"3 + X D"结构化报告在放射学标准化住院培训:它能满足高级教学目标吗?
Qingling Yang1, Rui Peng2, Lina Ma2
1Department of Radiology, Xijing Hospital, Air Force Medical University (Fourth Military Medical University), 127 Chang Le West Road, Xi'an, Shaanxi Province, China; Department of Interventional Surgery Center, Xijing Hospital, Air Force Medical University (Fourth Military Medical University), 127 Chang Le West Road, Xi'an, Shaanxi Province, China.
与传统的自由文本报告相比,3 + X D"结构化报告模板显著提高了放射科住院医生的诊断技能和信心,提高了标准化培训的整体能力.
科学领域:
- 医学教育 医学教育
- 放射学培训 放射学培训
背景情况:
- 标准化培训对于放射科住院医生的专业发展至关重要.
- 传统的自由文本报告可能无法完全优化学习成果.
- 布鲁姆的分类学为结构化的教育方法提供了一个框架.
研究的目的:
- 根据Bloom的分类法,评估"3 + X D"结构化报告 (SR) 模板对放射科住院医生的学习成果的影响.
- 在居民培训中,将"3 + X D"SR模板与自由文本报告 (FTR) 的有效性进行比较.
主要方法:
- 一项前性研究,涉及120名放射科住院医生 (2020-2022).
- 对照组 (n=60) 接受了FTR训练;实验组 (n=60) 接受了"3 + X D"SR训练.
- 通过客观 (知识,诊断技能,总分) 和主观 (调查,教师反) 措施评估的学习成果,与布鲁姆的分类学认知水平保持一致.
主要成果:
- 这两组在知识,诊断技能和总分 (p < 0.001) 中均显著改善.
- 实验组的诊断技能和总分比对照组高得多 (p < 0.001).
- 实验组的居民报告了更高的成像思维能力,诊断信心,速度和模板便利性 (p < 0.001);临床医生的反也更好 (p < 0.05).
结论:
- "3 + X D"SR模板有效地提高了放射科住院医生的专业能力,特别是诊断技能.
- 这种结构化报告方法符合更高层次的教育目标,并被推用于标准化放射学住院培训.
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