602022年/第36期/12月基于MDT及PBL理念的“内科大查房”教学模式构建与实践朱慧1，孙子林1，刘静静2（1.东南大学附属中大医院大内科江苏南京210009；2.东南大学医学院内科学系江苏南京210009）摘要本研究将多学科协作诊疗（multi-disciplinarytreatment，MDT）模式的核心理念，融合PBL(ProblemBasedLearning)教学法部分内容，构建“内科大查房”教学模式，实现了疾病整体性全局观的全科诊疗思维培养，解决当前过度依赖专科思维，全科思维弱化的问题有利于培养住培医师的岗位胜任力，提高其疑难病诊治水平。“内科大查房”采用线上线下整合式形式，利用PDCA方法持续改进内涵质量。结果显示，这种教学模式整合了资源，体现了自主学习的价值、对提高学生运用临床思维、综合分析解决问题的能力有很大帮助，值得进一步实践和推广。关键词内科大查房；住培医师；教学模式；临床思维中图分类号：R5文献标识码：ADOI:10.16400/j.cnki.kjdk.2022.36.018ConstructionandPracticeoftheTeachingModeof"InternalMedicineRound"BasedonMDTandPBLConceptsZHUHui1,SUNZilin1,LIUJingjing2(1.DepartmentofInternalMedicine,ZhongdaHospital,SouthwestUniversity,Nanjing,Jiangsu210009;2.DepartmentofScience,MedicalSchoolofSouthwestUniversity,Nanjing,Jiangsu210009)AbstractInthisstudy,thecoreconceptofmultidisciplinarytreatment(MDT)modelisintegratedwithpartofPBL(ProblemBasedLearning)teachingmethodtobuildtheteachingmodeof"internalmedicinerounds",whichrealizesthecultivationofgeneraldiagnosisandtreatmentthinkingfromaholisticperspectiveofthedisease,andsolvesthecurrentproblemofexcessivedependenceonspecializedthinkingandweakeningofgeneralthinking,whichisconducivetocultivatingthepostcompetencyofresidentphysicians,Improvethediagnosisandtreatmentofdifficultdiseases.The"internalmedicineround"adoptstheonlineandofflineintegratedform,andusesPDCAmethodtocontinuouslyimprovetheconnotationquality.Theresultsshowthatthisteachingmodeintegratesresources,reflectsthevalueofindependentlearning,andisveryhelpfultoimprovestudents'abilitytouseclinicalthinkingandcomprehensiveanalysistosolveproblems.Itisworthfurtherpracticeandpromotion.Keywordsinternalmedicineround;residentphysician;teachingmode;clinical...
