2025 年第 7 期 第 20 卷

多学科诊疗模式的肿瘤学教学改革与实践方案

Reform and practice plan of oncology teaching with multidisciplinary diagnosis and treatment model

作者：陈伟彬1赵玲1戈艳蕾2,3赵亚婷4孙国贵3,5

英文作者：Chen Weibin1 Zhao Ling1 Ge Yanlei23 Zhao Yating4 Sun Guogui35

单位：1华北理工大学附属医院影像中心，唐山063000；2华北理工大学附属医院呼吸内科，唐山063000；3河北省生物细胞功能开发及精准检测技术创新中心，唐山063000；4华北理工大学附属医院乳腺外科，唐山063000；5华北理工大学附属医院肿瘤放化疗中心，唐山063000

英文单位：1Imaging Center North China University of Science and Technology Affiliated Hospital Tangshan 063000 China; 2Department of Respiratory Medicine North China University of Science and Technology Affiliated Hospital Tangshan 063000 China; 3Biological Cell Function Development and Precision Detection Technology Innovation Center of Hebei Province Tangshan 063000 China; 4Department of Breast Surgery North China University of Science and Technology Affiliated Hospital Tangshan 063000 China; 5Tumors Radiochemotherapy Center North China University of Science and Technology Affiliated Hospital Tangshan 063000 China

关键词：多学科诊疗；肿瘤学；传统授课法；教学改革

英文关键词：Multidisciplinarydiagnosisandtreatment;Oncology;Traditionalteachingmethod;Teachingreform

• 摘要：

• 传统肿瘤学教学存在知识更新滞后的现象、教学模式单调乏味、难以培养临床医师跨学科的协作意识等弊端，远不能适应新时代肿瘤诊疗对临床医师综合素质的要求。多学科诊疗（MDT）模式下通过组成多学科会诊专家团队，能够根据患者的肿瘤分期以及术前各种肿瘤标志物、组织病理学检查结果等给患者制定最适合的个体化综合治疗方案，并且其对提高患者的治疗效果及改善患者预后有着重大的意义。MDT模式主要围绕肿瘤学教学实践中所出现的问题而制定，包括学科模块化整合、教学方法创新、临床实践与思想道德建设、师资团队培养四个部分。实践表明采取基于MDT模式的肿瘤学教学改革与实践方案，能够增强学生的综合诊疗能力、临床决策能力和团队协作能力，但是在师资协同以及教学评价方面仍然存在一定缺陷，因此提出可以通过医工融合的方式或者线上线下相结合的教学模式，加之相关政策的支持，继续深化肿瘤学教学改革，打造肿瘤学医学教育高地，推进健康中国建设。

• Traditional oncology teaching has some shortcomings, such as lagging knowledge update, monotone teaching model, and difficulty in cultivating the interdisciplinary collaboration consciousness of clinicians, which can not meet the requirements of comprehensive quality of clinicians in the new era of tumor diagnosis and treatment. Under the multidisciplinary diagnosis and treatment (MDT) model, by forming a multidisciplinary consultation expert team, the most suitable individualized comprehensive treatment plan can be formulated for the patient according to the patient′s tumor stage, preoperative various tumor markers and histopathological examination results, and it is of great significance to improve the treatment effect and prognosis of patients. The MDT model is mainly formulated around the problems in oncology teaching practice, including four parts: discipline modular integration, teaching method innovation, clinical practice and ideological and moral construction, and teacher team training. The practice shows that the MDT model-based oncology teaching reform and practice program can enhance students′ comprehensive diagnosis and treatment ability, clinical decision-making ability and team cooperation ability, but there are still some defects in teacher collaboration and teaching evaluation. Therefore, it is proposed that through the integration of medicine and engineering or the combination of online and offline teaching models, together with the support of relevant policies, the reform of oncology teaching can be further deepened, the highland of oncology medical education can be built, and the construction of Healthy China can be promoted.