摘要
目的 探讨质量反馈结合反思型教学法应用于麻醉科实习医生带教中的作用效果。方法 将2019年1月至2019年9月在本院麻醉科实习的60例实习生归为对照组，另将2019年10月至2020年6月在本院麻醉科实习的60例实习生归为联合组。对照组采用常规带教模式，联合组采用质量反馈结合反思型教学的带教模式。比较2组实习后理论知识、操作技能、临床实践能力以及对教学的认可度。结果 实习后联合组的理论知识与操作技能考核成绩均高于对照组（P＜0.05），联合组临床实践优良率（83.33%）高于对照组（65.00%）（P＜0.05）；联合组对带教的认可度为96.67%，高于对照组的85.00%，差异有统计学意义（P＜0.05）。结论 质量反馈结合反思型教学法应用于麻醉科实习医生的带教中，可有效提升实习医生的理论知识水平、操作技能、临床实践能力，并可获得更高的带教认可度。
关键词： 质量反馈；反思型教学；麻醉科；实习；带教
Abstract
Objective: Toexplore the effect of quality feedback combined with reflective teaching method in the teaching of anesthesiologists interns. Method: 60 interns interned in the Department of Anesthesiology of our hospital from January 2019 to September 2019 were classified as the control group, and 60 interns interned in the Department of Anesthesiology of our hospital from October 2019 to June 2020 were classified as the combined group. The control group adopted the conventional teaching mode, while the combined group adopted the teaching mode of quality feedback combined with reflective teaching. The theoretical knowledge, operation skills, clinical practice ability and recognition of teaching of the two groups after internshipwere compared. Result: After the internship, the examination results of theoretical knowledge and operation skills in the combined group were higher than those in the control group (P< 0.05), and the excellent rate of clinical practice ability in the combined group (83.33%) was higher than that in the control group (65.00%) (P< 0.05). The recognition of teaching in the combined group was 96.67%, which was higher than 85.00% in the control group, andthe difference was statistically significant(P< 0.05). Conclusion : The application of quality feedback combined with reflective teaching method in the teaching of anesthesiology interns can effectively improve the interns' theoretical knowledge level, operation skills and clinical practice ability, and it can obtain higher recognition of teaching
Key words： Quality feedback; Reflective teaching; Department of Anesthesiology; Internship; Teach
参考文献 References
[1] 庞广东,韩志强,杨敬伊.高级综合模拟人联合病例分析法在麻醉教学中的应用[J].中国医药导报,2020,17(28):82-84.
[2] 蓝岚,陈剑锋,李韶辉, 等.麻醉与危重医学见习带教课程设置与教学实践[J].中华医学教育探索杂志,2020, 19(2):185-188.
[3] Vinagre R, Tanaka P, Tardelli MA. Competency-based anesthesiology teaching: comparison of programs in Brazil, Canada and the United States[J]. Braz J Anesthesiol, 2021, 71(2):162-170.
[4] 滕文娇,吴秀英.教师标准化病人在麻醉临床教学中的应用[J].中华医学教育探索杂志,2020, 19(3):324-328.
[5] 陈鲁玉,冯素萍,孙爱英, 等.基于质量反馈理论联合人文关怀护理对肺减容术患者心理状态的影响[J].中华现代护理杂志,2021,27(22):3038-3041.
[6] Chang YY, Chen MC. Using Reflective Teaching Program to Explore Health-Promoting Behaviors in Nursing Students[J]. J Nurs Res, 2020, 28(3):e86.
[7] 蒋婕,杨玉洁,袁怀红. 基于质量反馈的反思性教学在血液透析临床带教中的实践研究[J]. 中华医学教育探索杂志,2021,20(12):1423-1427.
[8] Li P, Li M, Tian L, et al. A systematic review and meta-analysis of the influence of case analysis teaching in clinical anesthesia education[J]. Ann Palliat Med, 2022, 11(1):291-298.
[9] 赵梓作,王彬. 参与式教学在临床麻醉实习中的应用[J]. 中华医学教育探索杂志,2020,19(7):844-846.
[10] 孙建平,张东勤,郜效梓,等. 导师制结合反思性教学在重症医学科实习护生带教中的作用研究[J]. 中华医学教育探索杂志,2021,20(11):1348-1352.