“紧急/物理-生物-化学”思维模式在重症医学教学中的应用

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中图分类号：G642 文献标志码：A 文章编号：2096-3181（2025）06-0918-05

Implementation of the Urgent/Physical-Biological-Chemical Thinking Model inCriticalCare Education

Pan Min Φ1，2 ，Liu Tong²，³，Cao Xirong1，²，Zhang Fengping1，²，Liu Chang1²，Zhang Jingyao 2，3

1.Department of Hepatobiliary Surgery and Liver Transplantation， The Second Afiliated Hospital of Xi'an Jiaotong University，Xi'an， 71OoO4， China; 2.Key Laboratory of Surgical Critical Care and Life Support （Xi'an Jiaotong University），Ministry of Education，Xi'an，71OoO4， China; 3.Department of Surgical Intensive Care Unit， The First Affiliated Hospital of Xi'an Jiaotong University，Xi'an，710061，China;

Abstract： Objective To explore the value of urgent/physical-chemical-biological （U/P-B-C） thinking mode in standardized training and teaching of critical care medicine.Method：The study selected trained physicians who underwent rotational internships in the Department of Surgical Intensive Care Medicine （SICU）at the First Affliated Hospital of Xi'an Jiaotong University from September1，2O24 to March 31，2O25as the research subjects. They were divided into two groups： the experimental group adopted the U/P-B-C teaching mode，and the control group implemented the traditional teaching mode.Compare the theoretical academic performance and teaching satisfaction between the experimental group and the control group.Results A total of 76 participants were included in this study，with 36 in the experimental group and 4O in the control group. There was no statistically significant diference in baseline data between the two groups （ P>0.05 ），indicating comparability. Compared with the control group，the experimental group had higher theoretical scores，case analysis，and overall scores P<0.05 ）. The experimental group was superior to the control group in terms of teaching methods and tools，ability to identify clinical problems，benefits of clinical thinking，real-time data processing ability，and depth of etiological tracing （P<0.05 ）.Conclusion： The implementation of the U/PB-C modelin the standardized training and teaching of critical care medicine can significantly improve the teaching efectiveness of resident physicians in critical care medicine，and has a positive impact on improving teaching quality.

Keywords： Critical care medicine; Resident standardized training; U/P-B-C; Clinical teaching

当前重症医学教育体系正面临双重挑战：一方面，人口老龄化与多病共存的疾病谱演变对重症医学人才储备提出了更高要求1；另一方面，学科建设滞后与培养模式碎片化严重制约着专科医师的成长速度[2-3]。（剩余6840字）