目的:探讨高级生命支持课程在产科住院医师规范化培训中的教学效果。
方法:将2021年1月至2022年12月的60名产科居民随机分为两组,观察组和对照组。实验组采用ALSO教学法,对照组采用传统教学方法。通过理论考试评价教学效果,直接观察程序技能(DOPS)量表和微型临床评估(Mini-CEX)量表。
结果:观察组的理论成绩明显高于对照组(P<0.05)。程序前的准备,安全镇痛,程序的技术,无菌技术,必要时寻求帮助,事后管理,沟通技巧,实验组的人文关怀及DOPS总分均高于对照组(P<0.05)。组织效率,人文素质,操控技能,临床判断,试验组Mini-CEX的医学访谈技能和临床综合能力评分高于对照组(P<0.05)。
结论:ALSO教学法在产科住院医师规范化培训中具有较为理想的效果。表明了积极深入研究和拓展应用的前景。
OBJECTIVE: To explore the teaching effect of Advanced Life Support in Obstetrics (ALSO) Course in the standardized training resident in obstetric.
METHODS: 60 residents of obstetrics from January 2021 to December 2022 were randomly divided into two groups, observation group and control group. The experimental group used ALSO teaching method, and the control group used traditional teaching method. The teaching effect was evaluated by theoretical examination, direct observation of procedural skills (DOPS) scale and mini clinical evaluation (Mini-CEX) scale.
RESULTS: The theoretical achievements of the observation group were significantly higher than that of the control group (P < 0.05). The pre-procedural preparation, safe analgesia, technique of procedure, aseptic technique, seeks help when necessary, post-procedural management, communication skills, humanistic care and overall performance score of the DOPS in the experimental group were higher than those in the control group (P < 0.05). The organization efficiency, humanistic qualities, manipulative skills, clinical judgment, medical interviewing skills and overall clinical competence score of the Mini-CEX in the experimental group were higher than those in the control group (P < 0.05).
CONCLUSIONS: ALSO teaching method has an ideal effect in the standardization training of residents of obstetrics, indicating the prospect of active in-depth research and expanded application.