器官系统整合课程在临床医学专业本科生中的教学效果分析

Effect analysis of organ system based integrated curriculum in the teaching of clinical medicine undergraduates

目的探讨器官系统整合课程在临床医学专业本科生中的教学效果。方法采用回顾性队列方法,以2011至2016级上海交通大学医学院临床医学专业本科生284人为研究对象。其中观察组2014至2016级本科生147人采取基础医学课程实施器官系统整合模式教学,对照组2011至2013级本科生137人采取以学科为中心的传统模式教学。问卷调查观察组学生对器官系统整合课程教学的评价。采用SPSS 21.0进行独立样本t检验。结果观察组学生内科学以问题为基础的学习(problem based learning,PBL)考试成绩[(86.34±2.74)分]、外科学理论成绩[(79.69±8.41)分]及外科学操作考试成绩[(81.43±10.72)分]均优于对照组[(85.51±3.36)分、(77.18±6.92)分、(76.78±11.29)分](P<0.05),妇产科学理论及儿科学理论考试成绩低于对照组(P<0.05),内科学理论考试成绩与对照组比较差异无统计学意义(P=0.935)。观察组学生对器官系统整合课程教学满意率为83.75%。结论器官系统整合课程教学应用了多种教学方法,有助于学生综合素质的提升,但对学生学习自主性有一定的要求。

Objective To explore the teaching effect of organ system based integrated curriculum in the undergraduates of clinical medicine.Methods A retrospective cohort study was conducted among 284 undergraduates majoring in clinical medicine from Batch 2011 to Batch 2016 in Shanghai Jiao Tong University School of Medicine.The observation group were 147 undergraduates from Batch 2014 to Batch 2016,taking organ system based integrated curriculum.The control group included 137 undergraduates from Batch 2011 to Batch 2013,taking the traditional mode of subject-centered curriculum.SPSS 21.0 was performed for independent sample t test,and questionnaires were issued to investigate students'evaluation of the teaching of organ system based integrated curriculum.Results The examination scores of internal medicine problem based learning test,surgical theory test and surgical operation test were better in observation group than in control group[(86.34±2.74)vs.(85.51±3.36);(79.69±8.41)vs.(77.18±6.92);(81.43±10.72)vs.(76.78±11.29),P<0.05].Obstetrics and pediatric theory test scores were lower in observation group than in control group(P<0.05).There was no significant difference in test scores of internal medicine between the two groups(P=0.935).The satisfaction rate of organ system based integrated curriculum in the observation group was 83.75%.Conclusion The teaching of organ system based integrated curriculum can improve students'comprehensive abilities,and has certain requirements for students'learning autonomy.