首页|"精诚合一"理念下《伤寒琢》辅助伤寒学课程的实践研究

"精诚合一"理念下《伤寒琢》辅助伤寒学课程的实践研究

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目的:明晰《伤寒琢》在中医学生伤寒学课程中的教学效果。方法:在2020~2021学年第一学期,选择南京中医药大学两个同年级相同专业中医本科大三班级,分别设为对照组(n=53)及试验组(n=51),每组总课时皆为72学时,其中对照组采用传统伤寒论教学,而试验组则在传统教学基础上,适当压缩教材教学时间,在平时教学过程中融入《伤寒琢》相关教学内容。学期末课程结束后,两组分别进行考核,考核内容分为两大部分,临床标准化病人(standardized patients,SP)考核及统一试卷考试,具体为中医临床诊疗操作、医德考核及SP打分,各占总成绩20%,而试卷考试占总成绩40%;最后将2大考核部分、4个项目成绩按比例计算总成绩。结果:对照组缓考3人,试验组缓考2人。SP考核中,中医临床诊疗操作、医德考核及SP打分成绩两组差异皆有统计学意义(P<0。05),而卷面成绩无统计学差异(P>0。05)。最后两组总成绩有统计学差异(P<0。05)。结论:将《伤寒琢》内容融入中医学生伤寒学教学实践中,并不影响学生卷面成绩,且对学生的医德修养、临床诊疗水平及总体学习成绩皆有促进作用。
Practical research on《Pondering on treatise on Febrile Diseases》assisted Treatise on Febrile Diseases course under the concept of"integrity and integrity"
Objective:To explore the teaching effect of《Pondering on Treatise on Febrile Diseases》in the course of typhoid fever for students of traditional Chinese medicine.Methods:in the first semester of 2020~2021 academic year,two junior Chinese medicine classes of the same grade and specialty in Nanjing University of traditional Chinese medicine were selected,they were divided into control group(53 Students)and experimental group(51 students),the total class hours of each group were 72 hours,in which control group was the traditional teaching of《Treatise on Febrile Diseases》,while the experimental group compressed the teaching time properly on the basis of traditional teaching,and integrated the relevant teaching content of《Pondering on treatise on Febrile Diseases》into the normal teaching process.At the end of the semester,the two groups will be assessed separately.The assessment content is divided into two parts,the standardized patients(SP)assessment and the unified examination paper,which are specifically divided into the clinical diagnosis and treatment operation of traditional Chinese medicine,medical ethics assessment and SP scoring,each accounting for 20%of the total score,while the examination paper accounts for 40%of the total score;Finally,the total score of the two major assessment parts and four items will be calculated in proportion.Results:Control group postponed the examination for 3 people,and Experimental group postponed the examination for 2 people.In the SP examination,there were statistically significant differences between the two groups in clinical diagnosis and treatment of TCM,medical ethics examination and SP score(P<0.05);However,there was no significant difference in the scores of the test paper(P>0.05);The total score of the last two groups had statistical difference(P<0.05).Conclusion:the integration of《Pondering on Treatise on Febrile Diseases》content into the teaching practice of typhoid fever for students of traditional Chinese medicine does not affect the students'paper scores,but also promotes the students'medical ethics,clinical diagnosis and treatment level and overall academic performance.

Integration of medical skills and medical ethicsPondering on treatise on febrile diseasesTeaching of treatise on febrile diseasesStandardized patients

马俊杰

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南京中医药大学中医学院,江苏南京 210023

精诚合一 伤寒琢 伤寒学教学 标准化病人

国家中医药考试科研课题(2022)江苏省高教学会评估委员会项目江苏省高教学会高校成人教育研究会成人高等教育研究课题(2023)江苏省中医药科技发展计划

TB20220142021-C116CJY-12MS2021007

2024

中国高等医学教育
浙江大学,全国高等医学教育学会

中国高等医学教育

影响因子:0.963
ISSN:1002-1701
年,卷(期):2024.(4)
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