案例结合临床应用解剖学习方法在神经外科临床实习中的效果及评价  

Effects of case-based learning combined with clinical anatomy in neurosurgery internships

作　　者：许宏武[1,2] 蔡澄玮[1] 黄观华 Xu Hongwu;Cai Chengwei;Huang Guanhua(Department of Neurosurgery,The First Affiliated Hospital of Shantou University Medical College,Shantou 515041,China;Department of Anatomy and Clinical Anatomy,Shantou University Medical College,Shantou 515041,China)

机构地区：[1]汕头大学医学院第一附属医院神经外科,汕头515041 [2]汕头大学医学院解剖及临床应用解剖教研室,汕头515041

出　　处：《中华医学教育探索杂志》2023年第11期1685-1689,共5页Chinese Journal of Medical Education Research

基　　金：广东省临床教学基地教学改革研究重点项目(〔2022〕21号-2021JD066);广东省科技大专项项目(汕府科〔2019〕113-139);汕头大学医学院2020年质量工程项目——局部解剖学(双语)。

摘　　要：目的了解案例结合临床应用解剖学习方法在神经外科临床实习中的效果评价。方法以在汕头大学医学院第一附属医院实习的2014级和2015级学生作为试验组(58人),2013级学生作为对照组(48人)。试验组建立神经外科临床实习生学习小组,实施案例结合临床应用解剖学习方法;学习小组每周2次,共4次,每次包括4个环节。对照组采用传统带教方法。两组学生在神经外科实习开始和结束时分别填写《自我导向学习倾向性量表》;试验组学生在神经外科实习结束时填写案例结合临床应用解剖学习方法的《学生满意度调查表》。采用SPSS 20.0进行t检验。结果实习前,两组学生的自我导向学习能力的差异无统计学意义(t=0.25,P=0.807)。实习后,试验组(t=-6.49,P<0.001)和对照组(t=-4.68,P<0.001)学生的自我导向学习能力总分均较实习前有所改善。其中,试验组学生在六种学习因子上均较实习前提升,而对照组学生在喜爱学习和学习动机这两种学习因子上与实习前差异无统计学意义;而且,试验组学生的自我导向学习能力总分(t=2.17,P=0.032)、效率学习因子(t=3.81,P=0.001)、学习动机因子(t=4.20,P=0.001)均较对照组高。试验组学生对“案例结合临床应用解剖学习方法”的总体评价为满意。结论“案例结合临床应用解剖学习方法”对提高学生的自我导向学习能力有正向作用,尤其体现在改善学习效率和学习动机上;而且学生对学习模式的满意度高。Objective To investigate the effects of case-based learning combined with clinical anatomy in neurosurgery internships.Methods We included students in grades 2014 and 2015(test group,n=58)and those in grade 2013(control group,n=48)doing internships in The first Affiliated Hospital of Shantou University Medical College.The test group adopted case-based learning combined with clinical anatomy in the form of neurosurgery intern learning groups.The group learning consisting of four sessions was held twice a week for a total of four times.The traditional teaching method was used in the control group.All the students filled in the Self-Directed Learning Readiness Scale before and after neurosurgery internships.The test group filled in the Satisfaction Survey on case-based learning combined with clinical anatomy after neurosurgery internships.SPSS 20.0 was used to perform t test.Results Before neurosurgery internships,there was no difference in self-directed learning ability between the test group and control group(t=0.25,P=0.807).After the internships,the total score of self-directed learning ability was significantly improved in both the test group(t=-6.49,P<0.001)and the control group(t=-4.68,P<0.001).The test group showed improvements in six learning factors,while the control group had no significant changes in love of learning and learning motivation.Compared with the control group,the test group showed a significantly higher total score of self-directed learning ability(t=2.17,P=0.032)and significantly higher scores of efficient learning(t=3.81,P=0.001)and learning motivation(t=4.20,P=0.001).The students in the test group were generally satisfied with the new method combining case-based learning and clinical anatomy.Conclusion The new method combining case-based learning and clinical anatomy has positive effects on students'self-directed learning ability,especially on learning efficiency and motivation,with a high degree of satisfaction from the students.

关 键 词：案例学习 临床应用解剖 神经外科 实习 自我导向学习 

分 类 号：R6[医药卫生—外科学]