目的 分析融入KWL表的案例教学法在儿科学见习教学中的应用效果。方法 2021年6月到2022年4月,采用试验对照方法,将新乡医学院三全学院2018级五年制临床医学专业40名学生随机分为试验组和对照组,每组20人。试验组采用融入KWL表的案例教学法进行教学,对照组采用传统授课式教学法进行教学。见习结束后对试验组学生进行满意度问卷调查,并对所有学生进行考核,考核成绩组间比较采用t检验。结果 试验组问卷调查结果显示,对于融入KWL表的案例教学法,90.0%(18/20)的学生认为激发了学习兴趣、有助于系统掌握儿科学知识,85.0%(17/20)的学生认为提高了自主学习能力并有助于临床思维、临床技能、沟通表达等能力的提高。试验组学生见习考核总成绩(88.70±5.05)分高于对照组学生(84.85±4.56)分,其中,基础知识成绩(55.05±3.17)分和病例分析成绩(33.65±2.70)分均高于对照组的(53.00±2.88)分和(31.85±2.13)分,差异均有统计学意义(均P<0.05)。结论 在儿科学见习教学中采用融入KWL表的案例教学法有助于学生系统掌握儿科学知识,有助于学生临床思维的培养,并可在一定程度上提高学生的综合素质。

Objective To explore the effect of case-based learning incorporated by KWL form in probation teaching for pediatric undergraduates. Methods From June 2021 to April 2022,forty undergraduates majoring in clinical medicine enrolled in 2018 from Sanquan College of Xinxiang Medical University in the Department of Pediatrics of Shenzhen University General Hospital were randomly divided into the study group and the control group. Case-based learning incorporated by KWL form was used for the study group, while traditional teaching method was used for the control group. The teaching quality, including satisfaction survey of the study group and examination results of all students enrolled in the trial were analyzed, and differences of measurements were compared by t-test. Results Results from questionnaire in the study group showed that 90.0%(18/20)of students believed that the teaching method was helpful to stimulate learning interest and contributed to systematically master the knowledge of pediatrics, and 85.0%(17/20)of students believed that the teaching method was helpful to improve the ability of independent learning, and contributed to the improvement of clinical thinking, clinical skills, communication and other skills. The scores of theory test of study group had some improvement (88.70±5.05 vs. 84.85±4.56) as compared with the students of control group, and the scores of the basic knowledge section (55.05±3.17) and the case analysis section (33.65±2.70) of the study group were both higher than those of the control group (53.00±2.88 and 31.85±2.13)(all P<0.05). Conclusions Case-based learning incorporated by KWL form had good effect in probation teaching for pediatric undergraduates, and was helpful to cultivate comprehensive quality.