目的 了解医学研究生科研方法学课程的教学需求和授课效果,探索适合医学研究生的教学方式。方法 2021年12月,采用横断面设计,调查某军校2021级160名研究生科研方法学课程的知信行(即知识、态度、信念和做法)、课程内容的必要性、满意度和课时增删需求、授课效果影响因素等。连续型影响因素的比较采用t检验或秩和检验,率的比较采用χ2检验或确切概率法,分类变量采用多元Logistic回归模型,连续变量采用多元线性回归模型。结果 研究生对授课满意度达到95.0%以上。104名(65.0%)研究生认为应该增加课时,随着年龄增长需求更大。研究生对课程的建议主要包括:95名(59.4%)研究生支持流行病学和医学统计学分开授课,入学以来发文量越多,越倾向于分开授课。117名(73.1%) 研究生希望增加大型队列研究平台,116名(72.5%)研究生提出需要机房配置、138名(86.3%)研究生提出增加多媒体等教学条件、30名(18.8%)研究生提出增加案例和实践教学时数,135名(84.4%)研究生建议开展双语教学、131名(81.9%)研究生建议在教学中增加文献评阅。结论 医学研究生对临床科研方法学课程整体评价较好,大部分研究生支持多媒体教学、双语教学和文献评阅,应当针对研究生实际需求不断改善授课条件和调整教学方式。
Objective To understand the teaching needs and effectiveness of a medical research methodology course for medical graduate students and to explore suitable teaching methods for them. Methods A cross-sectional questionnaire survey was conducted in December 2021 on 160 graduate students from a military school enrolled in 2021. The survey covered knowledge, attitude, beliefs, andpractices (KABP) regarding the methodology course, the necessity of course content, satisfaction,and the need for changes in class hours, as well as factors affecting teaching effectiveness.Comparisons of continuous influencing factors were made using t-tests or rank-sum tests, ratecomparisons were made using χ2 tests or exact probability methods, categorical variables were analyzed using multivariate logistic regression models, and continuous variables were analyzed using multivariate linear regression models.Results The survey analysis revealed that more than 95.0% of the students were satisfied with the teaching. Furthermore, 104 students (65.0%) believedthat class hours should be increased, with older students expressing a greater need. Suggestions from students included the following:95 students (59.4%) supported separate courses for epidemiology and medical statistics, with a tendency for students with more publications sinceenrollment to favor separate courses. In addition, 117 students (73.1%) hoped to increase large cohort study platforms, 116 students (72.5%) suggested the need for computer room configurations, 138 students (86.3%) proposed enhancing multimedia teaching conditions, 30 students (18.8%) recommended increasing the number of case studies and practical teaching hours, 135 students (84.4%) advised implementing bilingual teaching, and 131 students (81.9%) recommended incorporating more literature review in the teaching process. Conclusions The overall evaluation of the clinical research methodology course by medical graduate students is positive. Most students support multimedia teaching, bilingual teaching, and the inclusion of literature reviews. Teaching conditions and methods should be continuously improved and adjusted to meet the actual needs of the students.
[1] 王悦, 徐弘昭, 迟宝荣. 以提高临床思维能力为目标的“临床思维方法与决策”课程的创建与实践[J].高校医学教学研究(电子版),2022,12(3):8-12. DOI: 10.3868/j.issn.2095-1582.2022.03.002.
[2] 彭晓霞,唐迅.临床研究设计[M].4版.北京:北京大学医学出版社,2017:1-358.
[3] 成颖, 刘道洲, 周四元. 新时期军医大学药剂学课程教学创新与实践[J].中国医药导报,2019,16(30):184-188.
[4] 潘海峰, 沈辉慧, 关世阳, 等. 临床医学专业本科生对科研设计课程的认知及需求调查[J].基础医学与临床,2019,39(12):1773-1776. DOI: 10.3969/j.issn.1001-6325.2019.12.022.
[5] Brown, Nancy J.Developing physician-scientists: carpe diem[J].Circulation Research,2018,123(6):645-647.
[6] Conroy MB, Shaffiey S, Jones S, et al. Scholarly research projects benefit medical students' research productivity and residency choice: outcomes from the University of Pittsburgh School of Medicine[J]. Acad Med, 2018,93(11):1727-1731. DOI: 10.1097/ACM.0000000000002328.
[7] Chen S, Yu J, Hong SB, et al. Response to “competency-based medical education in radiology: a survey of medical student perceptions”[J]. Can Assoc Radiol J, 2022,73(2):352-358. DOI: 10.1177/08465371211044832.
[8] 陈忠, 陶建平, 陈彬. 医学专业课程教学活动中双语教学的应用、改进和再思考[J].中国医药科学,2021,11(2):65-67. DOI: 10.3969/j.issn.2095-0616.2021.02.019.
[9] 王冬欣, 张志涛, 张婧, 等. 案例教学法结合翻转课堂模式在神经感染临床教学中的应用[J].中国病案,2022,23(11):100-103. DOI: 10.3969/j.issn.1672-2566.2022.11.034.
[10] 赛晓勇, 田鸥, 张士涛. 标准教学模式下军队医学博士生流行病学三年授课效果的初步探讨[J].中国医药导报,2014,11(6):131-133.
[11] 杨晓华, 张华峰, 吴小健, 等. 翻转课堂应用于医学研究生实验教学的探索[J].中华医学教育探索杂志,2018,17(10):1054-1058. DOI: 10.3760/cma.j.issn.2095-1485.2018.10.017.
[12] Burgess A, Bleasel J, Haq I, et al. Team-based learning (TBL) in the medical curriculum: better than PBL?[J]. BMC Med Educ, 2017,17(1):1-11. DOI: 10.1186/s12909-017-1068-z.
[13] Benè KL, Bergus G. When learners become teachers: a review of peer teaching in medical student education[J]. Fam Med, 2014,46(10):783-787.
[14] Erlich DR, Shaughnessy AF. Student-teacher education programme (STEP) by step: transforming medical students into competent, confident teachers[J]. Med Teach, 2014,36(4):322-332. DOI: 10.3109/0142159X.2014.887835.
[15] Whitmill A, Edwards T, Charles S. Training medical student facilitators of peer-assisted study sessions using an objective standardized teaching exercise[J]. MedEdPORTAL, 2020,16:10898. DOI: 10.15766/mep_2374-8265.10898.
[16] 赛晓勇, 宋玉健, 孙媛媛. 解放军医学院2016~2019级研究生临床试验授课效果的纵向比较[J].中国医药导报,2019,16(35):178-181.