目的 了解医德戏剧式教学方式在思想道德修养与法律基础课程(以下简称“思法基础”课程)教学中的应用效果。 方法 2019年5月采用简单随机抽样方法,选取福建医科大学五年制临床医学专业480名学生为研究对象,采用自编的“医德戏剧式教学效果”调查问卷对其进行调查,问卷包括调查对象基本情况、“思法基础”课程学习情况、医德戏剧式教学效果评价、医德戏剧式教学改进建议等4部分。 结果 学生对医德戏剧教学效果的总体评价的评分为(40.86±7.09)分。男生对医德戏剧的价值认同高于女生,其差异具有统计学意义[(15.87±3.45)分比(16.46±2.89)分,t=-2.015,P=0.044];有干部经历的学生在参与能力[(16.79±2.91)分比(16.07±2.92)分]、创新思维[(8.26±1.67)分比(7.85±1.61)分]和总体效果[(41.38±7.11)分比(39.85±6.95)分]评分上均高于无干部经历的学生,其差异均具有统计学意义(均P<0.05);课堂内外参与度、学习目标明确度、角色扮演投入度是医德戏剧式教学效果评价的影响因素。 结论 医德戏剧式教学方式应用于“思法基础”课程教学中具有较好的效果。

Objective To determine the effectiveness of medical ethics drama in the teaching of ideological and moral cultivation and the legal basis. Methods A simple random sampling method is used to collect 480 students of 5-year clinical medicine from Fujian Medical University in May 2019, through a self-made questionnaire to investigate the student's evaluation on the education outcome of medical ethics drama instruction. The questionnaire including 4 parts: participants' demographic characteristics, study condition, evaluation on medical ethics drama instruction and its suggestion. Results The overall score of the learning outcome evaluation on medical ethics drama is (40.86±7.09). Male students' value recognition on medical ethics drama is higher than female students [(15.87±3.45) vs (16.46±2.89),t=-2.015,P=0.044]. Students with cadre experience get higher score on participation [(16.79±2.91) vs (16.07±2.92)], innovative thinking [(8.26±1.67) vs (7.85±1.61)]and overall evaluation on medical ethics drama [(41.38±7.11) vs (39.85±6.95)] than those without cadre experience, the difference is statistically significant (all P<0.05). Multiple linear regression analysis shows that the degree of drama participation both and out of class, clarity of learning targets, role-playing investment are the influencing factors toward the evaluation of medical ethics drama. Conclusions The results demonstrate that medical ethics drama instruction has a good education effectiveness.