“三位一体”临床实习教学模式研究  

Research on trinity teaching mode of clinical practice

作　　者：徐名颂[1] 吴丹桂[1] 张晋湘[1] 

机构地区：[1]广州医科大学附属第二医院教学管理科,510260

出　　处：《中华医学教育探索杂志》2013年第10期1040-1042,共3页Chinese Journal of Medical Education Research

基　　金：广州市教育科学“十一五”规划课题（09A071）;广东省高等教育教学改革立项项目（BKYB2011073）

摘　　要：目的探讨床边教学、模拟教学和网络教学“三位一体”的实习教学模式的应用效果。方法针对广州医科大学2006级临床医学专业375名学生，将入学时随机划分的临床医学一系（188人）作为对照组、临床医学二系（187人）作为实验组，分别采用常规床边教学和“三位一体”教学。运用SPSS17．0软件，采用t检验（α=0．05）比较两组学生实习结束时毕业考试综合理论成绩的差异和临床技能成绩的差异：分析针对实验组学生的问卷调查结果，计算各选项学生选择的百分比。结果两组学生的毕业综合理论考试成绩和临床技能考核成绩的差异均有统计学意义（P〈0．05）。问卷调查显示，实验组学生对“三位一体”教学的赞同率达92．73％（153／165）。结论在当前临床教学资源相对紧缺的情况下，“三位一体”教学比单纯床边教学的效果更好。它有助于缓解临床教学资源的不足，增加学生学习的机会，提高实习教学效果。Objective To investigate the application effect of the new trinity teaching mode of clinical practice, which combines bedside teaching, simulation teaching and web-based teaching to- gether. Methods Totally 375 students of clinical medicine, enrolled into Guangzhou Medical Univer- sity in 2006, were randomly divided into department I of clinical medicine （control group, 188 stu- dents） and department II of clinical medicine （experimental group, 187 students）. The students of these two groups were taught respectively with the conventional bedside teaching mode and the trinity teaching mode. Then at the end of clinical practice, assessment results of comprehensive theory and clinical skill in the graduation exam were compared by t test （significance level α=0.05） using SPSS 17.0 software and the questionnaire results of students in experimental group were analyzed. Results There were statistical differences in comprehensive theory and clinical skill assessment scores between two groups（P〈0.05）. The questionnaire survey showed an approval rate of 92.73%（153/165） for trini- ty teaching mode. Conclusions Facing the shortage of clinical teaching resources, the trinity teach- ing mode is better than the simple bedside teaching mode. The trinity teaching mode can alleviate the pressure brought by the lack of clinical teaching resources at present, create more learning and prac- ticing opportunities for students, and improve the effects of clinical practice teaching.

关 键 词：临床实习 三位一体 床边教学 模拟教学 网络教学 

分 类 号：R4[医药卫生—临床医学]