案例教学在本科临床医学专业局部解剖学中的应用

Application of case teaching method on clinical medical student in regional anatomy study

目的：探讨案例教学在局部解剖学中的应用效果。方法以我校2014级本科临床医学专业80名学生为教学对象，随机分为传统组、案例组。传统组40名学生采用既往常规教学方式；案例组40名学生的教学过程中，引入甲状腺次全切除术、胸廓出口综合征和胰头癌临床案例。学习结束后，对学生进行统一问卷调查和考试。采用SPSS 18.0对组间数据行t检验或卡方检验。结果案例组学生在期末考试中选择题、填空题和论述题的得分均高于传统组；案例组总成绩平均为（85.6±11.61）分，传统组为（73.1±18.66）分，差异有统计学意义（t=3.597，P=0.002）。问卷结果显示，案例组学生对教学的满意度高于传统组，差异有统计学意义（χ2=14.753，P=0.001）。结论局部解剖学课程中采用案例教学的效果明显优于传统教学，值得推广。

Objective To explore the effect on traditional experiment and case teaching method in regional anatomy study. Methods 80 students from 2014 medical students were randomly selected as the teaching subjects and divided into traditional group and case teaching group. The traditional group con-tained 40 students, using the traditional teaching method, while case teaching group had also 40 students with case teaching method. In the process of teaching, three clinical cases were introduced, including the＂subtotal thyroidectomy＂ ＂thoracic outlet syndrome＂ and＂pancreatic cancer＂. After the end of the course, the students conducted a unified questionnaire and examination. SPSS 18.0 was used for data line t test or chi square test between the two groups. Results The scores of the students in the case group in the selection questions, blanks and essay questions in the final exam were higher than those of the traditional group; The average total score of the case group was （85.69 ±11.61）, while the traditional group was （73.19 ±18.66）, and the difference was statistically significant （t=3.597, P=0.002）. The results of the questionnaire showed that the students in the case group were higher than the traditional group, and the difference was statistically significant （ χ2=14.753, P=0.001）. Conclusion The effect on regional anatomy study with case teaching method is better than the traditional teaching method, and it is a promising teaching reform for the med-ical students.