雨课堂联合情景教学在内科学临床见习教学中的应用

Application of Rain Classroom combined with situational teaching in clinical clerkship of internal medicine

目的探讨雨课堂联合情景教学法在内科学临床见习中的应用效果。方法选取2015级临床专业本科学生72名,采用电脑滚屏暂停法随机分为对照组和研究组,每组36名。对照组采用传统见习教学,研究组采用雨课堂联合情景教学。通过内科学理论考试、临床技能考核和基于学习兴趣、知识掌握及运用程度、临床思维与实践能力的10项评分点的调查问卷进行教学效果评估。采用SPSS 20.0进行t检验。结果研究组学生课程综合成绩[包括理论考试成绩(87.94±5.68)和技能考试成绩(88.08±5.73)]高于对照组[(83.00±5.89)(83.86±4.80)(P<0.01)]。调查问卷结果显示,研究组学生学习兴趣提升程度、自我学习能力、新知识掌握能力、运用知识能力、临床思维能力、临床实践能力、解决问题能力、自我表达能力、团队合作能力、医患沟通能力均优于对照组(P<0.01)。结论雨课堂联合情景教学有助于提高学生知识掌握及运用程度、提高临床思维与实践能力、提高学习兴趣及临床见习教学效果。

Objective To explore the effect of Rain Classroom combined with situational teaching in clinical clerkship of internal medicine.Methods A total of 72 undergraduate students with clinical majors of Batch 2015 were selected and randomly divided into a control group and an experimental group using computer scrolling pause method,with 36 students in each group.The control group adopted traditional teaching methods,and the research group adopted Rain Classroom combined with situational teaching.The teaching effect evaluation was carried out through a 10-point questionnaire based on the internal medicine theory examination,clinical skill assessment and learning interest,knowledge mastery and application,and clinical thinking and practical ability.SPSS 20.0 was used to conduct t-test.Results The average scores of the students in the experimental group including the theoretical test(87.94±5.68)and the skill test scores(88.08±5.73)were significantly higher than those in the control group(83.00±5.89)and(83.86±4.80)(P<0.01).The results of the questionnaire showed that students'interest in learning improvement,self-learning ability,new knowledge acquisition,application of knowledge,clinical thinking,clinical practice,problem solving,self-expression,teamwork,doctor-patient communication ability in the study group were better than those in the control group(P<0.01).Conclusion The Rain Classroom combined with situational teaching method is helpful to improve students'knowledge mastery and application,improve clinical thinking and practical ability,improve learning interest and clinical clerkship teaching effect.