摘要
目的分析合作尝试教学法联合仿真模拟人在妇产科主动融通见习中的应用效果。方法2022年10月,选择在中南大学湘雅三医院妇产科见习的五年制学生,共131名,随机分2组:研究组66名学生采用合作尝试教学法联合仿真模拟人进行教学,对照组65名学生采用以案例为导向的教学法(case-based learning,CBL),教学评估内容为产后出血的模拟训练,通过理论测试、迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)、学生评教表、课后调查问卷表等多方面评估教学效果。结果研究组的理论测试成绩、Mini-CEX评分表中的各项成绩、课后问卷调查的满意度均高于对照组,差异有统计学意义(P<0.001)。学生评教表中研究组学生对带教老师的教学基本功、教学内容、教学方法、教学效果的评分远高于对照组,差异有统计学意义(P<0.001)。在师德、教学管理方面的评分一致,差异无统计学意义(P>0.05)。结论在妇产科主动融通见习教学中,应用合作尝试教学法联合仿真模拟人的教学形式,可以有效促进理论知识的学习、提高体格检查及操作技能水平、调动学生学习的主动性、积极性,能够真正做到“主动、融通”,并能够使学生更准确地做出临床判断、更好地做到人文关怀、改善其在临床工作中的整体表现,显著提高临床见习教学效果,并能够改善学生对教师的主观评价,更好的体现教师的教学能力及价值,值得在医学生本科教学中应用。
Objective To analyze the effect of cooperative trial teaching method combined with simulation simulator in the active integration internship of obstetrics and gynecology.Methods In October 2022,a total of 131 students who were trainees in the department of obstetrics and gynecology at the Third Xiangya Hospital of Central South University were selected and randomly divided into two groups:66 students in the study group were taught by the cooperative attempt teaching method combined with simulation simulators,and 65 students in the control group were taught by the case-based learning(CBL)method.The most common complication of obstetrics and gynecology-postpartum hemorrhage was selected as the teaching content to evaluate the teaching effectiveness.The teaching effect was evaluated by theory test,Mini-CEX,student evaluation form,and post-course questionnaire form.Results The theoretical test scores,the scores in the Mini-CEX rating scale,and the satisfaction of the post-class questionnaire of the study group were significantly higher than those of the control group,the difference was statistically significant(P<0.001),and the ratings of the students in the study group on the basic teaching skills,teaching content,teaching methods,and teaching effectiveness of the lead teachers were much higher than those in the control group,the difference was statistically significant(P<0.001),and the ratings in teacher ethics and teaching management were consistent,the difference was not statistically significant(P>0.05).Conclusion In the teaching of active and integrated internship in obstetrics and gynecology,the application of cooperative trial teaching method combined with simulation simulator can effectively promote the learning of theoretical knowledge,improve the level of physical examination and operational skills,mobilize students'initiative and enthusiasm for learning,and can truly achieve"active"and"integrated".It can make students make more accurate clinical judgment,better humanistic care and improve their overall performance in clinical work,significantly improve the teaching effect of clinical practice,and improve students'subjective evaluation of teachers and better reflect teachers'teaching ability and value,which is worth promoting and applying in undergraduate teaching of medical students.
作者
李瑞珍
李月燃
程春霞
冯晴
王楠
刘心利
LI Ruizhen;LI Yueran;CHENG Chunxia;FENG Qing;WANG Nan;LIU Xinli(Department of Obstetrics and Gynecology,the Third Xiangya Hospital of Central South University,Changsha Hu’nan 410013,China)
出处
《中国继续医学教育》
2024年第4期34-38,共5页
China Continuing Medical Education
基金
湖南省卫生健康委科研计划项目(D202315018535)
中南大学教育教学改革研究项目(2022jy180)
中南大学教育教学改革研究项目(2022jy174)。
关键词
合作尝试教学法
仿真模拟人
见习
妇产科学
主动融通
产后出血
教学效果
cooperative trial teaching method
simulation simulator
apprenticeship
obstetrics and gynecology
active integration
postpartum hemorrhage
teaching effect
