摘要
目的探讨胸腔镜手术视频在临床解剖教学中的应用效果。方法于2022年11—12月选取中山大学医学院2020级临床医学五年制本科生两个大班的129名学生为研究对象,按照随机分配法则分为试验组和对照组,其中试验组66名,对照组63名。对照组采用传统临床解剖教学法,试验组采用胸腔镜手术视频结合传统临床解剖教学方式。比较2组的理解教学目的、教学内容丰富、教学重点突出、有利于提高对胸部解剖课程的兴趣、教学方式满意度、对胸部相关临床知识有所了解、愿意深入了解胸部疾病相关知识、对胸部解剖相关知识的掌握程度、对胸部解剖基本技能掌握程度评分以及课程总体评分,总结学生对本课程的印象、意见和建议。结果试验组收集有效问卷49份,对照组收集有效问卷52份。试验组的教学重点突出[(4.80±0.46)分]、对胸部相关临床知识有所了解[(4.76±0.48)分]、对胸部解剖相关知识的掌握程度[(4.51±0.68)分]评分高于对照组[(4.46±0.94)分、(4.19±1.12)分、(4.08±1.21)分],差异有统计学意义(P<0.05)。试验组29名学生反映“喜欢带有临床知识的课程”“临床手术视频很清晰,对理论理解更深刻”“挑选的素材很用心,对胸部的解剖结构有了较深刻的理解”“授课方式很生动”“授课方式值得提倡”“希望以后多采用基础知识结合临床实际案例授课”;同时,2名学生觉得“手术对于本科生有点难”“手术视频中的神经难看清,结构不易区分”。对照组22名学生感觉“老师讲得很好”“课程不错”,3名学生建议“希望老师多讲基础知识和理论”“展示解剖操作的具体步骤和需要观察学习的内容”。结论胸腔镜手术视频结合传统解剖教学的模式能有效提高胸部临床解剖教学质量及学生对临床的兴趣,适用于临床解剖教学。
Objective To improve the application effect of thoracoscopic surgery video in clinical anatomy teaching.Methods From November to December 2022,a total of 129 students from two classes of five-year clinical medical undergraduates of grade 2020 in School of Medicine of Sun Yat-Sen University were selected as the research objects,and they were divided into the experimental group and the control group according to the random allocation rule,with 66 students in the experimental group and 63 students in the control group.The control group adopted traditional clinical anatomy teaching method,and the experimental group adopted thoracoscopic surgery video combined with traditional clinical anatomy teaching method.The scores of understanding of teaching purpose,rich teaching content,prominent teaching focus,which was conducive to improving their interest in chest anatomy course,satisfaction with teaching method,understanding of chest related clinical knowledge,willingness to deeply understand chest disease related knowledge,mastery of chest anatomy related knowledge,mastery of basic skills of chest anatomy,and overall course score between the two groups were compared.Impressions,comments and suggestions about the course of students were summarized.Results A total of 49 valid questionnaires were collected in the experimental group and 52 in the control group.The scores of prominent teaching focus[(4.80±0.46)points],understanding of chest related clinical knowledge[(4.76±0.48)points]and mastery of chest anatomy related knowledge[(4.51±0.68)points]of the experimental group were higher than those of the control group[(4.46±0.94)points,(4.19±1.12)points,(4.08±1.21)points],the differences were statistically significant(P<.05).“Liking the courses with clinical knowledge”“the clinical operation video was very clear,and there was a deeper understanding of the theory”“the selected materials were very careful,there was a deeper understanding of the anatomical structure of the chest”“the teaching method was vivid”“the teaching method was worth advocating”and“hope with the more basic knowledge combined with clinical practical teaching cases in the future”were the feelings of 29 students in the experimental group.At the same time,2 students also felt that“surgery was a bit difficult for undergraduate students”and“the nerves in the surgical video were difficult to see clearly,and the structure was not easy to distinguish”.A total of 22 in the control group generally felt that“the teacher gave a good lecture”and“the course was good”.A total of 3 students suggested that“teachers should talk more about basic knowledge and theory”and“the specific steps of anatomical operation and the content that needed to be observed and learned should be shown”.Conclusion The model of thoracoscope surgery video combined with the anatomy of the traditional teaching model can effectively improve chest clinical anatomy teaching quality and students'interest in clinical,which is applicable to the clinical anatomy teaching.
作者
王沛杰
梁洪森
张奇伟
殷茵
严冬青
郑鸿杰
张军航
李昀
WANG Peijie;LIANG Hongsen;ZHANG Qiwei;YIN Yin;YAN Dongqing;ZHENG Hongjie;ZHANG Junhang;LI Yun(Department of Thoracic Surgery,the Seventh Affiliated Hospital,Sun Yat-sen University,Shenzhen Guangdong 518107,China;Surgery Teaching and Research Division,the Seventh Affiliated Hospital,Sun Yat-sen University,Shenzhen Guangdong,518107,China)
出处
《中国继续医学教育》
2024年第20期124-128,共5页
China Continuing Medical Education
基金
中山大学本科教学改革与教学质量工程类项目(教务〔2020〕72号)。
关键词
胸外科手术
电视辅助
解剖学
教育
医学
传统教学法
thoracic surgery
video assistance
anatomy
education
medicine
traditional teaching method
