临床医学专业系统整合课程改革初探  

Preliminary Exploration on System-Based Integrated Course Reform in Clinical Medicine Discipline

作　　者：曾静[1] 卿平[2] 左川[1] 王一平[1] 赵继春[3] 万学红[2] 邹明英[1] 邓蓓[3] 

机构地区：[1]四川大学华西临床医学院内科教研室,成都610041 [2]四川大学华西临床医学院教务部,成都610041 [3]四川大学华西临床医学院外科教研室,成都610041

出　　处：《中国循证医学杂志》2013年第5期548-552,共5页Chinese Journal of Evidence-based Medicine

基　　金：美国中华医学基金会资助项目(编号:CMB#0082827601144)

摘　　要：目的比较八年制临床医学专业实施系统整合课程前后医学生问卷调查结果的差异,以期为临床课程体系改革提供反馈意见。方法连续两年采用问卷调查四川大学临床医学专业2005和2006级八年制学生对整合临床课程的看法,根据反馈结果相应调整教学措施后,比较两年差异。结果共调查2005级79人、2006级78人,两个年级医学生基线匹配。统计分析结果显示,2006级学生对整合课程的整体认知(χ2=32.924,P<0.001)和评价(t=–2.900,P=0.004)较2005级学生有所改善,且有更多的同学倾向于整合课程,但差异无统计学意义。结论系统整合临床课程作为新生事物,虽然存在不足,但改革的思路和方向仍然受到学生的肯定,值得推广。Objective To compare the survey results of the 8-year program students of clinical medicine discipline before and after the implementation of system-based integrated course reform, to provide feedback for system-based inte- grated course reform. Methods 3he questionnaire survey was continuously conducted for 2 years among the 8-year pro- gram students in grade of 2005 and 2006, so as to investigate their attitudes towards the integrated clinical courses, then relevant improvement of teaching measures were performed according to their feedback, and the difference of teaching effects between those 2 years was finally compared. Results A total of 79 students in grade 2005 and 78 students in grade 2006 were investigated. The baseline data were matched between the 2 grades. The results of statistical analysis showed that, the overall cognition （X2=32.924, P〈0.000 1） and assessment （t=-2.900, P=0.004） of integrated courses among stu- dents in grade 2006 got more improved in comparison with the students in grade 2005, and more students tended to select integrated courses, but there was no statistical difference. Conclusion Although system-based integrated clinical course as a new thing has its limitations, the reform idea and direction are still approved by students, so it is worth popularizing.

关 键 词：系统整合课程 临床医学 教育 医学 教育改革 

分 类 号：G642[文化科学—高等教育学] R-4[文化科学—教育学]