关键词: 讨论式教学方法, 检体诊断学, 异常体征, 实习教学

Abstract: Objective To explore the application effect of discussion teaching method in the practice training of physical examination diagnostics for abnormal physical signs. Methods The experimental control method was used in this study. From April 2018 to July 2019, 79 five-year medical students who were enrolled in 2015 and 2016 majoring in Peking University Health Science Center interned in the Aerospace Center Hospital were selected as the research objects.Among them,39 students of 2016 were set as the experimental group, adding discussion teaching methods on the basis of traditional teaching methods;40 students of 2015 were set as the control group, using traditional teaching methods. Through the examination of theoretical knowledge and the questionnaire survey of the experimental group students, the teaching effect was evaluated. Results The differences between the experimental group and the control group in abnormal physical signs [(26.24 ± 5.51) vs (21.16 ± 5.33)] and total scores [(84.72 ± 8.50) vs (80.95 ± 7.41)] were statistically significant (P<0.05). There were 97.4% (38/39) students from the experimental group satisfied with the discussion teaching method. Conclusions The students trained with new model of discussion-based learning have better learning outcomes in terms of test results in the diagnostics of abnormal physical signs, discussion teaching method is recognized by students.

Key words: Discussion teaching method, Physical diagnostics, Abnormal signs, Internship teaching