以临床学科为导向的实验诊断教学改革及效果评价  

Clinical discipline-oriented teaching reform on laboratory diagnostics and its effect evaluation

作　　者：胡志坚[1] 韩峰[1] 何巍巍 詹忠明 刘怀[1] Hu Zhijian;Han Feng;He Weiwei;Zhan Zhongming;Liu Huai(Department of Medical Laboratory,Jiujiang University Clinical Medical College/Affiliated Hospital,Jiujiang 332000,China)

机构地区：[1]九江学院临床医学院/附属医院医学检验教研室,332000

出　　处：《中华医学教育探索杂志》2020年第1期53-56,共4页Chinese Journal of Medical Education Research

基　　金：九江学院教改立项课题(8500418)。

摘　　要：目的探索以临床学科为导向的实验诊断教学改革,评价其在医学教育中的应用效果。方法改变传统教学内容的编排方式,以临床学科为导向重新整合教材内容,自编创新型教材并引入CBL和PBL等新的教学方法。选取2015级两个自然班78名学生作为观察组实施前述教材,另两个自然班77名学生作为对照组仍采用传统教学;以形成性评价的方式比较教学效果;组间考评数据运用SPSS 21.0进行t检验和卡方检验。结果观察组理论考核总评成绩明显高于对照组,差异具有统计学意义(P<0.01);对成绩进行具体分析发现,在实验技术、临床应用型和检验项目选择与评价方面,观察组成绩明显高于对照组,差异具有统计学意义(P<0.01);但是在基础知识与理论方面,观察组成绩与对照组比较,差异无统计学意义(P=0.470)。结论以临床学科为导向的实验诊断学教学对学生在应用型和提高型知识考核及临床疾病检验项目选择与评价方面有促进作用;有助于培养学生的临床思维,以及合理选择检验项目和科学分析检验结果的能力。Objective To explore a clinical discipline-oriented teaching model for laboratory diagnostics and evaluate its effect in medical education.Methods changed the arrangement of traditional teaching content,re-edited the content of the teaching materials under the guidance of clinical subjects,compiled innovative textbooks and introduced new teaching methods such as CBL and PBL.The procedure could be briefly described below.78 students from two natural classes in batch 2015 were selected as the observation group,and 77 students from other two natural classes were selected as the control group.The new teaching model and traditional teaching model were applied respectively in the students to compare the teaching effect in the way of formative evaluation.Results The total score of theoretical exams in the observation group was significantly higher than that of control group(P<0.01).It was found that the scores of the observation group were significantly higher than of the control group in terms of practical techniques,clinical application type and the selection and evaluation of test items(P<0.01).However,there was no significant difference in terms of the scores of basic knowledge and theory between the observation group and the control group(P=0.470).Conclusion The clinical discipline-oriented teaching method of laboratory diagnostics can promote the students in the assessment of applied and improved knowledge as well as the selection and evaluation of clinical disease examination items,which is helpful to cultivate students'clinical thinking ability,and the ability to reasonably select the test items and analyze the test results scientifically.

关 键 词：实验诊断 以临床学科为导向 临床思维 

分 类 号：R-05[医药卫生]