以泌尿系统疾病为主线的泌尿外科肾内科整合教学改革初探  

Exploration of the Integrated Teaching of Urology and Nephrology Focusing on Diseases of the Urinary System

作　　者：刘飞 韩士超 陈莹 杨晓剑 杨力军 袁建林 秦卫军 LIU Fei;HAN Shichao;CHEN Ying;YANG Xiaojian;YANG Lijun;YUAN Jianlin;QIN Weijun(Department of Urology,Xijing Hospital,Air Force Military Medical University,Xi'an 710032,China)

机构地区：[1]空军军医大学西京医院泌尿外科,陕西西安710032

出　　处：《医学教育研究与实践》2022年第5期672-676,共5页Medical Education Research and Practice

基　　金：国家自然科学基金(81270884);陕西省科技厅社会发展科技攻关项目(2016SF-161);西京医院学科助推计划(XJZT19Z30,XJZT21L20)。

摘　　要：目的以《泌尿系统疾病》教学为例探讨“以器官系统为中心”的整合课程教学模式在泌尿外科肾内科整合教学中的应用效果。方法在空军军医大学西京医院完成临床教学的2018级五年制临床医学专业本科生为观察组,接受以“泌尿系统疾病”为主线的泌尿外科及肾内科整合课程教学。以2017级五年制临床医学本科学生进行回访作为对照组,接受泌尿外科学及肾脏内科学不同学科的教学。教学结束后,比较两组学生理论成绩、课堂成绩以及教学效果问卷调查结果。结果观察组理论考核成绩和课堂表现成绩显著高于对照组(P<0.05);问卷调查结果显示,观察组学生在激发学习兴趣、提高自学能力、理论知识掌握、临床思维锻炼、提高理论联系实际能力等方面得分显著高于对照组(P<0.05),但两组在解决问题效率提升、团队合作意识、活跃课堂气氛、培养探索精神等方面得分未见明显差异(P>0.05)。结论“以器官系统为中心”的整合课程教学模式应用于泌尿外科肾内科整合教学,提高了教学质量和效果,值得在临床教学中进行推广。Objective To take the teaching of“Urinary System Diseases”as an example,our study investigated the effect of the“organ system centered”integrated teaching mode on the integrated curriculum of urology and nephrology.Methods Undergraduate students majoring in clinical medicine of grade 2018,and completed the clinical teaching in Xijing Hospital of Air Force Military Medical University were selected as the observation group,and they received the integrated curriculum of urological diseases.While undergraduate students majoring in clinical medicine of grade 2017,and completed the curriculum of urology and nephrology respectively,were interviewed and served as the control group.After the courses,the theoretical scores and classroom scores of the two groups of students were compared,as well as the results of the questionnaire survey of teaching effect.Results The theoretical examination scores and classroom performance scores of the observation group were significantly higher than those of the control group(P<0.05).The results of the questionnaire showed that the students in the observation group scored significantly higher than those in the control group in stimulating interest in learning,improving self-learning ability,mastering theoretical knowledge,practicing clinical thinking,and improving the ability of integrating theory with practice(P<0.05).But there was no significant difference between the two groups in improving problem-solving efficiency,teamwork awareness,enlivening classroom atmosphere,and cultivating exploration spirit(P>0.05).Conclusion The application of“Organ system centered”integrated teaching mode to the integrated curriculum of urology and nephrology has improved the teaching quality and effect,and it is worth popularizing in clinical teaching.

关 键 词：整合课程 泌尿系统疾病 器官系统为中心 

分 类 号：G642.0[文化科学—高等教育学]