首页|三维人体解剖模型结合CBL教学法在下肢骨折临床教学中的应用

三维人体解剖模型结合CBL教学法在下肢骨折临床教学中的应用

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目的 探究三维人体解剖模型(3D-body)结合以案例为基础的教学法(CBL)在下肢骨折临床教学中的应用效果。方法 选取赣南医科大学附属兴国医院的2023年9月—2024年4月临床医学专业本科实习生48名作为研究对象,按照随机数字表法分为研究组24名、对照组24名。对照组实施传统的下肢骨折教学方法,研究组实施3D-body结合CBL教学方式,比较两组教学前后考核成绩、批判性思维能力(CTDI-CV评分)、教学评价的差异。结果 相较于教学前,实习生教学后理论成绩、临床实践技能成绩均升高,且研究组教学后理论成绩、临床实践技能成绩较对照组更高(P<0。05)。相较于教学前,实习生教学后认知成熟度得分、开放思想得分、寻求真相得分、系统化能力得分、信心得分、求知欲得分、分析能力得分均升高,且研究组教学后批判性思维能力(CTDI-CV评分)较对照组更高(P<0。05)。研究组教学吸引力、手术方案制定能力、对典型骨折认识深度、教学满意度较对照组更高,对外架操作所需操作练习次数较对照组更低(P<0。05)。结论 3D-body结合CBL教学应用于下肢骨折临床教学具有较好效果,可有效提高考核成绩与教学评价,利于实习生批判性思维能力形成。
Application of three-dimensional human anatomy model combined with CBL in clinical teaching of lower limb fractures
Objective To explore the effectiveness of a three-dimensional human anatomy model(3D-body)combined with a case-based learning method(CBL)in the clinical teaching of lower limb fractures.Methods Forty-eight undergraduate interns majoring in clinical medicine from September 2023 to April 2024 from Xingguo Hospital affiliated with Gannan Medical U-niversity were selected as research subjects from September 2023 to April 2024.They were divided into research group(n=24)and control group(n=24)using the random number table method.The control group received the traditional teaching method,and the research group received instruction with the 3D-body model combined with CBL.The two groups were compared in terms of examination performance,critical thinking ability(CTDI-CV score),and teaching evaluation.Results After the implementa-tion of teaching methods,both groups had increases in the scores of the theoretical examinations and clinical practice skill assess-ments and the research group even performed significantly better in the scores of both theoretical examinations and clinical practice skill assessments compared to the control group(P<0.05).Additionally,the research group exhibited significantly higher scores of cognitive maturity,open-mindedness,truth seeking,conclusion of knowledge,confidence,curiosity,analytical ability,and critical thinking ability compared to the control group(all P<0.05).Moreover,the research group performed significantly better in teaching attraction,surgical plan formulation ability,in-depths understanding of typical fractures,and satisfaction with teach-ing,but demonstrated significantly reductions of operation exercises required for external frame operation as compared to the con-trol group(P<0.05).Conclusion 3D-body combined with CB is effective for enhancing clinical teaching of lower limb frac-ture.It can effectively improve the intern's examination performances and elevate teaching evaluation.It is conducive to cultiva-ting interns'critical thinking ability.

Lower extremity fractureThree-dimensional human anatomy modelCase-Based LearningClinical teaching

胡兴华、刘洁、刘强

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赣南医科大学附属兴国医院 江西赣州 342400

下肢骨折 三维人体解剖模型 以案例为基础的教学法 临床教学

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(8)