见习期间临床见习生及带教老师教学活动认知的调查及分析  

Surveys on the evaluations of clinical intern students and teachers on various clinical teaching activities

作　　者：闻良 许艳 姚亚克 喻玮[4] WEN Liang;XU Yan;YAO Yake(Department of Hepatobiliary and Pancreatic Surgery,The First Affiliated Hospital of Zhejiang University,Hangzhou 310000,China)

机构地区：[1]浙江大学医学院附属第一医院肝胆胰外科,浙江杭州310000 [2]浙江大学医学院附属第一医院教学科 [3]浙江大学医学院附属第一医院呼吸内科 [4]浙江大学医学院附属第一医院感染病科

出　　处：《全科医学临床与教育》2024年第1期61-64,共4页Clinical Education of General Practice

摘　　要：目的 分析当前见习医生制度下临床见习生和带教老师对各种教学活动的不同认知。方法 通过问卷星对我院2022~2023学年的61名临床见习生及34名带教老师进行问卷调查,了解师生对我院见习教学活动的认知,并进行差异分析。结果 在见习期间,有43名(70.49%)临床见习生选择花最多的时间在理论知识的巩固复习上。57.38%的见习生认为自己最需要提升的是对理论知识的巩固复习,明显高于教师选择的比例(χ2=14.05,P<0.05)。25名(73.53%)带教老师认为见习生最需要提升对疾病的诊疗思维能力。教学活动方面,分别有73.77%和65.57%的见习生喜欢手术教学观摩和小讲课,明显高于带教老师认为学生较喜欢上述活动的选择比例(χ~2分别=8.25、17.67,P均<0.05)。有42.62%的学生建议增加小讲课教学活动,明显高于教师的选择比例(8.82%)(χ~2=11.76,P<0.05)。分别仅有6.56%和9.84%的学生认为临床思维授课最让学生获益以及建议适当增加,而老师相应的选择比例达23.53%和35.29%,差异均有统计学意义(χ~2分别=4.26、9.21,P均<0.05)。此外,师生均认为最不喜欢开展的教学活动为中班病例讨论。结论 师生对见习医生制度下的教学活动认知大相径庭,见习生更注重对理论知识的巩固学习,带教老师则更注重临床思维的培养。Objective To analyze the evaluations of clinical students and teachers on various clinical teaching activities based on the current clerkship rotation system.Methods During the year of 2022 and 2023,61 clinical interns and 34 teachers in our hospital were investigated by using the electronic questionnaire of "Questionnaire Star" to assess their different evaluations on clerkship teaching activities.Results During the clerkship period,43 students(70.49%) chooseto spent the most time on reviewing the theoretical knowledge in the textbooks.And 57.38% of students regarded it to be the most important,which is significantly higher than that in teachers(χ~2=14.05,P<0.05).Totally 25 teachers(73.53%) thought improving students' clinical thinking is most important.For the teaching activities,there were respectively 73.77% and 65.57% of students chose surgery observation and the small lecture as the most satisfactory items,which were both significantly higher than ratios of teachers(χ~2=8.25,17.67,P<0.05).There were 42.62% of students recommended to have more small lectures,which was much higher than that(8.82%) in teachers(χ~2=11.76,P<0.05).And there were only 6.56% and 9.84% of students thought clinical thinking lessons were mostly meaningful and suggested to have more respectively,which however,were much lower than ratios of(23.53% and 35.29%,respectively) teachers(χ~2=4.26,9.21,P<0.05).In addition,the class case discussion lesson was least liked both by students and teachers.Conclusion The evaluations of students and teachers on clinical teaching activities are quite different.The students spend more time and energy on the consolidation of theoretical knowledge,whereas teachers paid more attention to the cultivation of clinical thinking.

关 键 词：见习生 带教老师 教学活动 临床思维 

分 类 号：G642[文化科学—高等教育学] R-4[文化科学—教育学]