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"一体两翼三融四合"模式在内科学临床实践教学中的应用

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目的 探讨"一体两翼三融四合"教学模式在内科学临床实践教学中的应用效果.方法 2023 年 6-10月,以锦州医科大学第三临床医学院 2019 级临床医学专业临床实践阶段的 276 名医学生为研究对象,随机分为试验组和对照组.对照组 136 名,采用传统的教学模式;试验组 140 名,采用"一体两翼三融四合"教学模式.通过多层次实践考核方法,统筹考核学习过程与学习结果,比较分析 2 组学生的综合实践应用能力及科研创新能力.考核内容包括基础知识(占比25%)、基本技能(占比 25%)、实践应用能力(占比30%)、科研创新能力(占比 20%)4 个层次.采用教师和学生问卷、同行和专家评议,成绩分析,并借助培养单位和家长等第三方来评价教学效果.结果 2 组基础理论知识考试的成绩比较,差异无统计学意义(P>0.05).试验组基本技能考核成绩、实践应用能力考核成绩、科研创新能力考核成绩及总成绩[(22.4±1.2)分、(27.7±1.1)分、(17.3±1.6)分、(91.1±2.7)分]均高于对照组[(20.3±1.3)分、(23.8±0.8)分、(14.2±1.4)分、(81.4±2.3)分],差异有统计学意义(P<0.05).97.67%的学生认为此种教学模式的教学设计较为合理,98.45%的学生认为教学过程得到优化,96.51%的学生认为提升了教学满意度.结论 "一体两翼三融四合"教学模式能充分发挥学生的主体作用,提高学生实践应用能力和科研创新能力,培养学生科研创新思维和综合素质.
The Application of "One Body,Two Wings,Three Fusions and Four Integrations" Teaching Mode in Clinical Practice Teaching of Internal Medicine
Objective To explore the application effect of"one body,two wings,three fusions and four integrations"teaching mode in clinical practice teaching of internal medicine.Methods From June to October 2023,a total of 276 medical students in the clinical practice stage of clinical medicine major of grade 2019 in the Third Clinical College of Jinzhou Medical University were selected as the research objects and randomly divided into experimental group and control group.In the control group,a total of 136 students were subjected to the traditional teaching model;in the experimental group,a total of 140 students were subjected to the"one body,two wings,three integrations,four combinations"teaching model.Through multi-level practical assessment methods,the learning process and outcomes were comprehensively assessed to compare and analyze the comprehensive practical application abilities and scientific innovation abilities of students in the two groups.The assessment content included four levels:basic knowledge(accounting for 25%),basic skills(accounting for 25%),practical application ability(accounting for 30%),and scientific innovation ability(accounting for 20%).The teaching effect was evaluated through teacher and student questionnaires,peer and expert reviews,grade analysis,and with the help of third parties such as training institutions and parents.Results There was no significant difference between the two groups in the results of basic theoretical knowledge examination(P>0.05).The test scores of basic skills,practical application ability,scientific research and innovation ability and total scores[(22.4±1.2)points,(27.7±1.1)points,(17.3±1.6)points,(91.1±2.7)points]of the experimental group were higher than those of the control group[(20.3±1.3)points,(23.8±0.8)points,(14)points.2±1.4 points,(81.4±2.3)points],the difference was statistically significant(P<0.05).97.67%of the students thought that the teaching design of this teaching mode was more reasonable,98.45%of the students thought that the teaching process was optimized,and 96.51%of the students thought that the teaching satisfaction is improved.Conclusion The teaching mode of"one body,two wings,three fusions and four integrations"can give full play to the students'principal role,improve their practical application ability and scientific research innovation ability,and train their scientific research innovation thinking and comprehensive quality.

new medicineinternal medicineclinical practiceteaching modeapplication abilitycreative thinking

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锦州医科大学附属第三医院消化科,辽宁 锦州 121000

新医科 内科学 临床实践 教学模式 应用能力 创新思维

辽宁省教育科学"十四五"规划2022年度课题辽宁省社会科学规划基金项目

JG22DB275L22BGL026

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(13)
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