上海儿童医学中心医学模拟中心教学效果及其影响因素分析

摘要

目的 分析上海儿童医学中心的医学模拟中心教学质量,发现影响学员对教学质量评价的主要因素,探讨进一步提高模拟教学质量,发挥模拟教学效能的措施.方法 采用简单随机抽样方法选取2018年8月～2019年1月在上海儿童医学中心医学模拟中心参加培训的340名学员为研究对象,分析其对导师教学素养、课程设计、培训效果的认知及评价.采用SPSS 21. 0软件对相关数据进行统计分析,利用独立样本t检验分析自编课程与国际标准课程质量的差异,运用多元线性回归方法分析影响学员对模拟课程质量整体评价的影响因素.结果 该医院医学模拟中心模拟教学质量总体较高,课程难度水平及反馈方面国际标准课程优于自编课程,"模拟教学中感受到了导师的支持" "模拟教学有效提高沟通能力""模仿了真实的环境"等9个方面是影响学员对模拟课程质量整体评价的主要因素.结论 导师的支持、沟通能力的提高、模仿真实的环境等8个因素是影响学员对教学质量评价的主要因素,教育教学管理部门应当继续加强师资综合知识和模拟教学专业能力的培养,强化自编课程领域导师反馈技能的规范化、标准化培训,进一步优化课程设计与引导反馈、模拟环境与资源应用,提高学员学习效果,进而提高学员的满意度.%Objective Analyzing the teaching quality of a medical simulation center in Shanghai Children’s Medical Center, and exploring pathway to further improve the quality of simulated teaching and to optimize the learing outcomes of simulation training. Methods In this study, all 340 students who participated in the training at Shanghai Children’s Medical Center Medical Simulation Center from August 2018 to January 2019 were selected by simple random sampling. The cognition and evaluation of the teacher’s teaching literacy, curriculum design, feedback discussion and training outcomes were evaluated. The description and analysis of the overall curriculum evaluation, using two independent sample t test method to analyze the difference between the quality of the self-made curriculum and the standard curriculum, using multiple linear regression method to analyze the influencing factors affecting the overall evaluation of the quality of the simulation programme. Results The simulation quality of the center was generally higher, the standard level of difficulty level and feedback was better than that of self-editing course, "the support of the tutor felling in the simulation teaching"," the simulation teaching effectively improving the communication ability ", " the imitation of the real environment" and so on were nine aspects to evaluate factors that influencing the overall evaluation of the quality of the simulation course. Conclusions The eight factors including the support of the tutor, the improvement of communication skills and the imitation of the real environment are the main factors affecting the evaluation of the teaching quality. It is necessary to strengthen the training of teachers’ comprehensive knowledge and simulation teaching ability, strengthen the feedback skill standardization and standardization training of self-edited curriculum teachers, further optimize curriculum design, simulation environment and resource application, improve the learning experience of students, and improve students’ satisfaction.