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基于病例的学习在麻醉师实习培训中的有效性:一个随机对照试验
LongYuan Zhou1, Chang Cai2, RuiLan Wu2
1Department of Anesthesia, The Affiliated Lihuili Hospital of Ningbo University, Ningbo, 315040, Zhejiang, P.R. China. 396919647@qq.com.
BMC medical education
|May 9, 2025
概括
与传统讲座相比,基架整合的基于案例的学习显著改善了麻醉学医生的临床推理和自我指导的学习. 这种方法提高了复杂的技能获取和知识保留在居住培训.
科学领域:
- 医学教育 医学教育
- 麻醉学培训 麻醉学培训
- 教学研究教学研究
背景情况:
- 医疗人员面临的挑战是复杂的临床场景,需要先进的决策.
- 传统的基于案例的讨论 (CBD) 可能缺乏有效学习的足够指导.
- 脚手架教学提供了渐进式支持,但其与住院中CBD的整合缺乏强有力的证据.
研究的目的:
- 为了比较一个集成的支架式基于案例的学习 (SCBL) 方法与传统的基于讲座的教学 (LBT).
- 评估对住户临床推理,自主学习和麻醉学知识获取的影响.
- 在随机对照试验中评估教学满意度和知识保留.
主要方法:
- 预期随机对照试验,涉及12名麻醉学住院医生.
- 实验组接受了SCBL;对照组使用相同的病例材料接受了LBT.
- 提供了HOCM麻醉管理的4周课程;在基线,干预后和随访时评估结果.
主要成果:
- 干预后,SCBL组显示出显著更高的临床推理 (p=0.002) 和自主学习 (p<0.001).
- 在SCBL组中,教学满意度显著更高 (p<0.001).
- 在随访时,观察到临床推理 (p<0.001),自主学习 (p<0.001) 和知识保留 (p=0.010) 持续改善.
结论:
- 综合性支架支持的基于案例的学习显著超过了传统的基于讲座的麻醉学住院医生的教学.
- 在复杂的临床场景中,SCBL方法增强了临床推理,自主学习和知识获取.
- 这种教学方法为优化住院培训提供了坚实的基础,并证明了长期的有效性.
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