首页|基于OBE理念的急诊医学案例沉浸式教学对临床专业学生临床应变能力的提高效果

基于OBE理念的急诊医学案例沉浸式教学对临床专业学生临床应变能力的提高效果

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目的 探究基于OBE理念的急诊医学案例沉浸式教学对临床专业学生临床应变能力的提高效果.方法 本研究为回顾性队列研究,分析 2021-2023 年下半年在广东医科大学进行急诊医学课程的大学本科三年级临床医学、麻醉学和影像学专业的学生,其中 2021 下半年的学生应用五步混合教学法,2022 和 2023 下半年的两期学生应用的是基于OBE理念的案例沉浸式教学法.根据教学方式将学生分为五步混合教学法组(n=942)和基于OBE理念的案例沉浸式教学组(n=1783).通过比较两组学生的临床实践能力评分、理论成绩以及操作成绩来评估不同教学方法的效果.结果 在临床实践能力评分方面,应用案例沉浸式教学法的学生在问诊能力(P=0.007)、专业态度(P=0.003)、沟通技巧(P=0.002)、临床判断(P=0.009)、操作技术(P=0.008)、无菌技术(P=0.007)、整体连贯(P=0.025)、整体协调(P=0.025)和人道主义(P=0.023)方面表现均优于五步混合教学法组;在理论成绩方面,案例沉浸式教学法组的基本知识平均得分显著高于五步混合教学法组(P=0.045);在操作成绩方面,应用案例沉浸式教学法的学生在现场急救、创伤急救、疾病救治、心肺复苏及急性中毒处理方面的得分也显著较高(P<0.05).结论 基于OBE理念的案例沉浸式教学法在提升医学生临床应变能力和相关技能方面显示出显著效果,不仅提高了学生的临床实践能力、理论成绩和操作成绩,还增强了满意度.
Effectiveness of an emergency medicine case immersion teaching method based on Outcomes-Based Education philosophy in enhancing clinical adaptability skills among medical students
Objective To explore the effectiveness of an emergency medicine case immersion teaching method based on the Outcomes-Based Education(OBE)philosophy on improving clinical adaptability skills in clinical professional students.Methods This retrospective cohort study analyzed undergraduate third-year medical,anesthesia,and radiology students who took emergency medicine courses at Guangdong Medical University from the second half of 2021 to 2023.Students from the second half of 2021 were taught using the five-step blended teaching method,while those from the second halves of 2022 and 2023 were taught using an emergency medicine case immersion teaching method based on the OBE philosophy.Students were divided into two groups:a five-step blended teaching method group(n=942)and an OBE-based case immersion teaching group(n=1783),according to their teaching approach.The effectiveness of different teaching methods was evaluated by comparing clinical practice ability scores,theoretical test scores,and practical operation scores between the two groups.Results In terms of clinical practice ability scores,students taught using the immersive case-based method outperformed those in the five-step blended teaching group in history-taking skills(P=0.007),professional attitude(P=0.003),communication skills(P=0.002),clinical judgment(P=0.009),procedural techniques(P=0.008),aseptic technique(P=0.007),overall coherence(P=0.025),overall coordination(P=0.025),and humanitarianism(P=0.023).Regarding theoretical test scores,the immersive case-based teaching group had significantly higher average scores in basic knowledge(P=0.045).For practical operation scores,students using the immersive case-based method scored significantly higher in on-site emergency care,trauma emergency care,disease management,cardiopulmonary resuscitation,and acute poisoning treatment(P<0.05).Conclusions The emergency medicine case immersion teaching method based on the OBE philosophy demonstrated significant effectiveness in enhancing medical students'clinical adaptability and related skills.It not only improved students'clinical practice abilities,theoretical test scores,and practical operation scores but also increased their satisfaction.

Emergency medicineImmersion teaching methodOutcomes-Based EducationCase-based teaching methodologyClinical specialties

黄涛、林文佳、王颖鑫、彭晓东

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524000 广东湛江,广东医科大学附属医院急诊医学教研室

急诊医学 沉浸式教学 OBE教学 案例教学法 临床专业

2025

齐齐哈尔医学院学报
齐齐哈尔医学院

齐齐哈尔医学院学报

影响因子:0.854
ISSN:1002-1256
年,卷(期):2025.46(2)