教师角色主动转换对医学生呼吸内科学见习教学效果的影响

doi:10.3760/cma.j.issn.1673-677X.2017.06.025

摘要/Abstract

摘要： 目的探讨在呼吸内科学见习教学中,在教学实施不同阶段教师角色依据不同教学方法主动转换的教学效果。方法采用实验对照方法。选择中山大学2013级五年制预防医学专业86名学生和2013级五年制临床医学专业60名学生为研究对象。在呼吸内科学见习教学中,将同一专业同一批次学生随机分为教师角色主动转换组(实验组)和教师角色主导组(对照组)。对实验组实施基于案例的学习(case-based learning, CBL)教学和基于授课的学习(lecture-based learning, LBL)教学相结合的教学方法,教师在教学实施不同阶段依据不同教学方法主动转换角色;对照组实施单纯以教师为主导的LBL教学方法。教学结束后,分别比较两个专业两组学生的考核成绩及通过问卷调查了解教学效果。结果在肺炎和慢性阻塞性肺病的基本知识考核中,两个专业的实验组学生成绩和对照组学生成绩差异均无统计学意义(均P＞0.05);但是在拓宽知识的考核中,预防医学专业实验组学生成绩优于对照组(Z=3.33,P＜0.01),临床医学专业实验组学生成绩优于对照组(Z=3.24,P＜0.01);在偏重理解与应用能力的出科考核中,预防医学专业的实验组学生成绩优于对照组(Z=2.11,P＜0.05),临床医学专业实验组学生成绩优于对照组(Z=2.22,P＜0.05)。问卷调查结果显示,比较同一专业的两组学生对教师教学的多个项目的评分指标,差异具有统计学意义(均P＜0.05)。结论教师角色依不同教学方法主动转换在两个不同专业呼吸内科学见习教学中具有优势,能够在有限的时间内提高见习质量和见习效果。

关键词: 教师角色, 基于案例的学习, 基于授课的学习, 呼吸, 见习

Abstract: Objective To investigate the teaching effects of teachers' role active conversion according different teaching methods: case-based learning (CBL) combined with lecture-based learning (LBL) in respiratory medicine pre-clinical practice of different specialties.Methods CBL combined with LBL was applied to respiratory medicine pre-clinical practice teaching from department of preventive medicine and department of clinical medicine, and the teaching effects was compared with that of LBL.Results Although no significant differences were noted in basic knowledge of pneumonia and COPD (both P＞0.05), the expanding theoretical achievements of CBL combined with LBL, as well as students' performances of after-department phase examination emphasizing on clinical practice abilities, were significantly better than that of LBL. In the expanding theoretical achievements, the experimental group of preventive medical students was better than the control group(Z=3.33, P<0.01), the experimental group of clinical medicine students was better than the control group(Z=3.24, P<0.01). In the clinical practice abilities, the experimental group of preventive medical students was better than the control group(Z=2.11, P<0.05), the experimental group of clinical medicine students was better than the control group(Z=2.22, P<0.05). Some parameters including the enthusiasm, initiative and collaboration of students in a questionnaire survey can be improved by using teaching methods of CBL combined with LBL.Conclusions Teachers' role active conversion according different teaching methods such as CBL combined with LBL has an obvious advantage in the different specialties pre-clinical practice teaching of respiratory medicine and may improve the teaching quality.

Key words: Role of a teacher, Case-based learning, Lecture-based learning, Respiratory medicine, Probation

李洪涛, 周汉建, 张天托. 教师角色主动转换对医学生呼吸内科学见习教学效果的影响[J]. 中华医学教育杂志, 2017, 37(6): 921-930.

Li Hongtao, Zhou Hanjian, Zhang Tiantuo. The effect of teachers' role active conversion during teaching model of case-based learning combined with lecture-based learning in pre-clinical practice teaching of respiratory medicine[J]. Chinese Journal of Medical Education, 2017, 37(6): 921-930.

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