Objective To explore the outcomes of the remodeling clinical practice training based on organ system.Methods From June 2017 to May 2019, totally 147 interns of five-year curriculum of clinical medicine enrolled in 2013 and 2014 in Nantong University and Suzhou University were selected as the research objects. Totally 74 interns enrolled in 2014 grade were set as the experimental group,the organ-system based learning was adopted. In addition to bedside teaching, the team-based learning was also applied. The 73 interns enrolled in 2013 were set as the control group, with discipline-based training methodology and the bedside teaching model. Through examination scores Mini-CEX score of the two groups of interns and the questionnaire survey of the experimental group of interns, the effect of the reform of teaching mode was evaluated.Results The results of the experimental group and the control group in theoretical knowledge test were [74.24 ± 7.21) vs (68.23 ± 7.86)], clinical skill operation test[ (89.68 ± 5.36) vs (85.29 ± 4.37)], medical record writing[ (94.45 ± 2.78) vs (87.29 ± 4.05)] and Mini-CEX total score [(28 (25, 30) vs 22 (21, 24)], thedifferences werestatistically significant (All P < 0.01). The questionnaire result showed that 81.1% (60 / 74) of the interns in the experimental group affirmed and praised the “organ-system based” clinical practice teaching mode and effect.Conclusions The remodeling of clinical practice training based on organ system is conducive to improving the learning outcomes and practice quality of interns, and has been recognized by interns.
Zhou Qing
,
Tang Dong
,
Yuan Fang
,
Li Li
,
Shi Wei
,
Sang Aimin
,
Shi Yaqin
,
Gao Jianlin
. Exploration on remodeling of clinical practice training based on organ system[J]. Chinese Journal of Medical Education, 2020
, 40(8)
: 623
-627
.
DOI: 10.3760/cma.j.cn115259-20190807-00644
[1] Frenk J, Chen L, Bhutta ZA, et al.Health professionals for a new century: transforming education to strengthen health systems in an interdependent world][J]. The Lancet, 2010,376(9756):1923-1958. DOI:10.1016/S0140-6736(10)61854-5.
[2] 李红梅,张海燕,周月宏,等.临床毕业实习教学模式的改革与探索[J]. 中国高等医学教育,2015(11):76-78. DOI: 10.3969/j.issn.1002-1701.2015.11.039.
[3] 李红梅,岳晓红,孙慧哲,等.“以器官系统为基础”的临床毕业实习整合教学效果分析[J]. 中华医学教育探索杂志,2015,14(7):706-709. DOI: 10.3760/cma.j.issn.2095-1485.2015.07.014.
[4] 向琳, 董志, 徐晨, 等.“以器官系统为中心”的教学改革模式探讨[J]. 医学与哲学,2015,36(12A):72-75.
[5] 龚卫娟, 史宏灿, 郑英, 等.器官系统课程与传统教学体系的融合在省属医学院校的实践[J]. 医学争鸣,2015,6(5):43-45,48. DOI: 10.13276/j.issn.1674-8913.2015.05.014.
[6] 周庆.电子病历对实习生病史采集与病历书写能力影响的研究[J]. 中华医学教育探索杂志,2014,13(12):1214-1218. DOI: 10.3760/cma.j.issn.2095-1485.2014.12.007.
[7] 赵丽微,辛程远,蔡建辉.临床医学专业课程整合的探索与思考[J]. 重庆医学,2016,45(26):3732-3733. DOI: 10.3969/j.issn.1671-8348.2016.26.044.
[8] 牛云飞,纪方,苏佳灿,等.八年制内外科总论课程整合教学的研究与实践[J]. 中国医学教育技术,2015,29(2):210-212. DOI: 10.13566/j.cnki.cmet.cn61-1317/g4.201502030.
[9] 吴晓云,常静,肖忠秀,等.以器官系统为中心的教学改革实践及思考[J]. 中华医学教育探索杂志,2018,17(5):467-470. DOI: 10.3760/cma.j.issn.2095-1485.2018.05.008.
[10] 陈戈,徐晨,李兵,等.“以器官系统为主线”教学模式下的学生学习满意度研究[J]. 中华医学教育探索杂志,2018,17(5):515-521. DOI: 10.3760/cma.j.issn.2095-1485.2018.05.019.
[11] 张莹,徐军,陈峻江,等.关于五年制高等医学院校临床课程改革的思考与实践[J]. 辽宁医学院学报(社会科学版),2015,13(1):38-40.