基于实践能力为导向的双链驱动模式在心脏康复学教学改革的创新探索

Innovative exploration of a dual-chain driven model oriented by practical ability in teaching reform of cardiac rehabilitation

摘要

目的 探索提升心脏康复学规培生和研究生临床实践能力的教学模式及应用效果。方法 选取吉林大学第二医院2021—2023级心内科规培生和研究生共60人作为研究对象, 随机分为实验组和对照组, 各30人。对照组采用传统讲授式教学模式, 由临床医师进行理论授课和实践带教, 实验组采取双链驱动教学模式, 采用临床医师+康复治疗师的双导师制, 并开展理论考核、实践技能考核、职业素养三维评价, 比较两种模式的应用效果。结果 实验组理论考核成绩明显高于对照组 (P<0.05); 实验组学生心肺复苏、心肺运动试验、六分钟步行试验规范化操作、五大处方制定的成绩均高于对照组 (P<0.05); 实验组在医学伦理、团队协作与沟通能力、随访与健康管理、患者教育、人文关怀等方面得分均高于对照组 (P<0.05)。结论 通过临床能力链与教学创新链深度结合的双链驱动模式能有效提升学生临床实践能力和综合素质。

Abstract

Objective Explore the teaching models and application effects for improving the clinical practical competence of standardized training residents and postgraduates in cardiac rehabilitation. Methods A total of 60 students in the Department of Cardiology, grade 2021—2023 in the second hospital of Jilin University, were randomly divided into experimental group and control group, with 30 cases in each group. The control group adopted the traditional lecture-based teaching model, where theoretical teaching and practical tutoring was delivered by clinical physicians. By contrast, the experimental group implemented the double-chain driven teaching model, adopted the dual-tutor system consisting of clinical physicians and rehabilitation therapists, and carried out a three-dimensional evaluation system covering theoretical assessment, practical skill assessment, and professional literacy. The application effects of the two models were compared. Results The theoretical assessment scores of the experimental group were significantly higher than those of the control group (P<0.05). The scores of the experimental group students in cardiopulmonary resuscitation, cardiopulmonary exercise testing, standardized operation of the 6-minute walk test, and formulation of the five major prescriptions were all higher than those of the control group (P<0.05). The experimental group also obtained higher scores in medical ethics, teamwork and communication skills, follow-up and health management, patient education, and humanistic care compared with the control group (P<0.05). Conclusion The double chain driving mode of the deep combination of clinical ability chain and teaching innovation chain can effectively improve students' clinical practice ability and comprehensive quality.

关键词

心脏康复学 / 教学改革 / 双链驱动 / 临床能力链 / 教学创新链

Key words

Cardiac rehabilitation / Teaching reform / Dual-chain driven / Clinical competency chain / Teaching innovation chain

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基金资助

^*吉林大学研究生精品课程项目(4190214233D3)