基于微信平台的骨科临床实习教学设计与实践  

Design and practice of orthopedic clinical practice teaching based on WeChat platform

作　　者：陈豪杰[2] 于荣华[1] 陈超[1] 唐献忠[1] 朱晓东[1] 徐英杰[1] 孙鹏[1] 董小燕 Chen Haojie;Yu Ronghua;Chen Chao;Tang Xianzhong;Zhu Xiaodong;Xu Yingjie;Sun Peng;Dong Xiaoyan(Department of Surgery,Tongren Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200336,China;Teaching Section,Tongren Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200336,China)

机构地区：[1]上海交通大学医学院附属同仁医院外科教研室,200336 [2]上海交通大学医学院附属同仁医院教学科,200336

出　　处：《中华医学教育探索杂志》2019年第2期162-166,共5页Chinese Journal of Medical Education Research

基　　金：上海交通大学医学院附属同仁医院医学教学研究项目(TRJX201608)。

摘　　要：目的评价基于微信平台的骨科临床实践教学的设计实施效果。方法选取2015年9月至2017年8月在我院骨科实习的62名临床医学专业本科生为教学对象;随机分为实验组和对照组,每组31人。对照组按照大纲要求实施传统教学;实验组在传统教学基础上,进行相关课程的微信资源制作、推送、交流学习。出科时两组学生均行理论和操作考试、综合素质评定、对教师教学工作的评价以及问卷调查;运用SAS9.0进行统计,组间比较行t检验或CMH-卡方检验。结果实验组学生的理论考试成绩[(87.52±5.45)vs.(82.61±7.70)]、操作考试成绩[(94.36±2.60)vs.(92.26±3.01)]、综合素质评分[(95.94±1.61)vs.(93.42±2.81)]、对教师教学的评分[(94.58±2.06)vs.(92.55±1.69)]均优于对照组,且差异有统计学意义(P<0.05)。问卷调查显示,实验组在自身学习动力(P=0.035)、文献学习情况(P=0.013)、课程安排(P=0.007)、教师教学满意度(P=0.029)、对专业的认可度(P=0.040)方面的评价优于对照组。结论基于微信平台的骨科临床实践教学有效可行,有助于提高学生的学习主动性,帮助学生掌握有效的学习策略,值得推广应用。Objective To evaluate the effect of orthopedic clinical practice teaching design based on WeChat platform.Methods From September 2015 to August 2017,62 undergraduate students majoring in clinical medicine in the department of orthopedics of our hospital were selected as the study subjects,and randomly divided into the experimental group and the control group.With 31 interns in each group,the control group implemented the traditional teaching method according to the requirements of the syllabus.The experimental group was attached to WeChat production,push notification and communication of related courses on the basis of the traditional teaching methods.At the end of the teaching,the theoretical and operational tests,the comprehensive quality assessment,the evaluation for teachers'teaching work and the questionnaire survey of the two groups were administrated to evaluate the teaching effect.SAS 9.0 was used to do t-test and CMH-chi-square test.Results The score of the experimental group in the theoretical test [(87.52±5.45)vs.(82.61±7.70)],operational test [(94.36±2.60)vs.(92.26±3.01)],comprehensive quality assessment [(95.94±1.61)vs.(93.42±2.81)] and the evaluation for teachers'teaching work [(94.58±2.06)vs.(92.55±1.69)] were better than those of control group,and there were statistically significant differences.P values were 0.005,0.005,0.000 and 0.000 respectively.The questionnaire survey results show that the experimental group was better than the control group in learning motivation(P=0.035),literature study(P=0.013),curriculum arrangement(P=0.007),teaching satisfaction(P=0.029)and professional recognition(P=0.040).Conclusions The clinical practice teaching method based on WeChat platform is effective and feasible to the orthopedic medical students,which is helpful to improve students'learning initiative and master effective learning strategies.The application is worth promoting.

关 键 词：微信平台 临床教学 骨科学 本科生 

分 类 号：R6[医药卫生—外科学]