为了帮助临床医学专业本科生掌握心脏外科的基础知识和基本技能,培养其学习和从事心脏外科的兴趣,提升其医学人文素养与胜任力,设计并实施了心脏外科学选修课程。本课程融入思想政治教育和创新创业教育,采用理论讲授、实验操作、临床见习和模拟教学等多种教学方式。选择四川大学2018级五年制临床医学专业39名选课学生作为研究对象,通过期末考核成绩、问卷调查和大学生创新创业训练计划立项情况评价课程教学效果。全部学生课程总评成绩达到良好及以上; 92.3%(36/39)的学生认为课程设计合理,94.9%(37/39)的学生认为课程能够激发学习兴趣,89.7%(35/39)的学生认为课程加深了对理论知识的理解,71.8%(28/39)的学生认为课程可以锻炼临床操作技能,100.0%(39/39)的学生认为课程提升了人文素养。全部学生参与申报并获得了省级、校级和院级共45个大学生创新创业训练计划立项。本课程的探索与实践,在创新医学人才培养方面进行了有益尝试,为我国医学院校临床医学专业开设此类课程提供了参考。
To help clinical medical undergraduate master the fundamental knowledge and basic surgical skills of cardiac surgery, cultivate their interest in learning and pursuing a career in cardiac surgery, and enhance their medical humanities literacy and competence, an elective course in cardiac surgery was designed and implemented. This course integrates ideological and political education with innovation and entrepreneurship education, utilizing a variety of teaching methods, including theoretical lectures, practical exercises, clinical internships, and simulation teaching. A total of 39 students from the five-year Clinical Medicine program at Sichuan University, class of 2018, were enrolled. The teaching effectiveness was evaluated through final examination scores, questionnaire surveys, and the number of approved student innovation and entrepreneurship training programs. The results showed that all students achieved a final course grade of good or above. Specifically, 92.3% (36/39) of the students considered the course design to be reasonable, 94.9% (37/39) believed the course stimulated their interest in learning, 89.7% (35/39) felt the course deepened their understanding of theoretical knowledge, 71.8% (28/39) thought the course improved their clinical operation skills, and 100.0% (39/39) agreed the course enhanced their humanities literacy. Additionally, all students participated in applying for and securing a total of 45 provincial, university, and college-level student innovation and entrepreneurship training programs. The exploration and practice of this course have made valuable contributions to the innovation of medical talent cultivation, offering a reference for the implementation of similar courses in clinical medicine programs at medical schools in China.
[1] 古君, 张洪伟, 干昌平, 等. 3D打印技术结合PBL教学法在心脏外科本科教学中的价值分析[J].继续医学教育,2021,35(2):11-12. DOI: 10.3969/j.issn.1004-6763.2021.02.007.
[2] 钱宏, 蒙炜. 互动式教学在心外科教学中的应用研究[J].中国继续医学教育,2022,14(17):138-141. DOI: 10.3969/j.issn.1674-9308.2022.17.035.
[3] 徐鸿飞, 陈淼, 王桢, 等. 翻转课堂在心外科教学中的应用探究[J].全科医学临床与教育,2023,21(7):630-632. DOI: 10.13558/j.cnki.issn1672-3686.2023.007.015.
[4] 陈瑜, 陈涛, 董小超, 等. 不同教学模式在胸心外科五年制临床见习中的应用[J].中国体外循环杂志,2016,14(3):165-167,181. DOI: 10.13498/j.cnki.chin.j.ecc.2016.03.11.
[5] 曾静, 左川, 卿平, 等. 以TBL为核心建立系统整合课程考核体系的探索和思考[J].中国高等医学教育,2013(10):69-70,137. DOI: 10.3969/j.issn.1002-1701.2013.10.035.
[6] 干昌平, 肖正华, 李晓, 等. 基于PBL的留学生与非留学生组合学习模式在临床教学中的应用[J].中国高等医学教育,2020(3):81-82. DOI: 10.3969/j.issn.1002-1701.2020.03.040.
[7] 钱宏, 李娅姣. PBL联合CBL教学法在心外科住院医师规范化培训中的价值[J].继续医学教育,2022,36(7):45-48. DOI: 10.3969/j.issn.1004-6763.2022.07.012.
[8] Francis G. Medicine: art or science?[J]. Lancet, 2020,395(10217):24-25. DOI: 10.1016/S0140-6736(19)33145-9
[9] 教育部, 国家卫生健康委员会, 国家中医药管理局. 教育部 国家卫生健康委员会 国家中医药管理局关于加强医教协同实施卓越医生教育培养计划2.0的意见[J]. 中华人民共和国教育部公报, 2018(10):16-19.
[10] 薄海美, 程光, 刘牧, 等. 新医科背景下基于岗位胜任力的临床医学人才培养模式的构建[J].吉林医药学院学报,2023,44(2):109-111.