A prospective study on team-based learning combined with case-based learning in training thyroid surgery of medical intern

Abstract

Abstract:ObjectiveTo explore the application of team-based learning(TBL) combined with case-based learning (CBL) in training program of thyroid surgery on medical intern.MethodsA prospective study was conducted in 94 interns with training program from November 2020 to June 2021 in thyroid surgery, Ruijin Hospital. The interns were grouped chronologically. Forty-six interns from November 2020 to February 2021 were included into control group and 48 interns from March 2021 to June 2021 into study group. Interns in control group were given traditional training and interns in study group with TBL with CBL training. Basic theory and knowledge, basic operative skill and ability of managing crisis were evaluated and compared between two groups.ResultsThe basic theory and knowledge in study group were significantly better than that in control group (t=12.610,P<0.05). However, there was no significant difference in basic operative skill (t=1.566,P>0.05) and ability of managing crisis (t=1.313,P>0.05) between two groups. As for crisis management abi-lity, the team work ability (t=3.610,P<0.05) in study group was significantly better than that in control group and the completion time of patient rescue in study group (t=2.349,P<0.05) shorter than that in control group.ConclusionsFor learning thyroid surgery of medical intern, TBL combined with CBL training program could increase the effect of clinical teaching and team work ability of managing crisis, which would have prospects of application.

Key words:Team-based learning,Case-based learning,Teaching method,Thyroid surgery,Medical intern

CLC Number:

R653

LUO Zhiping, GUO Zichao, SUN Hanxing, CHENG Xi, LIU Zhuoran, ZHANG Tao, YAN Jiqi, QIU Weihua, KUANG Jie, ZHAO Ren. A prospective study on team-based learning combined with case-based learning in training thyroid surgery of medical intern[J]. Journal of Surgery Concepts & Practice, 2022, 27(05): 448-452.

Figures/Tables4

项目	总人数（n=94）	对照组（n=46）	研究组（n=48）	t/χ²值	P值
性别（男/女）	49/45	27/19	22/26	1.557	0.212
年龄（岁）	22.20±1.18	22.20±1.11	22.21±1.25	0.052	0.959
学历（本科/研究生）	71/23	37/9	34/14	1.172	0.279
入科前外科基础理论知识成绩（分）	85.56±1.43	85.35±1.37	85.77±1.46	1.446	0.152

教学内容	对照组	研究组
管理床位	3张/人	3张/人
文书工作	书写病史	书写病史
手术	参与	参与
术后操作	换药、拆线	换药、拆线
教学活动一	小讲课（每周1次）	以组为单位每日一问
教学活动二	教学查房（每周1次）	病例汇报（每周1次）

项目	总计（n=94）	对照组（n=46）	研究组（n=48）	t/χ²值	P值
基础理论知识（分）	89.26±1.61	87.96±0.99	90.50±0.97	12.610	<0.01
基本操作能力（分）	82.66±3.63	82.07±3.87	83.23±3.32	1.566	0.121
危机处置能力（分）	73.40±9.71	72.07±11.00	74.69±8.21	1.313	0.192

项目	总计（n=94）	对照组（n=46）	研究组（n=48）	t/χ²值	P值
识别危机征象（分）	18.63±2.48	18.76±2.68	18.50±2.29	0.509	0.612
医疗措施干预（分）	18.43±2.54	18.54±2.93	18.31±2.12	0.439	0.662
团队分工协作（分）	18.03±2.58	17.11±2.66	18.92±2.18	3.610	<0.01
救治完成时间（分）	18.32±2.76	17.65±3.18	18.96±2.12	2.349	0.021
总分	73.40±9.71	72.07±11.00	74.69±8.21	1.313	0.192

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