八年制医学生早期接触临床的教学方法改革及探索  

Reform and exploration of teaching methods for eight-year program medical students'early exposure to clinical practice

作　　者：叶翩 郑昕[1] 杨东亮[1] 赵雷 彭程 郭春霞 刘婷[1] 季湘年[2] 童巧霞[1] Ye Pian;Zheng Xin;Yang Dongliang;Zhao Lei;Peng Cheng;Guo Chunxia;Liu Ting;Ji Xiangnian;Tong Qiaoxia(Department of Infectious Diseases,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China;Department of Teaching Affairs,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院感染科,武汉430022 [2]华中科技大学同济医学院附属协和医院教学办公室,武汉430022

出　　处：《中华医学教育探索杂志》2023年第3期384-388,共5页Chinese Journal of Medical Education Research

基　　金：2016年华中科技大学教学研究项目“卓医计划”专项(2016117)。

摘　　要：目的探讨临床早期见习培训在八年制医学生早期接触临床中的应用效果。方法采用实验对照方法。选取华中科技大学同济医学院附属协和医院2014至2016级连续三届第三学年的八年制学生共120名作为研究对象。用计算机随机抽取将每届学生分为试验组和对照组,每组20名学生。在早期接触临床前,试验组接受16个学时的临床早期见习培训,对照组没有接受临床早期见习培训。早期接触临床结束后,比较每届两组学生的临床诊疗能力。采用SPSS 24.0软件进行t检验。结果试验组与对照组学生询问病史的评分分别为(17.45±1.96)分和(15.95±1.93)分,(18.30±1.03)分和(16.75±1.86)分,(17.95±1.36)分和(16.40±1.60)分;体格检查评分分别为(17.75±1.65)分和(16.05±1.64)分,(17.85±1.18)分和(16.80±1.47)分,(18.25±1.16)分和(16.85±1.63)分;初步诊断评分分别为(18.15±1.42)分和(16.35±2.41)分,(18.20±1.24)分和(16.65±1.53)分,(18.35±1.35)分和(16.25±1.83)分;诊疗方案评分分别为(17.15±1.57)分和(14.55±2.56)分,(17.30±1.42)分和(15.90±1.48)分,(17.80±1.06)分和(16.35±1.87)分;沟通能力评分分别为(17.95±1.15)分和(17.00±1.19)分,(18.55±0.83)分和(17.45±1.50)分,(18.45±1.00)分和(17.45±1.23)分,其差异均具有统计学意义(均P<0.05)。结论临床早期见习培训应用于八年制医学生早期接触临床,可以提高学生的见习质量。Objective To explore the effect of early clinical clerkship training in the early exposure to clinical practice of eight-year program medical students.Methods Experimental control method was used in this study.A total of 120 eight-year program medical students in the third year of Batch 2014 to 2016 from the Union Hospital,Tongji Medical College,Huazhong University of Science and Technology were selected as the research objects.The students of each grade were randomly selected by computer and divided into experimental group and control group,with 20 students in each group.Before early clinical exposure,the experimental group received 16 class hours of early clinical clerkship training,while the control group did not receive early clinical clerkship training.After the early clinical exposure,the clinical diagnosis and treatment ability of the two groups of students was compared.SPSS 24.0 software was used for t test.Results The scores of medical history inquiry of experimental group and control group were[(17.45±1.96)points and(15.95±1.93)points;(18.30±1.03)points and(16.75±1.86)points;(17.95±1.36)points and(16.40±1.60)points,respectively].The physical examination scores were[(17.75±1.65)points and(16.05±1.64)points;(17.85±1.18)points and(16.80±1.47)points;(18.25±1.16)points and(16.85±1.63)points,respectively].The clinical judgment scores were[(18.15±1.42)points and(16.35±2.41)points;(18.20±1.24)points and(16.65±1.53)points;(18.35±1.35)points and(16.25±1.83)points,respectively].Diagnosis and treatment scheme scores were[(17.15±1.57)points and(14.55±2.56)points;(17.30±1.42)points and(15.90±1.48)points;(17.80±1.06)points and(16.35±1.87)points,respectively].The scores of communication skills were[(17.95±1.15)points and(17.00±1.19)points;(18.55±0.83)points and(17.45±1.50)points;(18.45±1.00)points and(17.45±1.23)points,respectively],with statistically significant differences(all P<0.05).Conclusion The application of early clinical clerkship training in the early exposure to clinical practi

关 键 词：八年制医学生 早临床 临床早期见习培训 教学改革 

分 类 号：R-05[医药卫生]