Application of problem-oriented clinical thinking teaching in gastroentrology rotation for general practice in-service training
10.3760/cma.j.cn114798-20200928-01041
- VernacularTitle:以问题导入为基础的临床思维在全科医生转岗培训消化内科教学中的应用效果
- Author:
Weiwei ZHANG
1
;
Lei SHEN
;
Lin XU
;
Changxin GENG
;
Xiangjun XIE
;
Liping ZHAO
;
Xin SUN
;
Peijie LI
Author Information
1. 青岛市市立医院消化科 266071
- Keywords:
Inservice training;
Hospitals, teaching;
General practitioners
- From:
Chinese Journal of General Practitioners
2021;20(7):786-789
- CountryChina
- Language:Chinese
-
Abstract:
Sixty general practitioners of in-service training undertaking rotation in gastroenterology department of Qingdao Municipal Hospital from July 2017 to July 2019 were randomized assigned in trial group ( n=30) and control group ( n=30). The problem-oriented mode was applied in trial group and conventional mode was applied in control group for teaching of two typical digestive diseases (upper gastrointestinal bleeding and acute pancreatitis). The formative evaluation and questionnaire survey were used to compare the teaching effects and the results of evaluation were compared with χ 2 test by SPSS 17.0 between two groups. The excellent and good rates of evaluation for the clinical psychological quality, clinical reasoning ability, doctor-patient communication ability and practice-based learning and improvement ability in trial group were significantly higher than those in the control group(χ2=7.38, P=0.03; χ2=12.96, P<0.01; χ2=23.33, P<0.01; χ2=16.14, P<0.01). Questionnaire survey showed more satisfaction towards teaching method in trial group was higher than that in control group(χ2=12.86, P<0.01); and the clinical reasoning ability, learning initiative and self-confidence in trial group were improved more markedly than those in control group(χ2=8.26, P=0.02; χ2=19.48, P<0.01; χ2=21.46, P<0.01). The problem-oriented clinical thinking teaching model demonstrates good effects on clinical comprehensive ability for general practitioners of in-service training during gastroenterology rotation, which is worth further promotion.
