ABSTRACT
Objective:To explore the practical effect of the comprehensive teaching method based on King's up-to-the-standard theory on the clinical teaching of oncology department.Methods:From August 2019 to June 2020, 60 interns of oncology department were selected and randomly divided into control group and study group. The control group was given conventional clinical teaching method, and the study group was given comprehensive teaching method based on King's up-to-the-standard theory (including PBL, CBL, scenario simulation, MOOC, etc.) for 3 months. The theoretical and practical assessment results of the two groups after 3 months were compared. The post competency of the two groups before and after teaching, and the satisfaction of the two groups with the teaching mode were compared. SPSS 26.00 was used for t test and chi-square test. Results:There were significant differences in the distribution of theoretical and practical examination results between the study group and the control group ( P<0.05), and the excellent and good rate of the former was higher than that of the control group ( P<0.05). There were no significant differences in the scores of professional ethics, professional ability, interpersonal communication and team cooperation, teaching and scientific research direction between the two groups before teaching. However, the scores after teaching were higher than those before teaching, and study group had higher scores than the control group ( P<0.05). The satisfaction scores of the study group were higher than those of the control group in stimulating learning interest, promoting learning initiative, improving the ability of analyzing and solving problems, cultivating critical thinking, cultivating doctor-patient communication ability, cultivating team spirit, improving literature review ability, broadening knowledge, guiding future clinical work and enhancing self-confidence ( P<0.05). Conclusion:The application of the comprehensive teaching method based on King's up-to-the-standard theory in the clinical teaching of oncology department can improve the examination results and post competency of interns, and also improve their satisfaction.
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Objective:To explore the application effect of comprehensive teaching based on Dewey's educational theory in the teaching of standardized training of electrocardiogram (ECG).Methods:A total of 60 residents who were accepted by the ECG Room of Linyi Central Hospital from January 2019 to December 2019 were randomly divided into control group and study group. The control group received regular teaching, and the research group received comprehensive teaching based on Dewey's educational theory, both of which received the standardized training for 3 months. The results of the two groups of ECG theoretical knowledge assessment, the diagnostic accuracy of various types of heart disease ECG performance, the clinical thinking ability before and after the training, the classroom participation after the training, the teamwork ability, the teacher-student communication ability, and the degree of recognition of teaching methods were observed as indexes. SPSS 22.0 was used for t test and chi-square test. Results:The basic knowledge, picture analysis, expanded questions and answers scores and total scores of the theoretical knowledge of ECG in the study group were higher than those in control group ( P<0.05), and the correct rates of diagnosis of ischemic cardiomyopathy, arrhythmia, atrioventricular hypertrophy and congenital heart disease were 96.67%, 100.00%, 96.67% and 100.00% respectively, which were higher than 73.33%, 80.00%, 70.00% and 66.67% respectively in the control group ( P<0.05). The systematic thinking ability, logical thinking ability, critical thinking ability, evidence-based thinking ability, network thinking ability, imaginative thinking ability, horizontal thinking ability and vertical thinking ability scores were increased in both groups after the training, of which the study group were higher than the control group ( P<0.05). After the training, the study group scored higher in class participation, teamwork ability, teacher-student communication ability, and teaching method recognition than the control group ( P<0.05). Conclusion:The application of comprehensive teaching based on Dewey's educational theory in the teaching of ECG standardized training can help residents master the knowledge of ECG theory and ECG performance of various types of heart diseases, and enhance their clinical thinking ability.
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Objective To evaluate the effect of modern comprehensive three-dimensional teaching method in clinical practice of respiratory medicine. Method The problem based teaching method PBL (problem-based learning), the standardized patient-based practice SPE/Xs (standardized patient experiences/exam) and Mini clinical examination practice Mini-CEX (Mini clinical examination exercise) method and other methods were organically combined and used in respiratory medicine clini-cal practice, and it was named“modern comprehensive three-dimensional teaching mode”. 60 students were randomly divided into the modern comprehensive three-dimensional teaching method group (30 students) and the traditional teaching method (SBL) (30 students), using the modern com-prehensive three-dimensional teaching method and the SBL breathing internal medicine practice teaching respec-tively. After the teaching, the methods of performance testing and questionnalre survey were used to evaluate the teaching effect of two groups of students. SPSS software was used to compare t test. Results The test results of modern three-dimensional integrated teaching method group was (86.91±4.77), higher than that of the control group (79.00±7.51) points (t=12.4, P=0.026 0). In the subjective questions (such as discourse analysis problem and case), modern three-dimensional integrated teaching group (47.63± 2.14) points is obvi-ously superior to the traditional group (36.00±6.71) points (t=21.6, P=0.001 9). According to the results of the survey, the modern comprehensive teaching method can improve students' subjective initiative and enthusiasm for learning, improve students' ability of comprehensive analysis, promote the formation of clinical thinking, and help students master the basic knowledge and basic skills of respiratory diseases. Conclusions In the respiratory medicine teaching, implementation of modern comprehensive three-dimensional teaching method is helpful to improving the teaching effect.