摘要目的 探讨临床路径(clinical pathway CP)结合基于团队的学习(team based-learning,TBL)教学方法在心内科住院医师规范化培训中的效果及意义.方法 采用实验对照方法.选取2015年1月～2016年12月在西安交通大学医学院第一附属医院心内科规范化培训的学员40人为研究对象,将其随机分为实验组和对照组,每组20人.实验组采用CP结合TBL教学方法,对照组采用传统教学方法.培训3个月后,采用问卷调查和考核方式以评价教学效果.结果 理论考试成绩:实验组为(84.6±9.3)分,对照组为(72.7±10.3)分,t=3.836,P＜0.05;临床技能操作考核成绩:实验组为(86.8±7.9),对照组为(74.3±9.6)分,t=4.485,P＜0.05.问卷调查结果显示,实验组学员对CP结合TBL教学方法的效果评价明显高于对照组学员对传统教学方法的评价.结论 CP结合TBL教学方法有助于提高心内科住院医师规范化培训质量.

abstractsObjective To explore the effectiveness of clinical pathway and team-based learning in the cardiovascular department during resident training.Methods 40 internal medicine residents in First Affiliated Hospital of Xi'an Jiaotong University were applied with two different teaching methods.clinical pathway and team-based learning were used in the intervention group,while the traditional teaching method was applied in the control group.Data were collected by means of a questionnaire and a clinical test.Results Compared with the control group,the intervention group did better in paper test on theories and clinical skills test (t =4.485,P ＜ 0.05).The questionnaire results showed that the intervention group had a strong initiative and independent learning ability,and mastered well of the clinical skills.Conclusions The integrated application of CP and TBL method can be a valuable strategy.