耳鼻咽喉科见习教学中临床科研思维培养与实践

Training and practice of clinical scientific research literacy in otorhinolaryngology teaching

目的探讨临床科研训练结合以问题为基础的教学法(problem-based learning,PBL)在耳鼻咽喉科见习教学中的应用及意义。方法选取2018年9月-2019年12月在中山大学附属第一医院耳鼻咽喉科见习学生,按照见习时间顺序,7~9人为一组,随机分为试验组或对照组,试验组见习教学采用临床科研训练结合PBL教学法;对照组采取PBL教学法,分析两组学生考试成绩差异及学生在提高学习兴趣、培养临床科研思维、提高临床思维能力、见习信息丰富程度、增强今后临床工作自信心等方面评价差异。结果两组学生见习考试成绩比较,总分及病历分析成绩,差异具有统计学意义(P<0.05)。问卷调查显示,试验组学生对该组教学方法满意率达83.1%;试验组学生在提高学习兴趣、培养临床科研思维、提高临床思维能力、见习信息丰富程度、增强今后临床工作自信心、对教学方法的满意度等方面评价均优于对照组学员,差异具有统计学意义(P<0.05),试验组81.7%学生有信心在未来临床工作中进行临床科研。结论临床科研训练结合PBL应用于耳鼻咽喉科见习教学,有利于培养学生临床科研思维同时能提高学生临床思维能力,有效提高了教学质量。

Objective To explore the application of clinical research training combined with problem-based learning(PBL)in clinical probation teaching of otorhinolaryngology.Methods Following the order of probation time,clinical students in Sun Yat-sen University were randomly divided into the experimental group and the control group.The experimental group adopted clinical research training combined with PBL,and the control group adopted PBL teaching method.This study analyzes the differences between both groups in terms of test scores and their evaluation including improving their study interests,training their clinical research literacy,improving their clinical thinking ability,enriching their probation information,and enhancing their confidence in future clinical work.Results There were significant differences between the two groups(P<0.05).The questionnaire survey shows that the satisfaction rate of the experimental group is 83.1%;the evaluation of the experimental group is better than that of the control group in terms of improving their study interests,training their clinical research literacy,improving their clinical thinking ability,enriching their probation information,enhancing their confidence in future clinical work,and satisfaction rate of the teaching method(P<0.05).The total of 81.7%of the experimental group are confident to carry out clinical research in the future.Conclusion PBL combined with clinical scientific research training can be applied to clinical probation teaching of otorhinolaryngology,is proved beneficial to cultivate students􀆳clinical scientific research thinking,improve students􀆳clinical thinking ability and effectively improve the teaching quality.