消化内科住院医师规范化培训面临的问题与教学方法探索

摘要/Abstract

摘要： 消化内科轮转是住院医师规范化培训（Standardized Residency Training,SRT )的重要组成部分之一,“住培”学员在消化内科轮转中,普遍存在对基础理论知识掌握不足、临床基本功不扎实、学习方法不合理、缺乏临床诊治思维等问题,导致很多“住培”学员在消化内科轮转中收获甚微。该文探索新的教学方法,以整合医学为导向,应用启发式临床医学教学方法,将Mini-CEX（迷你临床演练评估）、PBL（问题导向的教学方法）、CBL（基于案例的教学方法）等多个教学模式有机结合,为消化内科“住培”提供有力保障。

关键词: 消化内科, 住院医师, 规范化培训, 教学方法, 面临问题, 探索

Abstract: Gastroenterology training is one of the important components of standardized training for resident physicians. Residential trainees generally have problems such as insufficient mastery of basic theoretical knowledge, poor clinical basic skills, lack of effective learning methods, and lack of clinical diagnosis and treatment thinking during the rotation of gastroenterology. As a result, many residential trainees have gained little from the rotation of gastroenterology. Exploring new teaching methods, guided by integrated medicine, applying heuristic clinical medicine teaching methods, adopting the organic combination of multiple teaching modes such as Mini-CEX(Mini-Clinical Evaluation Exercise), PBL（Problem-Based Learning）and CBL（Case-Based Learning）will provide strong support for the standardized training of gastroenterology.

Key words: Gastroenterology, Resident physician, Standardized training, Teaching methods, Facing problems, Explore

中图分类号:

G647

牛小平, 王运东, 何阿四. 消化内科住院医师规范化培训面临的问题与教学方法探索[J]. 创新创业理论研究与实践, 2024, 7(22): 80-83.

NIU Xiaoping, WANG Yundong, HE Asi. Exploration of Problems and Teaching Methods in Standardized Training for Resident Physicians in Gastroenterology[J]. The Theory and Practice of Innovation and Enntrepreneurship, 2024, 7(22): 80-83.

参考文献

[1] 王辰,齐学进,陈昕煜,等. 我国住院医师规范化培训制度的正式建立与政策体系[J]. 中华医学杂志, 2015, 95(14):1041-1043.
[2] 王吉林,赵树靓,曹芝君,等. 消化系统临床整合教学实践[J]. 中华医学教育探索杂志, 2020, 19(5):555-557.
[3] 孙嫣,韩璞青. 如何提高消化内科住培学员的教学质量[J]. 现代消化及介入诊疗, 2019, 24(5):566-568.
[4] 师芸,刘璐秀子,何怀伟. 住院医师规范化培训招录考试成绩影响因素及结业考试结果分析[J]. 中国毕业后医学教育, 2017, 1(2):152-154.
[5] QIU Y, REN W, LIU Y, et al.Disease burden of inflammatory bowel disease in China from 1990 to 2017: Findings from the global burden of diseases[J]. Clinical Medicine, 2023, 20(9):105-109.
[6] HUANAN C, SANGSANG L, AMOAH A N, et al.Relationship between triglyceride glucose and the incidence of non-alcoholic fatty liver disease in the elderly: a retrospective cohort study in China[J]. BMJ Open, 2022,10(11):e039804.
[7] CHUNG W S, LIN C L.Association between venous thromboembolism and acute pancreatitis: An analysis from the nationwide inpatient sample[J]. Clin Respir J, 2020, 14(4):320-327.
[8] 史冠男,戴夫,彭琼,等. 2018年合肥市某三甲医院消化内科门诊疾病谱分析[J]. 安徽医药,2020, 24(10):2009-2012.
[9] 朱风,尚陈利,杨长青. 新中国70周年消化内科事业之发展[J].中华消化病与影像杂志(电子版), 2019, 9(5):196-198.
[10] LIU Y, HUANG M, ZHOU Y J, et al.Evaluation of a staged case-based discussion curriculum in standardized residency training[J]. Biochem Mol Biol Educ, 2022,48(2): 128-133.
[11] HALEY C M, BROWN B, KOERBER A, et al.Comparing case-based with team-based learning: dental students’ satisfaction, level of learning, and resources needed[J]. J Dent Educ. 2023, 84(4):486-494.
[12] 李光曙,钟碧波,摆斌,等. PBL联合CBL在住院医师规范化培训中的应用[J].中国继续医学教育, 2019, 11(10): 15-17.
[13] 胡凯峰,许力,夏亚斌,等. CBL联合PBL教学法在普外科住院医师规范化培训中的应用[J]. 中华全科医学,2020,18(5):849-851.
[14] GIULIANI M, MARTIMIANAKIS M A, BROADHURST M, et al.Motivations for and challenges in the development of global medical curricula: a scoping review[J]. Acad Med. 2021; 96(3): 449-459.
[15] SUSAN A. KIRCH, MOSHE J, SADOFSK Y, et al. Medical education from a theory-practice-philosophy perspective[J]. Acad Pathol, 2021; 8: PMC8060751.
[16] STAMY C D, SCHWARTZ C C, PHILLIPS D A, et al.Time-variable medical education innovation in context[J]. Adv Med Educ Pract, 2018; 9: 469-481.
[17] WANG W M .Medical education in china: progress in the past 70 years and a vision for the future[J].BMC Med Educ, 2021(21):453-463.
[18] 张桂荣,苏丽,王清凤,等. PCMC教学模式在临床医学教学中的应用[J]. 医学教育,2018,37(9): 122-123.
[19] 田李芳,陈钊,王莉,等. 微信群互动模式在住院医师规范化培训中的应用及评价[J]. 医学教育研究与实践, 2019, 27(5): 905-908.
[20] 黄鹏,孙秀威,白玉贤. 微课教学模式在住院医师规范化培训中的价值[J]. 中国继续医学教育, 2020,12(30):4-7.