眼科学典型病例视频辅助教学查房改革实践  

Practice of video-assisted teaching ward rounds for typical cases of ophthalmology

作　　者：张扬[1] 卞爱玲[1] 徐海燕[1] 邹绚[1] 王旭倩[1] 陈迪[1] 张美芬[1] ZHANG Yang;BIAN Ailing;XU Haiyan;ZOU Xuan;WANG Xuqian;CHEN Di;ZHANG Meifen(Department of Ophthalmology,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院眼科,北京100730

出　　处：《基础医学与临床》2023年第12期1901-1904,共4页Basic and Clinical Medicine

基　　金：北京协和医学院青年医学教育学者计划(2021zlgc0705);北京协和医学院本科教学改革项目(2021zlgc0120)。

摘　　要：目的评估眼科学典型病例视频辅助教学查房在临床医学专业学生眼科临床见习教学中应用的效果。方法本研究采用试验对照方法,以北京协和医学院临床医学专业45名学生为研究对象,采用随机数字表法将其分为试验组和对照组。选择原发性闭角型青光眼(PACG)作为学习内容,试验组23名学生见习期采用眼科学典型病例PACG视频辅助教学查房形式学习,对照组22名学生采用门诊跟诊形式学习。学习结束后,分别对两组学生进行测验,并对试验组学生针对病例视频辅助教学查房形式的主观感受满意度进行问卷调查。结果试验组学生测验分数为84.30±4.53高于对照组的78.05±5.76,(P<0.001)。针对眼科学典型病视频辅助教学查房形式,试验组86.9%(20/23)学生认为更有实践性,95.6%(22/23)学生感觉对眼科学习很有帮助,91.3%(21/23)生认为有助于提高学习兴趣和临床思维能力。结论眼科学典型病例视频辅助教学查房形式教学可以提高学生对眼科疾病的理解和记忆,可在临床医学专业学生的眼科学见习教学中作为有益的补充教学方式。Objective To investigate the efficacy of video-assisted teaching ward rounds for typical cases of ophthalmology in clinical practice for medical undergraduates.Methods A total of 45 students from clinical medicine in Peking Union Medical College were enrolled.They were randomly divided into the experimental group(23 students)and control group(22 students).Primary angle closure glaucoma(PACG)was selected as the learning content,the experimental group was trained by video-assisted teaching ward rounds,while the control group was trained by internship in outpatient clinic.All students joined the test of typical case PACG and a questionnaire survey was implemented for the experimental group.Results The average score of experimental group was higher than control group[(84.30±4.53)vs.(78.05±5.76),t=4.05,P<0.001].For video-assisted teaching ward rounds,in experimental group,86.9%(20/23)students believed it was more practical,95.6%(22/23)students thought it was very helpful and 91.3%(21/23)students considered it was conductive to improve interest of learning and clinical thinking ability.Conclusions Video-assisted teaching ward rounds improves students′understanding memory of ophthalmic typical cases,which is a potential supplement teaching method in clinical practice training of ophthalmology for medical undergraduates.

关 键 词：教学查房 临床医学专业 眼科学 改革 

分 类 号：R779.66[医药卫生—眼科]