医教协同背景下《社会医学与卫生事业管理》课程改革与实践研究  

Reform and practice for the Course of Social Medicine and Health Management in the context of cooperation between medicine and education

作　　者：荣胜忠[1] 邹立娜 赫英娟[1] 赵福阳[1] 崔新刚[1] 郭毓鹏[1] 刘凤海[1] 刘俊峰 李晓霞[1] RONG Sheng-zhong;ZOU Li-na;HAO Ying-juan(Department of Epidemiological and Health Statistics, School of Public Health of Madanjiang Medical University, Mudanjiang, Heilongjiang 157011, China)

机构地区：[1]牡丹江医学院公共卫生学院流行病与卫生统计教研室,黑龙江牡丹江157011 [2]牡丹江医学院附属红旗医院体检科,黑龙江牡丹江157011 [3]牡丹江医学院教师发展中心,黑龙江牡丹江157011

出　　处：《中华全科医学》2018年第9期1558-1561,共4页Chinese Journal of General Practice

基　　金：牡丹江医学院教育教学改革项目(JY2015030;JY2015031;JY2016008;MYPY20170010);黑龙江省高等教育学会"十三五"高等教育科研课题(16G462)

摘　　要：目的对《社会医学与卫生事业管理》课程进行改革,为培养医学生的全科医学思维与实践能力提供指导。方法从教学内容、教学计划、教学大纲、教学方法和考核方式等方面对课程进行改革,并以课改前307名学生为对照组,课改后252名学生为试验组,对课程内容编排、教学方法、全科医学思维与能力培养等进行评价。结果对照组学生对课程内容编排的满意率为75.91%(230/303),试验组为85.95%(208/242),明显高于对照组(χ~2=8.600,P=0.003);对照组学生对教学方法的满意率为79.87%(242/303),试验组为91.32%(221/242),明显高于对照组(χ~2=13.810,P<0.001);对照组学生对该课程培养自己全科医学思维与能力的满意率为58.41%(177/303),试验组为81.40%(197/242),明显高于对照组(χ~2=33.024,P<0.001);试验组学生在人群为基础的社区问题处理能力、整体医学观指导下的临床诊疗思维能力、维护健康的能力以及健康管理与急救能力的案例分析得分均明显高于对照组(均P<0.001)。结论医教协同背景下,基于全科医学思维与能力的《社会医学与卫生事业管理》课程改革令学生满意,有利于学生全科医学思维与实践能力的培养。Objective The Course of Social Medicine and Health Management was reformed to cuhivate general medical thinking and ability of medical students. Methods Comprehensive reform including teaching co,ltent, teaching plan, syllabus, teaching and assessment methods was conducted. Data about teaching content arrangement, teaching method, general medical thinking and ability of the test group （252 students） and the control group （307 students） was collected. Results The satisfaction rate of students in the test group （85.95%） was significatltly elevated compared to control group （75.91% ） in teaching content arrangement （χ2 = 8. 600, P = 0. 003 ） ; the satisfaction rate of teaching method in control group （79.87%） was obviously lower than that in the test group （91.32% , χ2 = 13. 810, P 〈0. 001 ） ; the sat- isfaction rate of students in the test group （81.40%） was significantly higher than that in control group （58.41%） in cultivating general medical thinking and ability （χ2 = 33. 024, P 〈 0. 001 ） ; compared to the control group, the score of students from the test group in case analysis about the ability ot＂ solving the community problem based on the population, clinical diagnosis and treatment on the basis of the overall medical concept, maintaining healthy and health management and first-aid was significantly increased （ all P 〈 0. 001 ）. Conclusion We provide some instructions for cultivating gen- eral medical ability and thinkiug of medical students on tire basis of the reform for the Course of Social Medicine and Health Management in the context of cooperation between medicine and education.

关 键 词：医教协同 医学生 社会医学与卫生事业管理 课程改革 全科医学 

分 类 号：R192[医药卫生—卫生事业管理] R449[医药卫生—公共卫生与预防医学]