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三阶段混合式教学法在医学生内科临床技能教学中的应用

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目的:探索三阶段混合式教学法在医学生临床内科技能教学中的应用效果。方法:选择2015级临床医学专业153名学生作为研究对象,将其分为试验组和对照组。试验组采用三阶段混合式教学方法,对照组采用传统教学方法。学习结束后,两组学生均参加内科临床技能毕业考试,包含胸腔穿刺、腹腔穿刺、腰椎穿刺和骨腔穿刺4个内科站点。结果:试验组每个站点的考试成绩及总分均高于对照组[胸腔穿刺:(84。25±7。96)分 vs。(80。81±8。22)分、腹腔穿刺:(84。11±6。38)分 vs。(81。10±7。13)分、腰椎穿刺:(83。84±7。28)分vs。(80。96±6。83)分、骨腔穿刺:(84。12±6。56)分 vs。(81。92±7。01 分,总分:(84。08±7。04)分 vs。(81。18±7。30分)](均P<0。05)。同时,试验组培训后每个站点的考试成绩及总分均高于培训前[胸腔穿刺:(84。25±7。96)分vs。(79。88±9。05)分、腹腔穿刺:(84。11±6。38 分 vs。79。96±9。79)分、腰椎穿刺:(83。84±7。28 分 vs。79。67±9。88)分、骨腔穿刺:(84。12±6。25)分 vs。(79。99±9。90)分,总分:(84。08±7。04)分 vs。(79。82±9。14)分](均P<0。05)。结论:三阶段混合式教学法有助于提升医学生的内科临床技能,弥补了传统教学方法的不足。
Application of the Three-Stage Blended Learning Approach in Medical Students'Clinical Skills Teaching in Internal Medicine
Objective:To explore the effectiveness of the three-stage blended learning approach in teaching clinical skills in internal medicine to medical students.Methods:A total of 153 clinical medicine students from the 2015 cohort at Renmin Hospital of Wuhan University were selected as study participants and divided into an experimental group and a control group.The experimental group adopted the three-stage blended learning method,The control group used traditional teaching methods.After the course,both groups participated in a graduation examination for clinical skills in internal medicine,which included four internal medicine procedures:thoracentesis,abdominal paracentesis,lumbar puncture,and bone marrow aspiration.Results:The exam scores for each procedure and the total score were significantly higher in the experimental group than in the control group thoracentesis:(84.25±7.96)vs.(80.81±8.22);abdominal paracentesis:(84.11±6.38)vs.(81.10±7.13);lumbar puncture:(83.84±7.28)vs.(80.96±6.83);bone marrow aspiration:(84.12±6.56)vs.(81.92±7.01);total score:(84.08±7.04)vs.(81.18±7.30),with differences being statistically significant(all P<0.05).Additionally,the post-training exam scores for each procedure and the total score in the experimental group were significantly higher than the pre-training scores thoracentesis:(84.25±7.96)vs.(79.88±9.05);abdominal paracentesis:(84.11±6.38)vs.(79.96±9.79);lumbar puncture:(83.84±7.28)vs.(79.67±9.88);bone marrow aspiration:(84.12±6.25)vs.(79.99±9.90);total score:(84.08±7.04)vs.(79.82±9.14),with differences being statistically significant(all P<0.05).Conclusion:The three-stage blended learning approach is effective in enhancing medical students'clinical skills in internal medicine and addresses the shortcomings of traditional teaching methods.

Three-stage blended learning approachClinical skills in internal medicineMedical studentsTeaching effectiveness

邹莉萍、安萍、刘忠纯

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武汉大学人民医院,湖北武汉 430060

三阶段混合式教学法 临床内科技能 医学生 教学效果

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.(8)