在以观摩实习为主流的大背景下,为了促进医学生实习过程中真实医疗环境下的学习与成长,本研究在开展妇产科学教学门诊时联合应用了反思性教学方式。通过分析自2010年至2019年参加北京大学人民医院妇产科实习的八年制临床医学专业426名学生对于教学门诊满意度的调查数据,本文阐述了教学门诊流程,以及如何在其中运用反思性教学方式,并总结了其教学效果。结果显示,学生对教学门诊联合反思性教学方式的满意度评分为(96.00±3.38)分。这提示在八年制临床医学专业学生妇产科实习中推行教学门诊联合反思性教学方式,取得了很好的教学效果,为学生提供了充分参与临床实践的学习机会。
In the background of observation practice as a mainstream, in order to promote the institution-based learning and professional development of medical students in a real clinical environment, the reflective teaching method was applied in the training at Obstetrics and Gynecology. By analyzing the survey data of 426 eight-year program students who participated in clerkship of Obstetrics and Gynecology in Peking University People's Hospital from 2010 to 2019, this paper expounds the process of clinical training in teaching clinic with reflective teaching methods. The author summarizes the effect of this method.The results showed that the score of the students' satisfaction with the teaching affairs was (96.00±3.38). It is suggested that the implementation of reflective teaching method in Obstetrics and Gynecology clerkship by eight-year program students has a good teaching effect. It provides students with learning opportunities to fully participate in clinical practice.
[1]钟琳琳, 钟莉娉, 周卓琳, 等. 角色模拟教学法在妇产科见习课的应用研究[J].中国继续医学教育,2018,10(12):20-22. DOI: 10.3969/j.issn.1674-9308.2018.12.011.
[2]Prakash S, Sladek RM, Schuwirth L. Interventions to improve diagnostic decision making: a systematic review and meta-analysis on reflective strategies[J]. Medical Teacher,2019,41(5):517-524. DOI:10.1080/0142159X.2018.1497786.
[3]Heath H. Keeping a reflective practice diary: a practical guide[J]. Nurse Educ Today, 1998,18(7):592-598. DOI: 10.1016/s0260-6917(98)80010-5.
[4]方芳, 李小平, 王建六. 如何对妇产科临床实习医学生进行反思性教学[J].中国高等医学教育,2016(10):80-81. DOI: 10.3969/j.issn.1002-1701.2016.10.042.
[5]Korthagen FAJ, Kessels J, Koster B, et al. Linking practice and theory: the pedagogy of realistic teacher education[M]. New Jersey: Lawrence Erlbaum Associates,2001:1-16.
[6]王晓迪, 徐东辉, 赵超, 等. 临床八年制学生妇产科生产实习改革初探[J].中国高等医学教育,2011(11):134-136. DOI: 10.3969/j.issn.1002-1701.2011.11.064.
[7]王一子, 宋子璇, 杨清. 角色扮演联合反思性教学在妇产科生产实习教学中的应用[J].中国继续医学教育,2019,11(33):67-68. DOI: 10.3969/j.issn.1674-9308.2019.33.027.
[8]南燕, 吴辉. 妇产科临床实践及教学常见问题分析及对策[J].医学理论与实践,2018,31(24):3783-3784. DOI: 10.19381/j.issn.1001-7585.2018.24.083.
