提高诊断学全身体检教学质量的对策研究

Study on improving the teaching quality of complete physical examination in diagnostics

目的探讨提高诊断学全身体格检查教学质量的对策。方法对2014级临床医学专业314名学生在诊断学全身体格检查考核中的成绩和表现进行调查,分析学生对于全身体检中内容、技巧的掌握情况,发现存在的问题,提出对策。结果 192项体检内容中学生对77项内容(40.1%)掌握欠佳,且有14项内容学生掌握情况较差,其中检查顺序技巧、触诊技巧、叩诊技巧是学习难点。结论针对调查结果体检教学中所存在的问题,制定阶段性、针对性的教学目标,优化教学方法,有助于诊断学全身体格检查教学质量的提高。

Objective To explore the strategies of improving the teaching quality of complete physical examination in diagnostics. Methods A total of 314 medical students＇ surveys relating to contents and skills of complete physical examination in Diagnostics were accomplished. Problems in the teaching quality of the complete physical examination were selected and countermeasures were determined by analyzing scores and performance of students. Results Among 192 items in a complete physical examination, students mastered poorly in 77 （40.1%） items, and especially poorly in 14. Skills of a comprehensive physical examination, including examination without repetition, inversion, omission and skills of palpation and percussion, were difficult to acquire. Conclusion It is helpful to improve the teaching quality of a complete physical examination by analyzing the problems in the physical examination to formulate the teaching objectives and optimize teaching methods.