标准教学模式下军队医学博士生流行病学三年授课效果的初步探讨  

Preliminary discussion of three-year teaching effect of epidemiology of phD graduates in a military college under the standard mode of education

作　　者：赛晓勇[1,2] 田鸥[2] 张士涛[3] 

机构地区：[1]解放军总医院老年医学研究所,北京100853 [2]解放军总医院标准化办公室,北京100853 [3]解放军总医院医务部,北京100853

出　　处：《中国医药导报》2014年第6期131-133,共3页China Medical Herald

基　　金：解放军总医院科研扶持基金(编号2013FC-GLCX-1012-01;2013FC-GLCX-1012-03)

摘　　要：目的在医院标准化建设的背景下,回顾性分析解放军总医院(以下简称"我院")医学博士生连续3年《临床流行病学》病因学大课的授课效果,为构建标准化教学模式提供依据。方法选择我院2008、2009级和2010级全部博士研究生,上课前后采用统一的问卷进行面对面调查,对正确率进行分析。结果问卷包括是非判断题共10道,上课前,考查"RR值"题目,2008级得分最低,2009级和2010级有所上升;"OR值"题目,2009级得分最低,2010级有所上升;差异有统计学意义(P<0.05)。上课后,考查"病例对照研究设计类型"题目,3年正确率逐渐下降;考查"RR值"题目,2009级得分最高,2010级最低;考查"混杂"概念题目,3个年级正确率逐渐上升;考查"OR值"及"队列研究"的题目,3个年级正确率以2008级最高,2009级最低;该5题结果差异均具统计学意义(P<0.05)。总体比较,2008级和2009级研究生上课后总分较上课前上升(P<0.05);与2008级比较,2010级上课前得分显著降低(P<0.05)。上课后3个年级总分逐年下降且差异有统计学意义(P<0.05)。结论 "混杂"、"RR值"、"OR值"、"病因学方法"等概念教学需加强,标准化教学改革应针对每年不同教学难点和重点内容开展。Objective To investigate the teaching effects of etiology of Clinical Epidemiology in grade 2008,2009,2010 graduates in General Hospital of PLA （＂our hospital＂ for short） under the background of standardized construction in hospital,in order to provide basis for the construction of future standard teaching system.Methods Before and after the class,the same questionnaire included 10 items were investigated among grade 2008,2009,2010 graduates in our hospital.The correct rate was analyzed.Results There were 10 questions include in the questionnaire.Before the class,the correct rates of ＂relative risk＂ was lowest in grade 2008,and raised in grade 2009 and 2010; the correct rates of ＂odds ratio＂ was lowest in grade 2009,and raised in grade 2010; there were statistically significant differences in the two questions among different grades （P 〈 0.05）.After the class,the correct rates of ＂case control study＂ were descended in three years; the correct rates of ＂relative risk＂ were highest in grade 2009 and lowest in grade 2010; the correct rates of ＂confounding＂ were ascended in three years; the correct rates of ＂odds ratio＂,＂cohort study＂ were highest in grade 2008 and lowest in grade 2009; the differences were all statistically significant （P 〈 0.05）.After the class,the total scores in grade 2008 and 2009 were ascended than before the class （P 〈 0.05）.Compared with grade 2008,scores of grade 2010 significantly reduced before the class （P 〈 0.05）.After the class,scores were descended year by year in the three grades （P 〈 0.05）.Conclusion ＂Confounding＂,＂relative risk＂,＂odds ratio＂ and ＂causation of disease＂ are difficult areas in teaching.The teaching innovation needs improvement focus on different teaching difficulty and key content.

关 键 词：标准化建设 临床流行病学 教学效果 研究生教育 

分 类 号：G642[文化科学—高等教育学]