| 基金项目:武汉大学医学部教学研究项目（2021014） |
|
| 摘要点击次数: 103 |
| 全文下载次数: 59 |
| 中文摘要: |
| 目的 探讨乳腺超声结构化报告在超声科住院医师规范化培训（以下简称“住培”）临床教学中的应用价值。方法 选取武汉大学人民医院48名超声科住培学员作为研究对象，随机分为试验组和对照组两组，每组各24名。试验组采用结构化报告模板书写乳腺超声报告，对照组采用自由文本方式书写乳腺超声报告。临床带教1月后由未知分组的教师进行考核测评，分析两组住培学员对病灶特征的掌握程度及报告内容的差异；同时让住培学员填写问卷调查进行自评，分析两组住培学员的学习情况。采用SPSS 21.0进行t检验和卡方检验。结果 在教师测评方面，试验组学员书写报告内容完整性、病变周边情况描述准确性、专业术语规范性及鉴别诊断实用性方面的评分均高于对照组学员（均P<0.001）；两组学员在病变描述准确性方面差异无统计学意义（P=0.342）。在住培学员自评方面，试验组学员在知识要点掌握度、临床思维培养情况、对临床带教模式满意度方面的评价高于对照组学员（P=0.006、0.012、<0.001）；两组学员在学习兴趣和操作便捷度方面评价差异无统计学意义（P=0.186、0.065）。结论 乳腺超声结构化报告有利于超声住培学员掌握病变特征及书写完整、专业的报告，更有助于其提升操作规范性及临床思维能力。 |
| 英文摘要: |
| Objective To explore the application value of breast ultrasound structured report in the clinical teaching of standardized residency training of ultrasonography.Methods Forty-eight residents from the Department of Ultrasonography in Renmin Hospital of Wuhan University were selected as the research objects, and were randomly divided into experimental group and control group in average. The experimental group used structured report template to write the breast ultrasound report, while the control group used free text. After 1 month of clinical teaching, the teachers who were not clear about the grouping assessed and analyzed the differences between the two groups of residents in grasping the characteristics of lesions and reporting content. At the same time, the students were asked to fill in a questionnaire for self-evaluation to analyze the learning situation of the two groups of students. SPSS 21.0 statistical analysis software was used for t-test and Chi-square test.Results In terms of teacher evaluation, the scores of residents in the experimental group were higher than those in the control group in terms of completeness of report content, accuracy of description of peripheral conditions of lesions, standardization of professional terms and practicality of differential diagnosis (all P<0.001). There was no significant difference in the accuracy of lesion description between the two groups (P=0.342). In terms of self-evaluation of residents in the standardized residency training, the evaluations of residents in the experimental group on the degree of mastery of knowledge points, clinical thinking cultivation and satisfaction of teaching mode were significantly higher than those of residents in the control group (P=0.006, 0.012, <0.001, respectively). There were no significant differences between the two groups in learning interest and operation convenience (P=0.186, 0.065, respectively).Conclusions The structured report of breast ultrasound is helpful for the residents to master the characteristics of lesions and write a complete and professional report. It is also helpful for them to improve the standardization of operation and clinical thinking ability. |
|
查看全文 查看/发表评论 下载PDF阅读器 |
|
| 关闭 |
|
|
|
