全科医学生教育教学模式优化设计探讨

Discussion of optimal design for education and teaching mode of general medical students

目的:探讨全科医学生教育教学模式优化设计。方法:选取成都医学院2013级全科医学本科绵竹班60名学生并纳入实验组,另选取成都医学院第二附属医院2013级全科医学本科生60名并纳入对照组;实验组接受全程导师与学生互动模式的教学,对照组接受常规理论教学;将两组学生对全科医学课程、考核成绩、教学效果进行统计分析。结果:实验组学生对全科医学基础理论、社区卫生服务概述和全科医学教育的理解均显著高于对照组;对以人为中心、以家庭为单位、以社区为基础和以预防为先导的健康照顾以及妇幼与老年保健中的全科医学服务、全科医学中医患关系与沟通、慢性病的全科医学处理和健康档案的建立能力均显著高于对照组;教学后实验组学生的考核成绩显著高于对照组,两组比较差异有统计学意义(t=4.303;P<0.05);对培养职业兴趣、稳定职业信念、建立职业规划比例均显著高于对照组,两组比较差异有统计学意义(x^2=12.83,x^2=11.14,x^2=9.35;P<0.05)。结论:全程导师与学生互动模式在全科医学生教育中较常规理论教学效果良好。

Objective：To explore the optimal design for education and teaching mode of general medical students.Methods： 60 general medical students of 2013 grade of Chengdu Medical College were divided into experiment group and 60 general medical students of 2013 grade of the Second Affiliated Hospital of Chengdu Medical College were divided into control group. The students of experiment group received the interactive teaching mode of whole teaching process, while students of control group received conventional theory teaching. And then the general medical curriculum assessment, examination results and teaching effects of the two groups were statistically analyzed.Results： The understanding degrees of general medical basic theory, overview of community health services, general medical education of the experimental group were significantly higher than that of control group （P＆lt;0.05）. The series of indicators, such as health care which was human centered, family as a unit, community as basis and prevention as precursor, and the general medical service of health and fitness in women, children and old people, and physician patient relations and communication in general medicine, and the establishing ability of general medical treatment and health archive of chronic disease, of experiment group were significantly higher than that of control group. After a phase, the examination results of experiment group was significantly higher than that of control group （t=4.303,P〈0.05）, and the ratios of cultivating vocational interest, stabling vocation belief, establishing occupational planning of experiment group were significantly higher than that of control group （x2=12.83,x2=11.14,x2=9.35,P〈0.05）.Conclusion： In the teaching for general medical student, the interactive mode of tutor and student in whole teaching process was better than conventional mode of theory teaching.