“数字记忆”法在消化内科腹部体格检查教学中的应用

Application of digital memory in abdominal physical examination teaching in gastroenterology department

目的探讨“数字记忆”法腹部体格检查的教学在消化内科轮转专业学位研究生培养中的应用效果。方法选取2016年9月至2018年9月在青岛市市立医院消化内科轮转的临床专业学位研究生60名为研究对象,随机分为实验组及对照组(每组各30人)。两组学生人科后腹部体格检查分别采用“数字记忆”法和传统授课进行临床培训,教学结束后通过理论知识、操作技能、临床应用及问卷调查等方式对教学进行评价。采用SPSS 17.0进行t检验和卡方检验。结果实验组与对照组学生在理论知识及操作技能考核中成绩无明显差别;临床应用考核中,实验组成绩优秀者人数及平均成绩均较对照组增加,差异具有统计学意义(X^2=9.14,h 0.01)。问卷调查显示,实验组学生对“数字记忆”教学有较好的评价,对自身的学习兴趣和主动性、理论知识学习和记忆系统性、临床思维能力和操作技能提高的非常认可率分别为56.67%、63.33%、66.67%、63.33%。结论“数字记忆”法腹部体格检查教学在消化内科轮转的专业学位研究生培养中取得了较好的效果,更有利于培养医学生临床综合能力,值得进一步推广。

Objective To evaluate the application of digital memory in abdominal physical examination teaching in cultivating gastroenterology professional postgraduates during the course of clinical rotations.Methods Sixty clinical specialty postgraduates from Qingdao Municipal Hospital practicing in gastroenterology department from September,2016 to September,2018 were selected as subjects,and were randomized into experimental group(/i=30)and control group(n=30).They were respectively received digital memory mode and traditional mode for clinical practice.The teaching effect was evaluated by comparing the scores of theory examination,skill results and clinical assessment at the end of training stage.Statistical analysis was performed using t test and chi-square test by SPSS 17.0.Results There was no significant difference in the scores of theory examination and skill operation results between the experimental group and the control group,however,the number of excellent postgraduates and the average scores in clinical assessment were significantly higher than those in control group(X^2=9.14,P=0.01).Questionnaire survey showed good evaluation of digital memory model in the experimental group.The recognition rate of learning interest and initiative,theoretical knowledge,systematic memory,clinical thinking ability as well as operational skills are 56.67%,63.33%,66.67%,63.33%respectively.Conclusion The digital memory mode in abdominal physical examination teaching demonstrates good effects on cultivating professional postgraduates'clinical comprehensive ability during the course of rotation in gastroenterology department,which worth further popularization.