基于解剖绘图的出科考核对外科实习生主动学习能力的影响  

The Influence of Anatomy-Based Drawing-Oriented Examination on Surgical Interns'Active Learning Ability

作　　者：林志群 郑希彦 张广权 杜飞[1] 何函樨 邱思娣 史宪杰 LIN Zhiqun;ZHENG Xiyan;ZHANG Guangquan;DU Fei;HE Hanxi;QIU Sidi;SHI Xianjie(Department of Hepatobiliary and Pancreatic Surgery,the Eighth Affiliated Hospital,Sun Yat-Sen University,Shenzhen Guangdong 518033,China;Sun Yat-sen University School of Medicine,Shenzhen Guangdong 518033,China)

机构地区：[1]中山大学附属第八医院肝胆胰外科,广东深圳518033 [2]中山大学医学院,广东深圳518033

出　　处：《中国继续医学教育》2024年第14期120-123,共4页China Continuing Medical Education

基　　金：深圳市科技计划项目(JCYJ20220530144404010)。

摘　　要：目的探讨肝胆胰外科使用手绘解剖图题对学生在实习期间主动学习、兴趣及沟通能力的影响。方法选择2022年6月—2023年5月在中山大学附属第八医院肝胆胰外科实习轮转的43名中山大学医学院2018级临床医学专业本科生为研究对象,每名实习生的科室轮转时间为2周。在入科教育时说明出科考核需要上交1份肝胆胰脾解剖手绘图,并在出科考核时收集手绘解剖图。通过问卷调查的形式,比较传统考核模式与手绘解剖图题对学生主动学习、参与考核的兴趣、沟通能力等方面的影响。结果收集完整解剖手绘图共43幅,其中A级采用多种颜色进行绘制的有30幅,B级位置比例基本符合正常人体结构的有32幅,C级存在应付考核的手绘11幅。相比较其他科室的传统出科考核模式,60%的学生认为解剖绘图题可以增加其参加考核的兴趣,同时增加其参与或观摩手术的意愿;92%的学生认为,为绘制解剖图,会主动花费更多的时间去学习、研究解剖图谱;76%的学生会乐于与其他同学分享和讨论手绘解剖图。结论在出科考核中融入手绘解剖图题有助于提升学生实习期间主动学习的能力、参加或观摩手术的意愿,增加学习及备考的兴趣,同时提高交流表达能力。Objective To explore the influence of using hand-drawn anatomical drawings in hepatobiliary and pancreatic surgery on students'active learning,interest and communication skills during internship.Methods A total of 43 clinical medical undergraduates of Grade 2018 in the department of hepatobiliary and pancreatic surgery in the Eighth Affiliated Hospital of Sun Yat-sen University from June 2022 to May 2023 were selected as the research objects,and the rotation time of each intern was 2 weeks.At the time of entrance education,it was explained that a hand-drawn anatomical drawing of liver,gallbladder,pancreas and spleen should be submitted for examination,and the hand-drawn anatomical drawing should be collected at the time of examination.In the form of questionnaire,the influence of traditional assessment mode and hand-drawn anatomical drawing questions on students'active learning,interest in participating in assessment and communication ability were compared.Results A total of 43 complete anatomical hand drawings were collected,of which 30 clinical medical undergraduates were drawn in a variety of colors in grade A,32 clinical medical undergraduates were drawn in grade B with a position proportion basically in line with the normal human body structure,and 11 clinical medical undergraduates were drawn in grade C.Compared with the traditional examination mode of other departments,60%of the students thought that anatomical drawing questions could increase their interest in participating in the examination and their willingness to participate in or observe the operation;92%of the students believed that in order to draw anatomical maps,they would take the initiative to spend more time studying and studying anatomical maps;76%of the students would be happy to share and discuss hand-drawn anatomical drawings with other students.Conclusion Incorporating hand drawn anatomy questions into the graduation assessment can help to enhance students'ability to actively learn during internships,their willingness to participate in or

关 键 词：解剖手绘图 出科考核 主动学习 考核兴趣 沟通讨论 手术参与 

分 类 号：G642[文化科学—高等教育学]