基于卓越医生培养计划的基础医学整合课程模式实施效果的初步评价

Evaluation on the effect of application of basic medical curriculum integration based on the training for excellence doctors

目的基于卓越医生计划，构建医学整合课程模式，对实施效果进行评价，为全面实施医学教育模式改革提供客观依据。方法从2013年至2015年，每年在五年制临床医学专业学生人校时，随机抽取2个行政班，3年共选取182名学生作为实验组，实施整合课程教学模式；以同样的方法抽取2个行政班，3年共选取183名学生作为对照组，实施传统课程教学模式。在第一轮基础医学整合课程教学结束时，采用定量和定性相结合的研究方法，对两组学生和承担3个年级基础医学课程教学的教师进行问卷调查，进行基础医学整合课程教学模式实施效果的评价研究。采用Epidata3．1进行数据录入，SPSS17．0进行数据分析。主要运用秩和检验、t检验进行实验组和对照组的差异性分析。结果实验组学生对整合课程教学模式总体满意度为90．1％，对基础医学整合课程模块评分为85分-90分。2013级和2015级实验组学生课程平均成绩高于对照组学生，其差异均有统计学意义（P〈0．05）。结论实验组师生对教学改革表示支持与赞同，证明基础医学课程整合方案具有可行性；同时，在课程内容、教学团队、教材建设等方面还需要进一步优化与完善。

Objective This research is based on outstanding doctor program, to form the medicalcurriculum integration model, to evaluate the effect, to provide data base for the full implementation of medical education model reform in Anhui Medical University. Methods Since 2013,2 administrative classes are randomly selected from new students of the five-year clinical medicine annually （3 years, alto- gether 182 students） as experimental group annually, conducting curriculum integration model; another 2 administrative classes （3 years, altogether 183 students） are selected as control group in the same way, conducting traditional curriculum model. At the end of the first round of basic medicine curriculum inte- gration teaching, issue questionnaires to the two groups and their teachers, evaluate the effect of the imple- mentation of medical course integration through the method of combining quantitative analysis and qualita- tive analysis. Data management is by Epidata 3.1 data entry, analysis is by SPSS 17.0. This research mainly uses rank test and t test to analyze the differences between the experimental group and the control group. Results The satisfaction to experimental group centered on organ system of the integration class is 90. 1% , the score of integrated basic medical courses module rating in 85-90 points. The average course of 2013 and 2015 grade are higher than control group, the differences is statistically significant （P 〈 0. 05）. Conclusions The effect of integration curriculum showed that the teachers and students in exper- imental group hold positive attitudes on the questionnaire of integrated curriculum implementation effect and proved its feasibility. But it still needs further improvement in the course content, teaching team and material construction.