张玉阳 许小鸯 赵红琴

[摘要] 目的 探討BOPPPS模式在妇产科住院医师规范化培训中临床教学查房中的效果。 方法 将在我院妇产科临床规范化培训的住院医师为对象（2016年1～12月）随机分为两组：教学实验组（n=30）和对照组（n=35）。分别采用BOPPPS教学和传统教学方法。对两组理论考试、技能操作考核及问卷调查综合测试成绩进行评估。 结果 教学组基础知识考试、临床技能考核、问卷调查综合测试成绩均明显高于对照组（P<0.05）。BOPPPS教学组大部分学员认为BOPPPS教学有助于学习主动性的提高、医患沟通能力的培养、临床思维的激发、学习效率的提高，同时学员们也提出BOPPPS模式压力大，花费时间及精力多，与对照组成绩有显著性差异（P<0.05）。 结论 在妇产科住院医师规范化培训中应用BOPPPS模式教学查房可以有助于教学质量的提高和学员综合能力的提高。

[关键词] BOPPPS模式；教学查房；住院医师规范化培训；临床思维

[中图分类号] R197.3 [文献标识码] C [文章编号] 1673-9701（2018）15-0131-04

Exploration of BOPPPS teaching model in clinical teaching of ward inspection in the standardized training of residents in the department of obstetrics and gynecology

ZHANG Yuyang XU Xiaoyang ZHAO Hongqin

Department of Gynecology and Obstetrics，the First Affiliated Hospital of Wenzhou Medical University，Wenzhou 325000，China

[Abstract] Objective To investigate the effect of BOPPPS model in the clinical teaching of ward inspection in the standardized training of residents in the department of obstetrics and gynecology. Methods Residents who participated in the standardized training in the department of obstetrics and gynecology in our hospital（January to December 2016） were randomly divided into two groups： teaching experimental group（n=30） and control group（n=35）. BOPPPS teaching and traditional teaching methods were applied respectively. The comprehensive assessment scores of the theory test， skill operation test and questionnaire survey were evaluated in both groups. Results The comprehensive assessment scores of the fundamental knowledge test， clinical skill operation test and questionnaire survey in the teaching group were significantly higher than those in the control group（P<0.05）. Most students in BOPPPS teaching group held the opinions that BOPPPS teaching could help to improve learning initiative， cultivate communication skills of doctors to patients， stimulate clinical thinking， and improve learning efficiency. At the same time， students also mentioned that the BOPPPS model had a greater pressure on them， which consumed a great number of time and energy. There were significant differences in the scores between the two groups（P<0.05）. Conclusion Application of BOPPPS model teaching of ward inspection in the standardized training of residents in the department of obstetrics and gynecology can contribute to the improvement of teaching quality and comprehensive ability of the trainees.

[Key words] BOPPPS model； Teaching of ward inspection；Standardized training of residents； Clinical thinking

住院医师规范化培训（以下简称：规培）是医学生毕业后教育的必须经历的阶段，对于培养临床高层次、高素质、高能力医疗人才起着决定作用，占据了医学终生教育的承前（医学院校基本教育）启后（继续医学教育）的重要地位，是医学临床专家诞生过程中的关键所在[1-3]。我院作为国家级妇产科规培基地，格外重视妇产科住院医师的规培教育，重点指导培养临床思维能力与提升独立处理疾病能力，培育出合格的住院医师团队。在多年教学模式的探索中，与传统教学方法以教师主动教授知识、学生被动学习和机械操作的“满堂灌”模式不同，我院引进一种新型的“导学互动的加式教育”（Bridge-in，Objective，Pre-assesement，Participatory leraning-in，Post-assessment，Summary；BOPPPS）[2，4-5]，以下对这两种教学方法进行对照研究。

1资料与方法

1.1 一般资料

选择2016年1～12月在我院参加妇产科临床规范化培训的住院医师为实施对象，单盲法随机分为两组，其中教学实验组30名，对照组35名。……