临床思维训练软件的研发及其在诊断学教学中的应用  

Development of the clinical thinking training software and its application in diagnostics teaching

作　　者：蔡举瑜 钟锋[1] 李宇昌[1] 董建新[1] 陈奎香 CAI Juyu;ZHONG Feng;LI Yuchang;DONG Jianxin;CHEN Kuixiang(Medical College of Jiaying University,Meizhou 514031,China)

机构地区：[1]嘉应学院医学院,广东梅州514031

出　　处：《中国医学教育技术》2024年第6期756-761,共6页China Medical Education Technology

基　　金：嘉应学院2019年教学质量工程建设资助项目“德能导向型卓越医师人才培养计划的探索与研究”(ZLGC-2019-26)。

摘　　要：目的 研发、应用临床思维训练软件,提高医学生临床思维能力。方法 选取嘉应学院医学院2020—2021级临床医学本科卓越班学生80人,随机分为对照组(n=40)和试验组(n=40)。对照组采取基于案例学习(case-based learning, CBL)方法进行诊断学临床思维训练,试验组在基于CBL方法学习的基础上使用自行研发的软件进行培训和学习。2个月的训练课程结束后,考核两组学生的临床思维能力。以网络问卷方式调查50名学生用户(包括试验组40名和来自2019级卓越班10名学生)对软件应用效果的主观评价和满意度。结果 试验组学生临床思维考试成绩得分优于对照组[(83.5±8.5)分vs.(78.1±8.8)分,P<0.05]。调查结果显示,大多数学生认为软件能激发学习兴趣(88.0%)、提高自主学习能力(94.0%)、知识应用能力(96.0%)和临床思维能力(98.0%);98.0%学生用户对软件的使用感到满意。结论 应用临床思维训练软件有利于提高学生的临床思维能力,值得在诊断学教学中进一步研究和应用。Objective To improve the students’clinical thinking ability via developing and using a clinical thinking training software.Methods A total of 80 undergraduates in outstanding talent class majoring in Clinical Medicine from the Grade 2020 to 2021 of Medical College of Jiaying University were selected and randomly divided into the control group and the experimental group,with 40 students in each.Clinical thinking training of diagnostics was carried out in the control group based on CBL(case-based learning)method,while self-developed software based on CBL method was applied in the training and learning of the experimental group.After 2 months of training course,clinical thinking abilities of the two groups were evaluated.An online questionnaire survey was conducted to investigate the subjective evaluation and satisfaction on application effect of the software among 50 student users(including 40 from the experimental group and 10 clinical medical students of Grade 2019 from outstanding talent class).Results The experimental group performed better than the control group in clinical thinking ability examination[(83.5±8.5)vs.(78.1±8.8),P<0.05].According to the survey,most students considered that the software could stimulate their learning interest(88.0%),and promote self-learning ability(94.0%),knowledge application ability(96.0%)as well as clinical thinking ability(98.0%).Furthermore,98.0%of the students were satisfied with the application of the software.Conclusion The application of clinical thinking training software is conducive to improving students’clinical thinking ability and is worthy of further research and application in diagnostics teaching.

关 键 词：临床思维 医学软件 诊断学教学 

分 类 号：G434[文化科学—教育学] G642.0[文化科学—教育技术学]