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医学本科临床专业理论课程教改方法探讨

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目的 探讨医学本科附属医院大四临床专业理论课程的教学方法改革措施.方法 选取 2021 年 9 月—2022 年 7 月齐鲁医药学院 2018 级临床专业学生 62 名为试验组,采用案例教学法(case-based learning,CBL)联合基于问题的学习(problem-based learning,PBL);选取 2022 年 9 月—2023 年 7 月潍坊医学院 2019 级临床专业学生 52 名为对照组,采用传统的讲授法(lecture-based learning,LBL)教学法.通过测评理论授课及实践技能成绩和问卷调查进行评价分析.结果 测评成绩结果显示试验组学生的理论成绩(86.28±10.52)分、实践成绩(81.92±11.83)分和总成绩(85.40±10.79)分,均高于对照组学生的理论成绩(79.46±11.42)分、实践成绩(73.46±13.84)分和总成绩(78.27±11.91)分,差异有统计学意义(P<0.05).试验组理论知识掌握率、课堂满意度均高于对照组,差异有统计学意义(P<0.001).结论 CBL+PBL教学法能够充分调动学生学习的主动性和积极性,提高对理论知识的掌握程度及临床实践能力.而且和小儿外科进行学科融合,循证医学思维得到良好的建立,体现了新型医学人才培养的教学模式,学生满意度高.
Discussion on Teaching Reform Method of Clinical Major Theory Course of Medical Undergraduate
Objective To explore the teaching method reform of senior clinical specialty theory course in medical undergraduate affiliated hospital.Methods A total of 62 students of clinical majors of Qilu Medical University in 2018 that from September 2021 to July 2022 were selected as the experimental group,adopted the problem-based learning(PBL)teaching reform based on the case-based learning(CBL).A total of 52 students of clinical majors of Weifang Medical University in 2019 that from September 2022 to July 2023 were selected as the control group,adopted the traditional lecture-based learning(LBL)teaching method.The evaluation was analyzed through the evaluation theory teaching,practical skills performance and questionnaire survey.Results The test results showed that the theoretical scores[(86.28±10.52)points],practical scores[(81.92±11.83)points]and total scores[(85.40±10.79)points]of students in the experimental group were higher than those of students in the control group[(79.46±11.42)points,(73.46±13.84)points and(78.27±11.91)points],the differences were statistically significant(P<0.05).The theoretical knowledge mastery rate and classroom satisfaction in the experimental group were higher than that of the control group,and the difference was statistically significant(P<0.001).Conclusion The PBL teaching mode based on CBL can fully mobilize students'initiative and enthusiasm in learning,improve their mastery of theoretical knowledge and clinical practice ability,and establish the thinking of evidence-based medicine,emembodies the teaching mode of new medical talent training,and the satisfaction is higher.

clinical thinkingmedical education reformnew medical disciplinediscipline integrationaffiliated hospitaltheoretical classroom

徐翠、李昌秋、于瑞秀、范春燕、郝姝、孙乐、田光波

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淄博市第一医院儿科,山东 淄博 255200

齐鲁医药学院附属医院普外科,山东 淄博 255200

淄博市中西医结合医院群工办,山东 淄博 255000

淄博市第一医院教育培训部,山东 淄博 255200

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临床思维 医学教育改革 新医科 学科融通 附属医院 理论课堂

齐鲁医药学院教学改革研究项目

XJJY2132

2024

中国继续医学教育

中国继续医学教育

影响因子:2.564
ISSN:1674-9308
年,卷(期):2024.16(5)
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