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Vocational Education 2025
PACS-HIS影像数据库与MDT模式下的PBL教学在儿童癫痫影像教学中的价值分析
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Abstract:
目的:分析图像存档和传输系统(PACS)–医院信息系统(HIS)影像数据库与多学科综合诊疗(MDT)联合以问题为基础的学习(PBL)教学法在儿童癫痫影像教学中的价值。方法:选取2022年1月~2024年2月于我院影像规培医师121人作为研究对象,随机分为对照组61人、观察组60人。教学过程中,对照组采用MDT模式下的PBL教学模式教学,观察组采用PACS-HIS影像数据库结合MDT模式下的PBL教学。分析不同的教学方式对住培生的学习行为、教学质量、教学效果、教学满意度的影响。结果:观察组的教学模式对住培生的学习行为、教学质量、教学效果、教学满意度明显优于对照组,差异均具有统计学意义(P < 0.05)。结论:ACS-HIS影像数据库与MDT模式下的PBL教学并用可明显提高儿童癫痫影像教学质量、教学效果,改变规培生学习行为。适合在广大基层医疗单位推广,以提高基层医务人员对儿童癫痫的影像诊断水平。
Objective: This paper aims to analyze the value of problem-based learning (PBL) teaching method combined with Picture Archiving and Communication System (PACS)-Hospital Information System (HIS) image database and Multidisciplinary Comprehensive Diagnosis and Treatment (MDT) in the teaching of pediatric epilepsy imaging. Methods: 121 radiologists trained in our hospital from January 2022 to February 2024 were selected as the research subjects and randomly divided into a control group of 61 and an observation group of 60. During the teaching process, the control group used PBL teaching mode under MDT mode, while the observation group used PACS-HIS image database combined with PBL teaching under MDT mode. This paper analyzed the impact of different teaching methods on the learning behavior, teaching quality, teaching effectiveness, and teaching satisfaction of resident trainees. Results: The teaching mode of the observation group had a significant impact on the learning behavior, teaching quality, teaching effectiveness, and teaching satisfaction of resident trainees compared to the control group, and the differences were statistically significant (P < 0.05). Conclusions: The combination of ACS-HIS imaging database and PBL teaching under MDT mode can significantly improve the quality and effectiveness of pediatric epilepsy imaging teaching, and change the learning behavior of trainees. And it is suitable for promotion in grassroots medical units to improve the imaging diagnosis level of pediatric epilepsy among grassroots medical personnel.
[1] | Bernasconi, A., Cendes, F., Theodore, W.H., Gill, R.S., Koepp, M.J., Hogan, R.E., et al. (2019) Recommendations for the Use of Structural Magnetic Resonance Imaging in the Care of Patients with Epilepsy: A Consensus Report from the International League against Epilepsy Neuroimaging Task Force. Epilepsia, 60, 1054-1068. https://doi.org/10.1111/epi.15612 |
[2] | 段娜, 李静, 曾亮, 等. 医学影像学课程中案例教学设计与实践[J]. 中华医学教育探索杂志, 2023, 20(1): 32-35. |
[3] | 唐鹤菡, 袁元, 邓莉萍, 等. 医学影像技术本科生实习教学质量提升策略[J]. 中华医学教育探索杂志, 2022, 20(2): 199-201. |
[4] | 张金戈, 夏春潮, 宋婷妮, 等. 远程网络课堂在影像技术专业见习教学中的应用实践[J]. 中国医疗设备, 2022, 35(10): 42-45. |
[5] | 裴贻刚, 李文政. 以问题为导向的研讨式教学在医学影像学教学中的应用[J]. 中华医学教育探索杂志, 2022, 19(3): 304-307. |
[6] | 王晓晓, 赵素红, 李羽娟. 情景模拟教学联合PBL教学法对儿科实习护生综合能力及临床思维能力的影响[J]. 国际护理学杂志, 2023, 40(2): 211-214. |
[7] | 郭宁, 程相红. 任务驱动联合PBL教学法对产科实习护生带教质量的影响[J]. 国际护理学杂志, 2022, 40(8): 1354-1357. |
[8] | 贾楠. PBL与LBL双轨教学法在急危重症护理学教学中的应用效果[J]. 国际护理学杂志, 2023, 39(15): 2712-2714. |
[9] | 王莲英, 胡志琴. PBL联合CBL教学法在新护士规范化岗前培训中的应用[J]. 国际护理学杂志, 2023, 39(21): 3873-3876. |
[10] | 徐晖, 周凯亮, 吴爱悯. PBL联合CBL教学法在骨科研究生实习阶段教学中的实践应用及评估[J]. 温州医科大学学报, 2022, 50(10): 856-858, 861. |
[11] | Oncologist Branch of Chinese Medical Association, Expert Committee on Pancreatic Diseases of China Association for the Promotion of International Health Care Exchange and Abdominal Cancer Expert Committee of China Medical Education Association (2023) Expert Consensus on the MDT Model of Pancreatic Cancer in China (2020 Edition). Chinese Journal of Oncology, 42, 531-536. |
[12] | 沈硕, 郭世伟, 高绥之, 等. 胰腺癌MDT诊治与新辅助治疗[J]. 中华胰腺病杂志, 2022, 20(5): 338-341. |
[13] | 陈亚男, 刘菁, 李爱民, 等. 基于多学科诊疗模式降低重症监护病房碳青霉烯类耐药肠杆菌科细菌感染的效果评价[J]. 中华临床感染病杂志, 2022, 13(3): 182-188. |
[14] | 张娅, 谭静, 艾丛慧, 等. MDT模式下创新型“整合式”影像教学在医学影像本科生实践培养中的应用[J]. 中国CT和MRI杂志, 2022, 18(12): 170-172. |
[15] | 周波, 陈俊英, 伍强, 等. PBL联合MDT模式在普通外科规培医师教学中的应用[J]. 中华医学教育探索杂志, 2023, 19(8): 953-955. |
[16] | 蔡敏, 高宝兵, 万承群, 等. PBL-CBL联合MDT教学在神经内科住院医师规范化培训教学中的应用效果[J]. 现代医药卫生, 2022, 36(24): 4039-4040. |
[17] | 李玉明, 李真林, 余伟, 等. PACS端与手机移动端相结合的智能化医学影像技术实习教育系统的研究[J]. 中国医疗设备, 2022, 35(10): 46-50. |
[18] | 胡昊, 廖伟雄. 移动PACS在医学影像教学中的应用研究[J]. 中华医学教育探索杂志, 2022, 19(7): 798-801. |
[19] | 李文娟, 袁慧书. 影像诊断结构化报告的研究进展[J]. 临床放射学杂志, 2022, 39(10): 2124-2126. |
[20] | Chen, Y., Zheng, K., Ye, S., Wang, J., Xu, L., Li, Z., et al. (2019) Constructing an Experiential Education Model in Undergraduate Radiology Education by the Utilization of the Picture Archiving and Communication System (PACS). BMC Medical Education, 19, Article No. 383. https://doi.org/10.1186/s12909-019-1827-0 |
[21] | 高银, 葛长峰, 朱永海, 等. PACS/RIS-HIS-信息系统在胸部低剂量CT的临床应用[J]. 影像研究与医学应用, 2022, 4(24): 192-193. |