以问题导入为基础的临床教学在泌尿外科的应用

Application of clinical teaching based on problem introduction in department of urology

目的探索以问题导入为基础的临床教学的有效性，改革临床医学人才培养模式。方法以泌尿外科临床实习生180名为对象，将实验对象随机分为实验组和对照组（每组各90名），分别采用以问题导人为基础的临床教学和传统教学进行培养，比较两组临床教学效果。以两组学生在泌尿外科的出科理论成绩、操作技能成绩和个人综合素质评分为评价指标，同时比较学生对两种教法方法的教学满意度；采用SPSS17．0进行检验及χ2检验。结果实验组的三项评价指标结果均高于对照组（P〈0．05）。实验组学生在教学方法、教学效果及教师评价方面的满意度均明显高于对照组（P〈0．05）。结论实施以问题导入为基础的临床教学。有利于提高临床医学生知识技能、综合素质及教学满意度，有利于培养高素质的临床医生，对改革临床医学人才模式具有一定意义。

Objective To explore the effectiveness of the new clinical teaching method based on problem leading-in and the reform of clinical talents training mode. Methods 180 clinical interns in de- partment of urology were selected as the subjects, which were randomly divided into experimental group and control group （90 clinical interns in each group）. The clinical teaching effects of the two groups were compared by adopting the new clinical teaching methods and the traditional ones. Evaluation indexes con- sists of theoretical scores, operational skills and personal comprehensive quality scores. Results The results of the above three tests in the experimental group were all superior to those of the control group （P〈0.05）. The satisfaction of the experimental group in teaching method, teaching effect and teacher evaluation was obviously better than that in the control group （P〈0.05）. Conclusion The implementation of the new clinical teaching method based on problem leading-in is not only beneficial to improve the knowledge skills, comprehensive quality and teaching satisfaction of clinical medical students, but also to the training of clinicians with high quality. The new clinical teaching method is of great significance for reforming the mode of clinical medical talents.