分层递进式教学模式在口腔住培全瓷冠牙体预备教学中的应用
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崔雨(1992.1-),女,山东潍坊人,博士,讲师,主要从事口腔内科学方面研究

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G642

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1.潍坊医学院教育教学改革与研究课题(编号:2023ZX005);2.山东第二医科大学教育教学改革与研究课题(编号:2025ZNZX003)


Application of Layered Progressive Teaching Model in All-ceramic Crown Preparation Teaching for Standardized Training of Stomatological Residents
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    摘要:

    目的 探讨在口腔住培全瓷冠牙体预备教学中应用分层递进式教学模式的效果。方法 选取2022年9月-2024年9月于山东第二医科大学附属医院口腔科接受口腔住培全瓷冠牙体预备教学的90名学员,根据教学方法不同分为对照组(n=30)和观察组(n=60)。对照组采用传统教学模式,观察组采用分层递进式教学模式,观察组基于入科基线测评成绩将其分为观察组A(高分组)、观察组B(低分组),各30例。其中观察组A遵循“强化临床-能力拓展”路径,快速通过基础阶段后,侧重于临床复杂病例的实操训练,观察组B遵循“夯实基础-循序渐进”路径,增加基础阶段的训练时长与指导频次,达标后进阶,分别比较两组及观察组组内考核成绩、岗位胜任能力、满意度。结果 观察组培训后理论成绩、操作成绩及成绩差值均高于对照组(P<0.05);观察组A与观察组B培训后理论成绩、操作成绩比较,差异无统计学意义(P>0.05);观察组B入科前理论成绩、操作成绩低于观察组A,成绩差值高于观察组A(P<0.05);观察组培训后Mini-CEX评分高于对照组(P<0.05);观察组A与观察组B培训后Mini-CEX评分均高于入科前(P<0.05),但观察组A与观察组B培训后Mini-CEX评分比较,差异无统计学意义(P>0.05);观察组各项满意度评分均高于对照组(P<0.05);观察组A与观察组B各项满意度评分比较,差异无统计学意义(P>0.05)。结论 与传统教学模式比较,针对不同基础的住培学员实施分层递进式教学能有效消除其初始能力差距,提升全瓷冠预备技能,有助于实现住培学员临床胜任力的同质化提升。

    Abstract:

    Objective To explore the application effect of layered progressive teaching model in all-ceramic crown preparation teaching for standardized training of stomatological residents. Methods A total of 90 residents who received all-ceramic crown preparation training in the Department of Stomatology, Afffliated Hospital of Shandong Second Medical University from September 2022 to September 2024 were selected, and they were divided into the control group (n=30) and the observation group (n=60) according to different teaching methods. The control group adopted the traditional teaching model, and the observation group adopted the layered progressive teaching model. Based on the baseline assessment results before training, the observation group was further divided into observation subgroup A (high-score group) and observation subgroup B (low-score group), with 30 residents in each subgroup. Observation subgroup A followed the training path of "strengthening clinical practice-expanding professional competence", focusing on practical training of complex clinical cases after quickly completing the basic training stage. Observation subgroup B followed the path of "consolidating basic skills-progressing step by step", with extended training duration and increased guidance frequency in the basic stage before advanced learning. The assessment scores, post competency and teaching satisfaction were compared between the two groups and within the observation subgroups. Results After training, the theoretical score, operational score and score improvement value of the observation group were higher than those of the control group (P<0.05). There were no signiffcant differences in post-training theoretical and operational scores between observation subgroup A and observation subgroup B (P>0.05). Before training, the theoretical and operational scores of observation subgroup B were lower than those of observation subgroup A, while the score improvement value of observation subgroup B was higher than that of observation subgroup A (P<0.05). After training, the Mini-CEX score of the observation group was higher than that of the control group (P<0.05). The Mini-CEX scores of observation subgroup A and observation subgroup B after training were higher than those before training (P<0.05). However, there was no signiffcant difference in Mini-CEX score between observation subgroup A and observation subgroup B after training (P>0.05). The overall teaching satisfaction scores of the observation group were higher than those of the control group (P<0.05). There were no signiffcant differences in overall teaching satisfaction scores between observation subgroup A and observation subgroup B (P>0.05). Conclusion Compared with the traditional teaching model, the layered progressive teaching model targeted at residents with different learning foundations can effectively narrow the initial ability gap, improve residents’ proffciency in all-ceramic crown preparation, and realize the homogenized improvement of clinical competency among stomatological residents.

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崔 雨 ,王凡涛.分层递进式教学模式在口腔住培全瓷冠牙体预备教学中的应用[J].医学美学美容,2026,35(11):153-157.

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  • 在线发布日期: 2026-07-23
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