医学本科生导师制在非直属附属医院教学中的效果评价  

Evaluation of tutorial system for medical undergraduates in non-affiliated hospitals

作　　者：王丙剑[1] 徐康[2] 邱明玲[1] 李斌[1] 陈梅[1] 张建淮[3] Wang Bingjian;Xu Kang;Qiu Mingling;Li Bin;Chen Mei;Zhang Jianhuai(Training Division,the Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University,Huaian 223300,China;Chronic Disease Management Center,the Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University,Huaian 223300,China;Hospital Administration Office,the Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University,Huaian 223300,China)

机构地区：[1]南京医科大学附属淮安第一医院培训处,223300 [2]南京医科大学附属淮安第一医院慢性病管理中心,223300 [3]南京医科大学附属淮安第一医院院办公室,223300

出　　处：《中华医学教育探索杂志》2020年第4期463-467,共5页Chinese Journal of Medical Education Research

基　　金：南京医科大学"十三五"教育研究课题(FZS-YB-201708)。

摘　　要：目的评价非直属附属医院医学本科生导师制实施效果。方法将非直属附属医院32名大四医学本科生分为两组,研究组采用导师带教的教学形式,对照组按照传统的带教方式进行教学。对两组学生专业理论知识、临床能力、操作能力、外语测验、科研基础能力及科研活动参与情况进行评价。采用SPSS 19.0进行t检验、卡方检验及U检验。结果导师制组医学生在操作能力(t=3.537,P=0.000)、阅读文献数(t=6.961,P=0.000)、文献质量(U=68.000,P=0.017)、撰写综述和读书笔记数量(t=4.747,P=0.000)、参加科研活动(χ^2=6.788,P=0.009)等方面成绩优于非导师制组,而在同时期的理论成绩、临床能力、外语测验等方面两组差异无统计学意义。结论非直属附属医院实施医学生导师制是提高培养质量的有效措施。应充分利用短暂的见习时间,通过建立完善的规章制度和教学评价体系,因人施教、因材施教,全面提升学生综合素质。Objective To evaluate the effect of tutorial system for medical undergraduates in a non-affiliated hospital of a medical university in Jiangsu.Methods 32 senior medical undergraduates in non-affiliated hospitals were divided into two groups.The experimental group adopted tutor-guided teaching,and the control group adopted traditional teaching.Professional theoretical knowledge,clinical ability,operational ability,foreign language level,basic research ability and participation of scientific research activities of students in the two groups were evaluated.SPSS 19.0 was used for t test,chi-square test and U test.Results The results of operational ability(t=3.537,P=0.000),the number of papers that had been read(t=6.961,P=0.000),quality of these(U=68.000,P=0.017),the number of literature reviews that had been written and reading notes(χ^2=4.747,P=0.000),participation in scientific research activities(t=6.788,P=0.009)of students in the experimental group were better and higher than those in the control group.In the same period,there was no significant difference between the two groups in the scores of theoretical exam,clinical competence and foreign language tests.Conclusion The implementation of tutorial system for medical students in non-affiliated hospitals is an effective measure to improve the quality of training.We should make full use of the short intership,to improve the comprehensive quality of students by establishing perfect rules,regulations and teaching evaluation system,and educate students in accordance with their own ability.

关 键 词：导师制 非直属附属医院 医学本科生 效果评价 

分 类 号：R4[医药卫生—临床医学]