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微格教学在医学生临床教学中效果的Meta分析

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目的 系统评估微格教学法在医学生临床教学中的教学效果。方法 检索2024年9月前公开发表的有关微格教学方法在医学生临床教学方面的研究,按照Cochrane评价标准进行文献质量评价,采用RevMan 5。4软件进行Meta分析。结果 共有46篇,合计3 551名学员纳入本次研究。微格教学组的基础理论成绩(SMD=5。18,95%CI:3。97-6。39,P<0。000 01)、临床实践技能成绩(SMD=7。26,95%CI:6。14-8。37,P<0。000 01)、总体满意度(OR=5。65,95%CI:4。12-7。76,P<0。000 01)、提高学习兴趣(SMD=2。07,95%CI:1。50-2。63,P<0。000 01)、提高团队合作能力(SMD=1。27,95%CI:0。68-1。87,P<0。000 1)、提高自主学习能力(SMD=1。10,95%CI:0。74-1。46,P<0。000 01)、提高操作能力(SMD=1。04,95%CI:0。36-1。73,P=0。003)、活跃课堂氛围(SMD=0。94,95%CI:0。40-1。47,P=0。000 6)和培养临床思维(SMD=0。82,95%CI:0。69-0。96,P<0。000 01)方面均优于传统教学组学员。结论 微格教学法可提高学员基础理论和临床实践技能成绩,提高学员满意度,同时有利于提升学员的学习兴趣、团队合作能力、自主学习能力、提高操作能力、活跃课堂氛围和培养临床思维。
A Meta-analysis of the Effectiveness of Microteaching in Clinical Teaching for Medical Students
Objective To systematically evaluate the effectiveness of the microteaching method in clinical teach-ing for medical students.Methods Studies on microteaching in clinical teaching formedical students published before September 2024 were retrieved.The quality of the literature was evaluated according to the Cochran evaluation criteria.RevMan 5.4 software was used for meta-analysis.Results A total of 46 studies involving 3,551 participants were included.The microteaching group outperformed the lecture-based learning group regarding basic theory scores(SMD=5.18,95%CI:3.97-6.39,P<0.000 01),clinical practice skills scores(SMD=7.26,95%CI:6.14-8.37,P<0.000 01),overall satisfaction(OR=5.65,95%CI:4.12-7.76,P<0.000 01),improved interest in learning(SMD=2.07,95%CI:1.50-2.63,P<0.000 01),team cooperation ability(SMD=1.27,95%CI:0.68-1.87,P<0.000 1),autonomous learning ability(SMD=1.10,95%CI:0.74-1.46,P<0.000 01),operational ability(SMD=1.04,95%CI:0.36-1.73,P=0.003),enlivened classroom atmosphere(SMD=0.94,95%CI:0.40-1.47,P=0.000 6),and cultivation of clinical reasoning(SMD=0.82,95%CI:0.69-0.96,P<0.000 01).Conclusion The microteaching method can improve students'scores in basic theory and clinical practice skills,and improve their satisfaction.Meanwhile,it also can enhance their interest in learning,teamwork ability,independent learning ability and operational ability,cultivate their clinical reasoning,and enliven classroom atmosphere.

MicroteachingLecture-based learningMedical studentClinical teachingMeta-analysis

杨含腾、张耕源、陈刚、李龙

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兰州大学第二医院普通外科一病区,甘肃 兰州 730030

兰州大学第二医院普通外科三病区,甘肃 兰州 730030

兰州大学第二医院普通外科七病区,甘肃 兰州 730030

微格教学 传统教学 医学生 临床教学 Meta分析

2025

医学教育研究与实践
西安交通大学 陕西省医学会

医学教育研究与实践

影响因子:0.86
ISSN:2096-3181
年,卷(期):2025.33(1)