以学生为中心的病例分析在临床麻醉教学中的应用  

Using student-centered case study in clinical anesthesia teaching

作　　者：左友波[1] 李军祥[1] 陈昌林[1] 陈斌[1] 涂发平[1] 

机构地区：[1]川北医学院,四川南充637000

出　　处：《中国高等医学教育》2016年第11期94-95,共2页China Higher Medical Education

摘　　要：目的:探讨以学生为中心的病例分析在临床麻醉教学中的应用效果。方法:选取2011年-2014年麻醉学系本科实习生98名,以年级为单位分为3组:对照组(C组,n=32)、传统病例分析组(T组,n=33)和实验组(S组,n=33)。C组给予系统化理论教学,T组进行以教师为中心的病例分析结合系统化理论教学,S组进行以学生为中心的病例分析结合系统化理论教学。所有实习生在实习结束时进行临床技能考核和理论考试,比较分析三组间的教学效果。结果:在理论成绩和临床思维与技能考核中,T组成绩高于C组,S组成绩又高于C组和T组(P<0.05)。结论:单纯理论教学相比,病例分析更能提高学生综合素质,提高教学效果,有助于培养学生的临床思维与技能,且以学生为中心的病例分析临床教学效果更佳。Objective：To explore the student centered case analysis in clinical anesthesia teaching. Methods：98 interns from year 2011 to 2014 were allocated into three groups based grades：control group （group C,n = 32） ,traditional case analysis group （group T,n= 33） and ob- servation group （group S,n = 33）. All group were given systematic theory teaching, group T was treated with teacher centered case analysis as addition and group S was treated with student centered case analysis as addition. All interns accepted clinic skill assessment and theoretical ex- amination at the end of internship, and analysis the teaching effects between the three groups. Results：In the evaluation of academic performance and clinical thinking and skills,group T was higher than that in group S,and group C was higher than that in group C and group T （ P 〈 0.05）. Conclusion： Compared with the pure theory teaching, case analysis can improve the students＇ comprehensive quality, improve the teach- ing effect, and the student centered case analysis is better than the teacher centered case analysis in teaching.

关 键 词：病例分析 以学生为中心 教学法 

分 类 号：G642.0[文化科学—高等教育学]