中华医学教育杂志 ›› 2023, Vol. 43 ›› Issue (8): 600-603.DOI: 10.3760/cma.j.cn115259-20221012-01287

• 教学方法 • 上一篇    下一篇

能力导向实践教学模式在药学专业本科生临床实践中的探索

陈苏宁, 乔逸, 关月, 张维, 曹珊珊, 赵瑾怡, 郭桂萍, 葛洁, 王聪聪, 王婧雯   

  1. 空军军医大学第一附属医院药剂科,西安 710032
  • 收稿日期:2022-10-12 出版日期:2023-08-01 发布日期:2023-07-31
  • 通讯作者: 王婧雯, Email: wangjingwen8021@163.com
  • 基金资助:
    空军军医大学教学研究课题一般项目(2020KJJYDXYB021)

Exploration of capability-oriented practice teaching in clinical pharmacy for undergraduates

Chen Suning, Qiao Yi, Guan Yue, Zhang Wei, Cao Shanshan, Zhao Jinyi, Guo Guiping, Ge Jie, Wang Congcong, Wang Jingwen   

  1. Department of Pharmacy, The First Affiliated Hospital of Air Force Medical University,Xi'an 710032, China
  • Received:2022-10-12 Online:2023-08-01 Published:2023-07-31
  • Contact: Wang Jingwen, Email: wangjingwen8021@163.com
  • Supported by:
    General Teaching Research Project of Air Force Military Medical University(2020KJJYDXYB021)

摘要: 能力导向实践教学模式以学生为中心,在完成临床药学监护全过程中可调动学生主观能动性,提升学生临床决策能力。本课题组此前已将该教学模式应用于临床药师在职培训中并取得良好的教学效果。自2021年起,本课题组在空军军医大学2018~2019级四年制药学专业23名学生中采用能力导向实践教学模式进行临床药学实践,包括增设实践教学环节、细化实践教学流程及内容、提升实践教学辅助手段、优化实践教学考核方式,通过考试成绩、满意度测评评价教学效果。结果显示,学生实践后总成绩为(84.6±3.5)分,优秀率为91.3%(21/23)。其中,理论考核成绩为(81.7±3.5)分,优秀率为82.6%(19/23);临床思维考核成绩为(84.3±6.3)分,优秀率为73.9%(17/23);临床实践考核成绩为(88.8±5.0)分,优秀率为91.3%(21/23);医生、护士、患者满意度评价(每位学生的评价分别由2名医生、2名护士、2名患者完成)为“非常好”和“好”的为89.1%(123/138)。能力导向实践教学模式应用于药学专业本科生临床实践的教学效果良好,有助于学生建立初步的临床思维,锻炼解决临床实际药学问题的能力,得到了医护人员和患者的认可,但对实施临床药学实践的教学单位规模、带教药师的综合能力均有较高要求。

关键词: 教育,药学, 教学改革, 能力导向, 实践教学

Abstract: The capability-oriented practical teaching is student-centered, which can improve both students' motivation and their clinical decision-making ability during the whole process of pharmaceutical care This way of teaching has been applied to on-the-job training of clinical pharmacists in our research group with good results. Since 2021, the research group has implemented capability-oriented clinical pharmacy practice teaching among 23 undergraduate majoring in pharmaceutical science in the four-year program enrolled from 2018 to 2019 in the Air Force Medical University, which included adding practice teaching links, refining practice process and content, improving practice auxiliary education means, optimizing practice education assessment methods, and evaluating teaching effects through examination results and satisfaction evaluation. Results show that the students received relatively high practice grade (84.6±3.5) score, with excellence rate 91.3% (21/23). Among them, the theory scores for (81.7±3.5), with excellence rate 82.6% (19/23); Clinical thought assessment score for (84.3±6.3), the excellence rate was 73.9% (17/23); Clinical practice assessment score for (88.8± 5.0), the excellence rate was 91.3% (21/23). Course satisfaction from doctors, nurses and patients (the evaluation of each student was completed by two doctors, nurses and patients respectively) were ″very good″ and ″good″ in 89.1% (123/138). The application of the capability-oriented practice teaching to the clinical pharmacy for undergraduates is helpful for students to cultivate clinical thinking and improve the problem-solving ability in clinical pharmacy, which has been recognized by medical staff and patients. However, it has higher requirements on the scale of teaching units implementing clinical pharmacy and the comprehensive ability of teaching faculties.

Key words: Education,pharmacy, Transformation of education, Capability-oriented, Practical teaching

中图分类号: