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发育医学电子杂志  2025, Vol. 13 Issue (6): 448-454    DOI: 10.3969/j.issn.2095-5340.2025.06.007
  临床遗传   论著 |
两种教学模式在儿童血液学住院医师规范化培训中的效果评价
司英健  窦凌松  杜振兰  卢伟  陈伟  邢国胜  曹伟  柳林红  唐湘凤  封志纯
(解放军总医院第七医学中心  儿科医学部,北京  100700 )
Effects evaluation of two teaching methods in standardized training of pediatric hematology for resident physicians
Si Yingjian, Dou Lingsong,  Du Zhenlan, et al
(Department  of Pediatrics,  the Seventh Medical Center of PLA General Hospital, Beijing  100700, China)
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摘要 【摘要】 目的  评价基于问题的教学法(problem-based learning,PBL)和混合病例导入教学法在儿童血液学住院医师规范化培训中的应用效果。 方法  采用回顾性研究方法,选取 2014 年 1 月至 2023 年 12 月在解放军总医院第七医学中心儿科医学部规培基地接受规范化培训的 67 名学生纳入研究,根据教学方法将其分为 PBL 教学法组(n=39)和混合病例导入教学法组(n=28)。比较 2 组学生的教学效果。统计学方法采用独立样本 t 检验、配对样本 t 检验和 Pearson χ2  检验。  结果  PBL 教学法组学生的学习动机、课程知识理解、师生互动、结课考试、医患沟通技巧、临床思维技能、自学技能、团队合作技能的分数均高于混合病例导入教学法组,差异均有统计学意义(P 值均 <0.001)。而 PBL 教学法组学生在课外作业所需时间(包括课前和课后作业的时间)的调查分数明显低于混合病例导入教学法组 [(2.01±0.78)h 与(2.95±0.66)h,t=14.649,P<0.001)] 。PBL 教学法组学生对教学效果的满意度高于混合病例导入教学法组(97.44% 与 82.14%),差异有统计学意义(χ2=4.675,P=0.031)。 结论  PBL 教学法可有效提升接受儿童血液学规范化培训的住院医师的课堂表现,增强他们在专科学习时的临床技能和能力,有助于更好地进行课前准备并立即提供反馈。


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关键词:  教学法  儿科学  血液学  规范化培训  效果    
Abstract: 【Abstract 】 Objective    To  evaluate the application effects of problem-based learning (PBL) and hybrid case-based teaching methods in the standardized training of pediatric hematology for resident physicians.    Method    A retrospective study method was adopted. A total of 67 students who received standardized pediatric training at the Standardized Training Base of the Department of Pediatrics, the Seventh Medical Center of PLA General Hospital from January 2014 to December 2023 were selected and included in the study. According to the teaching methods adopted, the participants were divided into two groups: the PBL teaching method group (n=39) and the mixed case-based introduction teaching method group (n=28). The teaching e?ects of the two groups were compared. Statistical methods were performed by independent samples t-test, paired samples t-test and Pearson χ test.    Result    The students in the PBL teaching method group achieved higher scores than those in the hybrid case-based teaching method group across all dimensions, including learning motivation, understanding of course knowledge, teacher-student interaction, final examination performance, doctor-patient communication skills, clinical thinking skills, self-directed learning skills, and teamwork skills, and the di?erences were all statistically signi?cant (all P<0.001). However, the survey scores for the time required for extracurricular assignments (including preparation time for pre-class and post-class tasks) of students in the PBL teaching method group were signi?cantly less than that in the hybrid case-based teaching method group [(2.01 ±0.78) h vs (2.95±0.66) h, t=14.649, P<0.001]. Additionally, the teaching e?ect satisfaction rate of students in the PBL teaching method group was higher than that in the hybrid case-based teaching method group (97.44% vs 82.14%), and the difference was statistically significant (χ2=4.675, P=0.031).  Conclusion    The PBL teaching method can e?ectively improve the classroom performance of resident physicians undergoing standardized training of pediatric hematology, enhance their clinical skills and abilities during specialized studies, facilitate better preparation before class, and provide immediate feedback.
Key words:  Teaching methods    Pediatrics    Hematology    Standardized training    Eect
收稿日期:  2025-05-12                     发布日期:  2025-11-30     
基金资助: 北京亦域合作发展基金会(YCXJ-JZ-2022-007)
通讯作者:  Tang Xiangfeng    E-mail:  m18600317816@163.com
引用本文:    
司英健 窦凌松 杜振兰 卢伟 陈伟 邢国胜 曹伟 柳林红 唐湘凤 封志纯. 两种教学模式在儿童血液学住院医师规范化培训中的效果评价[J]. 发育医学电子杂志, 2025, 13(6): 448-454.
Si Yingjian, Dou Lingsong, Du Zhenlan, et al. Effects evaluation of two teaching methods in standardized training of pediatric hematology for resident physicians. Journal of Developmental Medicine(Electronic Version), 2025, 13(6): 448-454.
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http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2025.06.007  或          http://www.fyyxzz.com/CN/Y2025/V13/I6/448
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