目的 探讨视频反馈教学法在基本操作技能课程教学中的应用效果。方法 本研究采用随机对照实验研究方法。2018年2月~7月,选取在复旦大学附属闵行医院见习的温州医科大学2014级五年制临床医学专业36名学生为研究对象,将其随机分为实验组和对照组,每组18名学生。实验组学生除采取基于讲授的传统教学方法外,加入了视频反馈教学方法;对照组学生采用基于讲授的传统教学方法。通过模拟临床执业医师实践技能基本操作考试和调查问卷进行教学效果评价。结果 实验组学生的临床执业医师实践技能基本操作模拟考试成绩[(16.25±1.14)分]高于对照组学生[(14.31±1.46)分],其差异具有统计学意义(P<0.05)。实验组学生和对照组学生在学习兴趣[(8.53±1.46)分比(7.38±1.21)分]、注意力集中程度[(8.72±1.40)分比(7.51±1.33)分]、同学之间交流合作次数[(9.15±1.84)分比(7.67±1.65)分]、团队协作意识[(8.86±1.43)分比(6.55±1.27)分]、课后练习次数[(8.57±1.14)分比(6.39±1.36)分]、自身操作优缺点知晓程度[(7.35±0.92)分比(4.47±0.66)分]、考前自信程度[(6.82±0.75)分比(4.03±0.56)分]、应考紧张情绪控制[(7.40±1.63)分比(4.28±0.45)分]等方面的评分比较,其差异均具有统计学意义(均P<0.05)。结论 视频反馈教学方法提高了学生的临床执业医师实践技能基本操作模拟考试成绩,有助于提高学生学习基本操作技能的主动性和针对性,提高了学生对临床执业医师实践技能基本操作模拟考试的自信心。
Objective To investigate the effecacy of video feedback in the teaching of basic skills.Methods Totally 36 clinical medicine undergraduates were divided into the experimental group(n=18) and the control group(n=18) randomly from February to July in 2018.In addition to the traditional teaching method based on lecture,students in the experimental group joined the video feedback teaching,while students in the control group adopted the traditional teaching method based on lecture.The performances in the simulation of the basic manipulation of practical skills tests of physician qualification examination were compared between the two groups,and the questionnaire investigation were also conducted and evaluated after the course.Results The basic practical skills test score of the experimental group was higher than that of the control group (16.25±1.14 vs 14.31±1.46,P<0.05).Questionnaire investigation showed that the students' learning interests,attention focusing,commutation and expression ability,sense of teamwork,self learning willingness,awareness of merits and demerits of themselves' operation,self-confidence before examination,nervousness control during the peri-examination period were better than those in experimental group(8.53±1.46 vs 7.38±1.21,8.72±1.40 vs 7.51±1.33,9.15±1.84 vs 7.67±1.65,8.86±1.43 vs 6.55±1.27,8.57±1.14 vs 6.39±1.36,7.35±0.92 vs 4.47± 0.66,6.82±0.75 vs 4.03±0.56,7.40±1.63 vs 4.28±0.45,all P<0.05).Conclusions Video feedback method can effectively improve students' interest in self-learning,development of standardized performance,boost the self-confidence of students,and facilitate basic manipulation training.
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