摘要
目的了解中医药院校七年制研究生批判性思维倾向状况,评价中西医结合外科CBL教学对其作用与影响。方法选取七年制中医研究生135名,按届别分为传统教学(LBL)组68人与CBL组67人,于第3或第4学年中西医结合外科学课程前后采用中文版批判性思维倾向调查问卷(CTDI-CV)进行评测,期末进行理论考试及临床思维考核。对比观察CBL组学习前后及两组得分情况与频数分布,结合考试成绩评价CBL教学法对批判性思维倾向的影响。结果两组研究生学习前后CTDI-CV总分为意义不明确,频数分布均无显著差异(P>0.05),处于中等水平。但CBL组学习后分值高于学习前与LBL组,且部分维度有正性倾向,理论考核成绩较高,与LBL组相比有显著差异(P<0.05)。结论中医研究生批判性思维倾向总体处于中等,中西医结合外科CBL教学有助于研究生批判性思维能力的培养,提高临床思维水平,CTDI-CV可以作为教学质量评价的有效工具之一应用于医学教育。
Objective To know about critical thinking disposition among 7-year program students in colleges and universities of Chinese medicine, and to evaluate function and influence of CBL teaching of surgery of integrated Chinese and Western medicine on them. Methods 135 students of the 7-year program were selected and divided into two groups. 68 were in the LBL group and 67 in the CBL group. Before and after the course teaching, they were given the questionnaire survey of critical thinking disposition inventory （CTDI-CV）. End-term theory test and clinical thinking test were conducted. Students＇ scores and scoring frequency distribution were observed. Results Students＇ total scores on CTDI-CV before and after the course study in both groups reflected no clear significance, and there was no obvious difference in frequency distribution （P〉0.05）, in the medium range. After the course study, students in the CBL group scored higher than before and than those students in the LBL group. They also scored higher on theoretical examination compared with students in the other group, showing a significant difference （P〈 0.05）. Conclusion Critical thinking disposition of graduate students of Chinese medicine is generally in the medium range. CBL teaching of surgery of integrated Chinese and Western medicine can help foster their critical thinking ability and increase their clinical thinking ability. CTDI-CV can serve as an effective means to evaluate teaching quality of medical education.
出处
《中医教育》
2015年第1期45-49,54,共6页
Education of Chinese Medicine
关键词
批判性思维
以病例为中心学习
中西医结合外科学
研究生
临床思维
critical thinking
case-centered learning
surgery of integrated Chinese and Western medicine
graduate student
clinical thinking
