摘要
目的探索导学式教学法与循证医学PICOS模式相结合的方式,引入呼吸内科的临床教学中,针对呼吸内科患者的临床问题,让学生通过PICOS模式构建导学式提纲,翻阅资料,寻找最佳证据,在教师引导下,经过小组讨论,将基础学科和临床学科的知识点贯穿于一个真实的病例并融会贯通。培养学生以患者的诊断治疗问题为中心的发散思维和横向思维,提高学生灵活运用知识的能力,并逐步具备一名合格临床医生的素质。方法随机选作者所在医院进入呼吸内科见习或实习的医学本科学生,以实习小组为单位,选取8-10个小组为试验组,另8个小组为对照组。每组约4-8人左右。试验组应用循证医学PICOS模式与导学式相结合教学方法;对照组以目前传统教学方法进行教学。结果教学结束后两组学生同时进行考试考核。实验组学生的呼吸内科考试卷面成绩高于对照组、个体化病例临床病案分析能力强于对照组,两组成绩差异有统计学意义。结论循证医学PICOS模式结合导学式教学法指导和构建的导学提纲,通过多种方法提高医学生探究临床问题的学习兴趣;强化了学生对所学知识的综合、归纳、记忆、储存、迁移的能力,使其把所学的知识条理化、系统化、形象化,改善了学生学习效果。激发了学生的学习热情,提高了学生灵活运用知识的能力。
Objective Try using evidence-based medicine and clinical problems PICOS Mode Construction Guidance Combination of teaching methods, the introduction of respiratory medicine clinical teaching, clinical medicine for respiratory problems for students through PICOS Mode Construction Guidance outline After a group discussion, the basic disciplines of knowledge and clinical disciplines throughout a real case and mastery. Methods Randomly selected to enter the respiratory medicine trainee or in ternship undergraduate medical students to practice group as a unit, select the 8-10 group for the ex- perimental group, and the other 8 groups for the control group. Each group of about 4-8 people. Ap- plication of evidence-based medicine PICOS experimental group model and Guidance formula combi- ning teaching methods; control group to present the traditional teaching methods for teaching. Results After the teaching two groups of students at the same time to test. Comparison of the two groups of students, respiratory medicine examination scores, individual cases o{ clinicM medical record analysis ability and the result of questionnaire analysis. Test scores similar between the two groups statistical ly significant. Conclusion Evidence-based medicine PICOS guiding type teaching method to guide and construct the mode of guiding outline, through a variety of methods to guide medical students to ex- plore the clinical problems of interest in learning; Train the student to the knowledge integration, in- duction, memory, storage and migration ability, combine the knowledge of a methodical, systematic, visualization, and enhance student learning. Cultivate the students＇ learning enthusiasm, the students＇ ability to apply knowledge and good quality.
出处
《西北医学教育》
2014年第1期173-176,共4页
Northwest Medical Education
基金
云南省教育科学"十二五"规划课题资助项目(Y13026)
关键词
循证医学PICOS模式
导学式教学法
临床实习
医学本科生
Evidence-based Medicine PICOS mode
guiding type teaching method
clinical practice
medical undergraduates
作者简介
李建华（1959-），男，云南人，本科，副教授，主要从事临床实践教学应用研究及呼吸内科工作。
