以器官系统为中心的教学改革实践及思考  

Practice and reflection on the ＂organ-system-based＂ curriculum reform

作　　者：吴晓云[1] 常静[2] 肖忠秀 余湘 Wu Xiaoyun, Chang Jing,Xiao Zhongxiu, Yu Xiang(Cardiology Department of Children＇s Hospital Affiliated to Chongqing Medical University, Chongqing 400014, China ; Cardiology Department of the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China)

机构地区：[1]重庆医科大学附属儿童医院心内科,400014 [2]重庆医科大学附属第一医院心内科,400016

出　　处：《中华医学教育探索杂志》2018年第5期467-470,共4页Chinese Journal of Medical Education Research

摘　　要：以器官系统为中心（organ—system-based curriculum，OSBC）的医学课程模式以器官系统为主线，将基础医学与临床内容紧密联系，打破了传统教学模式学科间的界限。重庆医科大学为进行OSBC改革重新构建了教学体系，将传统的24门课程合理整合成12门．同时从各基础和临床教研室遴选人员组建了全新的整合教学团队。从2011年开始组建卓越班进行OSBC教学试点，通过与传统教学班相比较，在学生满意度调查、考试成绩和及格率等方面，试行OSBC的卓越班均优于传统教学班；相关教改经验有利于在全校五年制临床医学专业全面推行OSBC。The organ-system-based curriculum （OSBC） medical teaching model with the organ system as the main line closely links the basic medical curriculum with the clinical practice, and breaks the boundaries between different subjects. As this novel teaching model is still in the early stage in China, Chongqing Medical University pioneered to reconstruct the teaching system for OSBC teaching reform, including the great efforts to integrate e the traditional 24 courses into 12, and to allocate talents from various basic and clinical teaching departments to form a new integrated teaching team. In 2011, this new mode was implemented in a pilot class of students. The results showed the 2011 five-year pilot class showed more satisfaction than did the traditional teaching class [（92.5 ± 4.6）% vs. （72.5 ± 4.9）%, P〈0.05]. Besides, the test scores of the pilot class and the traditional class were （80.0 ± 3.6） and （71.0 ± 5.9） respectively（P〈0.05）, and the failing rate was （3.7% in pilot class and 9.3% in traditional class（P〈0.05）. Since the pilot class perform better than the traditional one, the reform of OSBC was implemented for all five-year clinical medicine program in Chongqing Medical University in 2018.

关 键 词：医学教育 教学改革 整合医学 以器官系统为中心 医学课程体系 

分 类 号：R54[医药卫生—心血管疾病]