内环境系统教学中开展课堂现场分段研读讨论病例的效果评价  

Teaching effectiveness evaluation on classroom-site segmented discussions of a patient case in internal environment system

作　　者：涂自智[1] 肖子辉[1] 文志斌[1] 蒋碧梅[1] 刘瑛[1] 张华莉[1] 肖献忠[1] 

机构地区：[1]中南大学湘雅医学院病理生理学系,长沙410078

出　　处：《中华医学教育探索杂志》2017年第11期1108-1111,共4页Chinese Journal of Medical Education Research

摘　　要：目的调查内环境系统中应用课堂现场分段研读讨论病例的教学效果，为完善相关讨论课的教学方法提供参考依据。方法以中南大学湘雅医学院两届临床医学八年制和五年制卓越医师班250名学生为调查对象，对实行的“课堂现场分段研读讨论病例”方案进行效果调查。主要了解学生对本方案特点和优势的看法、学生喜爱支持本方案的理由等。采用无记名问卷调查，共发放问卷250份，回收有效问卷247份，运用Excel和SPSS17．0统计软件收集、处理数据，描述性分析计算各指标百分率。结果①学生认为本方案所具有的优势体现在以下方面：减轻学生负担（78．5％，194／247）、提高学生参与积极性（85．4％，211／247）、提高课堂讨论质量（80．5％，198／246）、增强学生的团结协作精神（78．5％，194／246）、扩大学生思考探索空间（84．5％，207／245）、该教学与临床诊疗过程接近（84．0％，197／235）。②学生喜爱支持本方案的主要理由有：减轻学生负担（83，4％，206／247）、提高课堂讨论质量（72．4％，179／247）、培养学生挖掘临床信息的能力（82．4％，203／247）。结论在内环境系统教学中开展课堂现场分段研读讨论病例的方法，减轻了学生学习负担，提高了教学质量，能有效培养学生的临床思维能力，深受学生欢迎，对其他课程的讨论课开展也有积极的参考价值。Objective To provide reliable reference for improving teaching methods of case discussion, the teaching effectiveness evaluation on classroom-site segmented discussions of a patient case was completed in internal environment system. Methods The questionnaire survey was conducted among 250 clinic students of 8-year program and of 5-year program to investigate the teaching effectiveness following implementation of the teaching plan called ＂classroom-site segmented study of patient case debate competition seminars＂. The contents of questionnaire survey included： the students＇ view on characteristics and advantages of this teaching plan and the reasons for favoring and supporting the plan. Investigation was conducted using an anonymous questionnaire. A total of 250 questionnaires were distributed and 247 valid questionnaires retrieved. Data collection and analysis were performed by using Excel and SPSS 17.0 statistical software, percentage of each observing parameter was calculated. Results （1）The students＇ view on advantages of the plan included following： reducing students＇ study burden by 78.5% （194/247）, increasing the students＇ engagement in class activities by 85.4% （211/247）, improving teaching quality in class discussion by 80.5% （198/246）, enhancing team spirit among students by 78.5% （194/246）, expanding students＇ thinking and exploring space by 84.5% （207/245）, and similarity of this teaching plan to clinical diagnosis and treatment process reached to 84.0% （197/235）. （2）The students＇ reasons for favoring and supporting this plan included： reducing students＇ study burden by 83.4% （206/247）, improving teaching quality in class discussion by 72.4% （179/247）, and training students＇ ability to search clinical information by 82.4% （203/ 247）. Conclusion Implementation of the teaching plan, ＂classroom-site segmented study of patient case debate competition seminars＂, in internal environment system has reduced students＇ study burden, impr

关 键 词：内环境 病例讨论 教学方案 效果评价 

分 类 号：R193.8[医药卫生—卫生事业管理]