结合导师制的混合教学模式提高医学生对临床解剖学的满意度和学习效果  

Blended Instruction Model Incorporating Preceptorship Enhances Student Satisfaction and Performance in Clinical Anatomy Course

作　　者：周丽华 李明哲 Prince Last Mudenda Zilundu[1] 孙诗竹 汤地 付饶[1] 何裕隆 ZHOU Lihua;LI Mingzhe;Zilundu Prince Last Mudenda;SUN Shizhu;TANG Di;FU Rao;HE Yulong(Department of Anatomy,School of Medicine,Shenzhen Campus of Sun Yat-sen University,Sun Yat-sen University,Shenzhen 518000,China;The Seventh Affiliated Hospital,Sun Yat-sen University,Shenzhen 518000,China;Basic and Clinical Medicine Teaching Laboratory,School of Medicine,Sun Yat-sen University,Shenzhen 518000,China)

机构地区：[1]中山大学医学院解剖学教研室,广东深圳518000 [2]中山大学附属第七医院,广东深圳518000 [3]中山大学医学院基础与临床医学教学实验室,广东深圳518000

出　　处：《中山大学学报（医学科学版）》2024年第6期853-865,共13页Journal of Sun Yat-Sen University:Medical Sciences

基　　金：广东省“新医科”教指委2023年教学改革项目(32)。

摘　　要：【目的】为提高学生应用基础学科知识的能力,本研究在中山大学《临床解剖学》课程中,实施结合导师制的混合教学模式改革,旨在探讨基础和临床教师共同承担临床前期课程的有效性,以求获得更完善的教学方式。【方法】参与者共有375名临床医学专业学生,2名解剖老师,49名手术科医生,7名教辅人员。学生分10个小班以每周分两批次上课,每个小班学生、解剖老师、外科医生、教辅人数比例为40:1:2:1。课程结束后使用SurveyPlanet系统收集学生完成的课程体验量表(CEQ)和教学质量评价量表(SEEQ),并从大学评分系统获取学生成绩,以SPSS软件进行数据分析。【结果】CEQ和SEEQ问卷收回率分别为60.3%和54.6%。CEQ分析显示学生对课程总体满意度为7.12分,处于中等水平。目标清晰度、教学质量和通用技能发展等维度反映了学生对课程效果满意,而工作量和评估维度则反映出学生担忧课业过重、考试较难。基于性别差异的分析提示男女学生的评价结果无统计学意义。此外,满意度对学习体验的影响很大,满意度较高的学生对课程内容均持肯定态度(P<0.01)。SEEQ进一步证实了临床解剖学课程受到普遍欢迎,其中学习、热情和个人交流等方面得分较高。开放式问题的调查结果表明,课程在教学方法上存在不一致性、部分考试内容超出教学内容。对比结合导师制混合教学模式改革前后的学习成绩,发现,实行导师制后的学生成绩有所提高。【结论】结合导师制的混合教学模式不仅提高了学生对《临床解剖学》课程的满意度和学习成绩,还提升了学生的学习能力、学习热情和团队合作能力。未来教学改革需要在教学质量控制、教学大纲内容和考试内容一致性方面继续努力。【Objective】To investigate the efficacy of a blended instruction model which incorporated preceptorship into the clinical anatomy course at Sun Yat-sen University and improve satisfaction and performance of medical students.【Methods】The study recruited participants including 375 Chinese students aged 20-24 years old,2 anatomy professors,49 surgeons and 7 lab technicians.The students were divided into 10 teams and each team was tutored by 1 anatomy professor,2 surgeons and 1 lab technician.After the course ended,the Course Experience Questionnaire(CEQ)and Student Experience in Education Questionnaire(SEEQ)were used in the survey to measure the quality of teaching and students’overall educational experience.Students’performance scores were collected and analyzed.【Results】The response rates for CEQ and SEEQ were 60.3%(226/375)and 54.6%(200/375),respectively.CEQ indicated a moderate level of overall satisfaction with 7.12 out of 10.Subscales like Clear Goals,Good Teaching and Generic Skills showed moderately positive reception of the course,while subscales like Appropriate Workload and Appropriate Assessment revealed students’concerns about heavy workload and difficult exam.There was no statistically significant difference in perceptions between male and female students.The students who are more satisfied with the quality of the course are also more satisfied with the way it is taught(P<0.01).SEEQ further confirmed the universal appeal of the course,with high scores in dimensions like Learning,Enthusiasm and Individual Rapport among the students.Qualitative responses highlighted areas of improvement,such as consistent teaching methods,practical hands-on experience for the students and alignment between what was taught and tested.The students after the preceptorship introduction achieved better academic performance than before.【Conclusions】The blended instruction model incorporating preceptorship enhances the student satisfaction and performance in clinical anatomy course,and also stimulates stude

关 键 词：混合式学习 导师制 临床解剖 课程满意度 课程体验 

分 类 号：G642[文化科学—高等教育学] R-4[文化科学—教育学]