Application and efficacy evaluation of clinical pathway in clinical practice teaching in the department of liver surgery

Li Jiang, Zhixi Zhang, Jiayin Yang, Hong Wu
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Abstract

Objective To investigate the application and effect of clinical pathway in practice teaching of hepatic surgery. Methods The 64 clinical interns who had an internship in our department between February 2018 and May 2019 were divided randomly into two groups: the experimental group (n=32) and the control group (n=32). The clinical pathway teaching method was used in the experimental group and the traditional teaching method was used in the control group. At the end of their internship, the examination and the satisfaction survey were requested to finish in the both groups. The statistical software SPSS 17.0 was used. Continuous variables were analyzed through the t-test. Categorical data were compared through Pearson chi-square. Results The examination results included theoretical knowledge (P=0.033), operating skill (P=0.021), case analysis (P=0.006) and medical record writing (P=0.017), which were significantly better in the experimental group than in the control group, and the satisfaction of interns was also significantly better in the experimental than in the control group (P<0.05). Conclusion The clinical pathway teaching method is effective in practice teaching of hepatic surgery, and can improve the results of practice teaching quality obviously. Key words: Clinical pathway; Hepatic surgery; Practice teaching
临床路径在肝外科临床实践教学中的应用及效果评价
目的探讨临床路径在肝脏外科实践教学中的应用及效果。方法将2018年2月至2019年5月在我科实习的64名临床实习生随机分为两组:实验组(n=32)和对照组(n=33)。实验组采用临床路径教学法,对照组采用传统教学法。实习结束时,要求两组完成考试和满意度调查。采用SPSS 17.0统计软件。连续变量通过t检验进行分析。分类数据通过皮尔逊卡方进行比较。结果理论知识(P=0.033)、操作技能(P=0.021)、病例分析(P=0.006)和病历书写(P=0.017)检查结果实验组明显优于对照组,实验组实习生的满意度也明显高于对照组(P<0.05)。结论临床路径教学法在肝外科实习教学中是有效的,能明显提高实习教学质量。关键词:临床路径;肝脏外科;实践教学
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