基础与临床教学融合在临床解剖学教学中的应用  

Application of the preclinical education integrated with clinical medicine in the teaching of clinical anatomy

作　　者：祁方昉 宋斌[2] 王圣文[3] 利浩楠[4] 初国良 李春海[1,2] Qi Fangfang;Song Bin;Wang Shengwen;Li Haonan;Chu Guoliang;Li Chunked(Teaching and Research Section of Surgery,Sun Yat-Sen Memorial Hospital,Guangzhou 510120,China;Department of Orthopedics,Sun Yat-Sen Memorial Hospital,Guangzhou 510120,China;Department of Neurosurgery,Sun Yat-Sen Memorial Hospital,Guangzhou 510120,China;Eight-Year Program of Clinical Medicine,Zhongshan School of Medicine,Sun Yat-sen University,Guangzhou 510080,China;Teaching and Research of A natomy,Zhongshan School of Medicine,Sun Yat-sen Unwersity,Guangzhou 510080,China)

机构地区：[1]中山大学孙逸仙纪念医院外科教研室,广州510120 [2]中山大学孙逸仙纪念医院骨科,广州510120 [3]中山大学孙逸仙纪念医院神经外科,广州510120 [4]中山大学中山医学院八年制临床医学,广州510080 [5]中山大学中山医学院解剖学教研室,广州510080

出　　处：《中华医学教育探索杂志》2022年第1期15-18,共4页Chinese Journal of Medical Education Research

基　　金：广东省本科高等教育教学改革项目(粤教高函〔2016〕236号,〔2018〕1号);广东省本科教学质量工程类项目(81000-18842502,81000-18842595,81000-31911101)。

摘　　要：本项目从八年制医学生临床解剖学教学入手,根据临床解剖学内容选择专科医生授课,探索基础与临床的深度融合。本项目采用自编的问卷就基础与临床融合式教学效果进行评价,李克特量表(Likert scale)计分,同时采用项目分析法分析问卷每个题目得分与总得分的相关性,用探索性因素分析法评估自编问卷的主成分。结果显示:95%以上被测医学生认为基础与临床融合式教学是有必要的,实用性好,并且能够帮助医学生较好地结合临床疾病理解解剖结构,同时培养了医学生的临床思维;仅有不足10%的学生认为能够较好地将基础与临床病例有效联系起来,超过35%的学生感觉有难度;54%的医学生认为临床医生尚不能完全代替基础老师授课。提示基础教师与临床医生融合式教学具有吸引力,是可行的,但临床医生尚不能完全代替基础老师授课临床解剖学。This project starts with the teaching of clinical anatomy for eight-year medical students,selects specialists to enter the courses according to the content of clinical anatomy,and explores the deep integration of basic and clinical education.This study used the self-made questionnaire to evaluate the effect of the integrated teaching model,and Likert scale was used to score.Meanwhile,the correlation between the scores of each question and total points was analyzed with the item analysis.Moreover,we assessed the principal components through the exploratory factor analysis.The results showed that more than 95%questioned students thought the preclinical education integrated with clinical medicine teaching model is necessary and practical,which can assist medical students in the anatomical structure learning combined with clinical disease,and meanwhile cultivate students'clinical thinking.Only fewer than 10%thought it can connect the basic knowledge and clinical cases effectively,and over 35%thought there are difficulties.Additionally,more than half students(54%)hold the negative attitude which clinicians can't completely replace basic teachers in teaching.Our finding suggests that the integrated teaching model is attractive and feasible.Nonetheless,clinicians can’t replace preclinical teachers completely in the clinical anatomy education yet.

关 键 词：临床解剖学 基础 临床 融合教学 

分 类 号：R42[医药卫生—临床医学]