基于OBE理念的研究生内科学教学改革研究

Research on the teaching reform of internal medicine for graduate students in colleges and universities based on the concept of OBE

目的探讨基于成果导向教育(outcomes-based education,OBE)理念下的内科学研究生教学改革。方法将2019年1月至2020年8月在新疆医科大学第一附属医院内科教研室学习的86名研究生,按照简单随机数字表法分为对照组(n=43)和观察组(n=43)。对照组采用传统教学,观察组采用基于OBE理念下的教学。比较两组研究生的学习成绩考核情况及研究生对教学模式的认可度情况,并对研究生的个人能力提升进行评价,同时分析研究生对教学满意度及学习能力提升的效果评价。采用SPSS 22.0进行t检验和卡方检验。结果观察组研究生的理论成绩、一般情况头颈部检查成绩、心脏检查成绩、肺脏检查成绩、腹部检查成绩、脊柱四肢神经系统检查成绩、操作成绩总分及总成绩均高于对照组(P<0.05);观察组学生认为该教学在提高学习兴趣、提高自学能力、提高沟通表达能力、提高团队协作能力、提高理解记忆能力、提高内科思维能力、提高归纳总结能力、提高临床实践能力各维度评分均高于对照组(P<0.05);观察组学生对教学的认可度为97.67%(42/43),高于对照组的83.72%(36/43)。结论基于OBE理念下的内科学教学可以提高研究生的学习成绩,增强研究生的个人能力,研究生对教学的满意度更高。

Objective To explore the teaching reform of internal medicine graduate students based on the concept of outcomes-based education(OBE).Methods A total of 86 graduate students who studied in the Teaching and Research Section of Internal Medicine in the First Affiliated Hospital of Xinjiang Medical University from January 2019 to August 2020 were randomly divided into control group(n=43)and observation group(n=43).The control group adopted traditional teaching,and the observation group adopted the teaching based on the OBE concept.The evaluation of the academic performance of the two groups of graduate students and the recognition of the teaching mode by the graduate students were compared,and the improvement of the personal ability of the graduate students was evaluated.Meanwhile,the effect of teaching satisfaction and the improvement of learning ability of the graduate students was evaluated.SPSS 22.0 was used for t-test and Chi-square test.Results The theoretical scores,general head and neck test scores,heart test scores,lung test scores,abdominal test scores,spinal and limb nervous system test scores,operation scores and total scores of graduate students in the observation group were higher than those in the control group(P<0.05);students in the observation group believed that the teaching could improve their learning interest,improve the self-learning ability,improve communication and expression ability,improve teamwork ability,improve understanding and memory ability,improve internal medicine thinking ability,improve generalization ability,and improve clinical practice ability.All the above aspects were higher in observation group than control group(P<0.05);the students in the observation group had 97.67%(42/43)recognition of teaching,which was higher than 83.72%(36/43)in the control group.Conclusion Internal medicine teaching based on the concept of OBE can improve the academic performance and enhance the personal ability of graduate students,and the students are more satisfied with this teaching method.