新医科背景下多学科协作情景模拟教学在医学影像专业实习带教的应用
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福建医科大学附属第一医院医学影像科

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2023年 福建省本科教育教学研究项目(FBJY20230209)


Application of multi-disciplinary collaborative scenario simulation teaching in medical imaging internship teaching under new medical education
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Department of Radiology, The First Affiliated Hospital of Fujian Medical University

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2023 Fujian Provincial Undergraduate Education and Teaching Research Project (FBJY20230209)

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    摘要:

    目的 探讨“新医科”背景下多学科协作(multi-disciplinary team,MDT)情景模拟教学模式在医学影像专业实习阶段的应用效果。方法 2023年1月-2023年5月,选取福建医科大学附属第一医院医学影像科的实习生20名作为试验组,在常规实习带教的基础上增加MDT情景模拟教学法;随机数字表法抽取另两个医院的实习生各10名作为对照组,对照组实习生采用常规实习带教法。通过形成性评价、终结性评价及问卷调查评价实习教学效果。采用Wilcoxon秩和检验、t检验和Fisher确切概率法对数据进行统计学分析。结果 试验组实习生的影像病例分析考核从阶段2~阶段5及出科考的平均分[(46.8±4.47)~(60.5±3.56)分]高于对照组实习生[(44.5±5.79)~(55.6±5.19)分],其差异具有统计学意义(P<0.05);两组实习生入科考-前两次阶段考的病例题及7次考核的客观题答题分数差异无统计学意义(P>0.05)。试验组实习生对实习教学模式的满意度评分(16.6±1.57)高于对照组的(14.95±2.76), 其差异具有统计学意义(P<0.05)。结论 “新医科”背景下的MDT情景模拟教学模式能有效提升医学影像专业学生的临床MDT能力,塑造学生的团队协作及科普宣传能力,成效获得实习生及教师的一致肯定。该模式有助于培养影像卓越医师必备的“精准影像”能力,值得推广。

    Abstract:

    Objective To investigate the application effects of the multi-disciplinary team (MDT) scenario simulation teaching mode in the internship stage of medical imaging majors under the background of "new medical education." Methods From January 2023 to May 2023, twenty interns from the Department of Medical Imaging at the First Affiliated Hospital of Fujian Medical University were designated as the experimental group, receiving MDT scenario simulation teaching in addition to conventional internship teaching. Another 20 interns from two other hospitals were randomly selected as the control group, receiving conventional internship teaching. The effectiveness of the internship teaching was evaluated through formative assessments, summative assessments, and questionnaires. Statistical analysis was performed using the Wilcoxon rank sum test, t-test, and Fisher"s exact probability method. Results The average scores of the experimental group interns in the imaging case analysis exam (stages 2 to 5) and the exit exam [(46.8±4.47)-(60.5±3.56) points] were higher than those of the control group interns [(44.5±5.79)-(55.6±5.19) points], and the difference was statistically significant (t=1.41~3.48, P<0.05). There was no significant difference in scores between the case questions of the first two stage exams and the objective questions of the seven assessments (P>0.05). The satisfaction ratings of the experimental group interns (16.6±1.57) were significantly higher than those of the control group (14.95±2.76) (t=2.323, P=0.027). Conclusions The MDT scenario simulation teaching mode under the background of "new medical education" can effectively enhance the clinical MDT capabilities of medical imaging majors, cultivate their teamwork and science popularization abilities, and has been unanimously affirmed by interns and teachers. This mode is conducive to the cultivation of the essential "precision imaging" ability of outstanding physicians in imaging and deserves further promotion.

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  • 收稿日期:2024-05-28
  • 最后修改日期:2024-08-09
  • 录用日期:2024-08-09
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