以病例为基础的探究式-小组教学对提高医学生综合能力的实践  

Practice of case-based inquiry-group teaching model in improving comprehensive capability of medical students

作　　者：刘凯[1] 曾俊[2] Liu Kai;Zeng Jun(Department of Cardiology,West China Hospital,Sichuan University,Chengdu 610041,China;Chengdu Medical College,Chengdu 610500,China)

机构地区：[1]四川大学华西医院心血管内科,成都610041 [2]成都医学院,610500

出　　处：《中华医学教育探索杂志》2020年第7期837-839,共3页Chinese Journal of Medical Education Research

摘　　要：目的旨在探讨以心内科常见病例为基础的探究式-小组教学对提高医学生综合能力的实践。方法选取2016年9月至2018年6月85名临床见习的医学生为研究对象,将其分为对照组40名和实验组45名;对照组予以传统教学进行心内科相关知识的教育,实验组予以冠心病、心绞痛、高血压、心衰病例为基础的探究式-小组教学;教学后均以调查问卷形式进行评价,比较两组教育效果。采用SPSS 18.0进行统计学分析。定性资料用卡方检验,定量资料行t检验。结果实验组医学生对冠心病、高血压、心衰医学知识的综合运用能力评分及总分均明显高于对照组(P<0.05)。实验组医学生对教学的满意度以及认为对传统考试成绩有利;拓展知识面,培养综合能力;增强记忆,有助于提高学习效率;提高检索查阅文献和自学能力;培养沟通、交流和表达能力;培养提出、分析、解决临床问题能力;更多参与、活跃气氛,激发学习兴趣;提升团队协作精神,减少课外作业等方面均明显优于对照组(P<0.05)。结论以病例为基础的探究式-小组教学有利于提高和培养医学生医学知识的综合运用能力,分析、解决问题的能力,沟通能力,团队协作精神和参与意识,可多方面激发和提高其综合能力。Objective To explore the practice of inquiry-group teaching mode based on common cases in cardiology to improve the comprehensive capability of medical students.Method A total of 85 medical students in clinical probation from September 2016 to June 2018 were selected as subjects.According to different teaching modes,they were divided into the control group(n=40)and the observation group(n=45).The control group were educated by traditional teaching on related knowledge of cardiology,while the observation group were given inquiry-group teaching based on cases of coronary heart disease,angina pectoris,hypertension and heart failure.The teaching effect of the two groups were analyzed by t test and chi-square test through SPSS 18.0.Results The comprehensive application ability marks and total scores in the observation group were significantly higher than those in the control group(P<0.05).Moreover,in the aspect of teaching mode quantitative score(teaching satisfaction,expanding knowledge,innovation,memory,learning efficiency,access to literature and self-learning skills,communication and presentation skills,etc.),the observation group was significantly better than the control group(P<0.05).Conclusion The case-based inquiry-group teaching mode is conducive to improve and cultivate the comprehensive application ability of medical students.It can be used as a good additive in traditional teaching mode.

关 键 词：医学生 冠心病 高血压 综合能力 教学模式 

分 类 号：R-4[医药卫生] G642[文化科学—高等教育学]