed that CP teaching was helpful to improve their self-learning ability, clinical thinking ability, operation ability, communication ability and scientific research ability, and they supported the continuous promotion of CP teaching. Conclusion CP teaching is beneficial to improve the quality of standardized residency training of gynecology, and it is expected to be further promoted and applied in the standardized residency training of gynecology. |
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