摘要
目的探讨医学本科附属医院大四临床专业理论课程的教学方法改革措施。方法选取2021年9月—2022年7月齐鲁医药学院2018级临床专业学生62名为试验组,采用案例教学法(case-based learning,CBL)联合基于问题的学习(problem-based learning,PBL);选取2022年9月—2023年7月潍坊医学院2019级临床专业学生52名为对照组,采用传统的讲授法(lecturebased learning,LBL)教学法。通过测评理论授课及实践技能成绩和问卷调查进行评价分析。结果测评成绩结果显示试验组学生的理论成绩(86.28±10.52)分、实践成绩(81.92±11.83)分和总成绩(85.40±10.79)分,均高于对照组学生的理论成绩(79.46±11.42)分、实践成绩(73.46±13.84)分和总成绩(78.27±11.91)分,差异有统计学意义(P<0.05)。试验组理论知识掌握率、课堂满意度均高于对照组,差异有统计学意义(P<0.001)。结论CBL+PBL教学法能够充分调动学生学习的主动性和积极性,提高对理论知识的掌握程度及临床实践能力。而且和小儿外科进行学科融合,循证医学思维得到良好的建立,体现了新型医学人才培养的教学模式,学生满意度高。
Objective To explore the teaching method reform of senior clinical specialty theory course in medical undergraduate affiliated hospital.Methods A total of 62students of clinical majors of Qilu Medical University in 2018that from September 2021 to July 2022 were selected as the experimental group,adopted the problem-based learning(PBL)teaching reform based on the case-based learning(CBL).A total of 52 students of clinical majors of Weifang Medical University in 2019 that from September 2022 to July 2023 were selected as the control group,adopted the traditional lecture-based learning(LBL) teaching method.The evaluation was analyzed through the evaluation theory teaching,practical skills performance and questionnaire survey.Results The test results showed that the theoretical scores [(86.28±10.52) points],practical scores [(81.92±11.83) points] and total scores [(85.40±10.79)points] of students in the experimental group were higher than those of students in the control group [(79.46±11.42)points,(73.46±13.84) points and(78.27±11.91) points],the differences were statistically significant(P<0.05).The theoretical knowledge mastery rate and classroom satisfaction in the experimental group were higher than that of the control group,and the difference was statistically significant(P<0.001).Conclusion The PBL teaching mode based on CBL can fully mobilize students' initiative and enthusiasm in learning,improve their mastery of theoretical knowledge and clinical practice ability,and establish the thinking of evidence-based medicine,emembodies the teaching mode of new medical talent training,and the satisfaction is higher.
作者
徐翠
李昌秋
于瑞秀
范春燕
郝姝
孙乐
田光波
XU Cui;LI Changqiu;YU Ruixiu;FAN Chunyan;HAO Shu;SUN Le;TIAN Guangbo(Department of Pediatrics,Zibo First Hospital,Zibo Shandong 255200,China;Department of General Surgery,Affiliated Hospital of Qilu Medical University,Zibo Shandong 255200,China;Department of Trade Union Office,Zibo Hospital of Integrated Traditional Chinese and Western Medicine,Zibo Shandong 255000,China;Department of Education and Training,Zibo First Hospital,Zibo Shandong 255200,China)
出处
《中国继续医学教育》
2024年第5期18-23,共6页
China Continuing Medical Education
基金
齐鲁医药学院教学改革研究项目(XJJY2132)。
关键词
临床思维
医学教育改革
新医科
学科融通
附属医院
理论课堂
clinical thinking
medical education reform
new medical discipline
discipline integration
affiliated hospital
theoretical classroom
作者简介
通信作者:田光波。