以病房示教为主联合TBL教学法在眼科教学中的探索  

Exploration on Ward Teaching Combined With TBL Teaching Method in Ophthalmology Teaching

作　　者：杨程成[1] 杨秀霞[1] 刘苹苹[1] 赵晓静[1] 郑晖[1] 刘洋[1] YANG Chengcheng;YANG Xiuxia;LIU Pingping;ZHAO Xiaojing;ZHENG Hui;LIU Yang(Department of Ophthalmology,the Fifth Affiliated Hospital of Sun Yat-sen University,Zhuhai Guangdong 519000,China)

机构地区：[1]中山大学附属第五医院眼科,广东珠海519000

出　　处：《中国继续医学教育》2024年第7期82-86,共5页China Continuing Medical Education

基　　金：中山大学2022年校级教学质量与教学改革工程项目(教务[2022]91号)。

摘　　要：目的眼科学是临床专业学生的必修内容,其内容专业性强、学时相对有限、教学难度大。在眼科教学过程中改进教学方法并提高教学效率已经成为眼科学教学研究的重要课题。方法选取2021年11月—2022年5月于中山大学附属第五医院眼科见习的79名中山大学临床医学系本科学生为研究对象。随机分为对照组和研究组,对照组39名,研究组40名。对照组授课方式为传统教学法,研究组授课采用以病房示教为主联合以团队为基础的教学法(team-based learning,TBL)。教学结束后进行理论及技能考试对教学效果进行评价,采用问卷调查的方法评估学生对教学模式的满意度。结果研究组病例分析成绩[(89.04±4.03)分]优于对照组[(80.29±4.51)分],差异有统计学意义(P<0.001);研究组理论成绩较对照组稍提高,差异无统计学意义(P>0.05)。教学满意度评价显示,研究组中对眼科疾病的整体认识、理论知识掌握程度及提高临床思维能力、拓宽知识面增强横向联系及纵向认知、提高眼科学专业学习兴趣、提升学习效率、提高沟通能力、提高团队合作精神的满意程度更高,差异有统计学意义(P<0.05)。结论病房示教为主联合TBL教学法的教学模式是眼科学临床教学方法改革的积极探索,可显著提高见习生对临床眼科疾病的识别及诊疗能力,加强眼科见习生对眼科疾病的掌握程度。Objective To clinical professional students,ophthalmology is a compulsory subject characterized by its high specialization,limited class hours,and considerable teaching difficulty.Improving teaching methods and enhancing teaching efficiency in ophthalmology education has become a significant focus of research in the field.Methods From November 2021 to May 2022,a total of 79 undergraduate students from Sun Yat-sen University underwent ophthalmology clerkship at the Fifth Affiliated Hospital of Sun Yat-sen University,were selected as the study subjects.They were randomly divided into a control group(39 students)and an experimental group(40 students).The control group,traditional teaching methods were employed,while the study group utilized a teaching approach primarily centered around bedside teaching supplemented by team-based learning(TBL)After the completion of the teaching sessions,the teaching effectiveness was evaluated through theoretical and skill examinations,and the satisfaction of students with the teaching model was assessed using a questionnaire survey.Results The study group demonstrated significantly higher case analysis scores[(89.04±4.03)points]compared to the control group[(80.29±4.51)points],with a statistically significant difference(P<0.001).Although there was a slight improvement in theoretical scores for the study group,the difference was not statistically significant(P>0.05).Evaluation of teaching satisfaction showed that participants in the study group exhibited higher satisfaction levels in overall understanding of ophthalmic diseases,mastery of theoretical knowledge,enhancement of clinical reasoning abilities,broadening of knowledge base,strengthening of horizontal and vertical cognitive connections,increased interest in ophthalmology,improvement of learning efficiency,enhanced communication skills,and promotion of teamwork spirit,with statistically significant differences(P<0.05).Conclusion The teaching model of ward-based demonstration combined with TBL is a positive exploration in th

关 键 词：病房示教 以团队为基础 眼科教学 本科见习 教学改革 传统教学 

分 类 号：G642[文化科学—高等教育学]