中医经典与临床病例结合的教学方式在中医肿瘤科临床教学实践中的应用效果

Application effect of the teaching method of combining traditional Chinese medicine classics with clinical cases in the clinical teaching practice of traditional Chinese medicine oncology department

目的探讨中医经典与临床病例结合的教学方式在中医肿瘤科临床教学实践中的应用效果。方法选择2021年5月至2022年3月每个周期来上海中医药大学附属普陀医院中医肿瘤科学习的108名医师为研究对象,根据教学方法的不同将其分为常规教学组和经典教学组,各54名。以肿瘤常见病症为课程试验对象,常规教学组应用常规内科学教学方式,经典教学组应用中医经典与临床病例结合的教学方式。比较两组的教学效果。结果经典教学组学生的学习主动性、临床思维能力、自主学习能力、小组合作学习能力及探究学习能力评分均高于常规教学组(P<0.05)。经典教学组学生对病症认识、中西医关联理解、方药认识、经典医籍认识、经典医籍兴趣、论文写作启发的熟悉度高于常规教学组(P<0.05);经典教学组教师对教学方法的熟悉度高于常规教学组(P<0.05)。结论中医经典与临床病例结合的教学方式在中医肿瘤科临床教学实践中的应用效果良好。

Objective To explore the application effect of the teaching method of combining traditional Chinese medicine classics with clinical cases in the clinical teaching practice of traditional Chinese medicine oncology department.Methods From May 2021 to March 2022,108 physicians who came to the traditional Chinese medicine oncology department of Putuo Hospital Affiliated to Shanghai University of Traditional Chinese Medicine for each cycle were selected as the research objects,and the physicians were divided into routine teaching group and classic teaching group according to the different teaching methods,with 54 cases in each group.Taking the common diseases of tumor as the course test object,the routine teaching group applied the conventional internal medicine teaching method,and the classic teaching group applied teaching method of combining traditional Chinese medicine classics with clinical cases.The teaching effects of the two groups were compared.Results The scores of learning initiative,clinical thinking ability,autonomous learning ability,group cooperative learning ability and inquiry learning ability of students in the classic teaching group were higher than those in the routine teaching group(P<0.05).The students in the classic teaching group were more familiar with the understanding of diseases,the understanding of the relationship between Chinese and western medicine,the understanding of prescriptions,the understanding of classical medical books,the interest of classical medical books,and the inspiration of thesis writing than the routine teaching group(P<0.05);The familiarity of teachers in the classic teaching group with teaching method was higher than that in the routine teaching group(P<0.05).Conclusion The teaching method of combining traditional Chinese medicine classics with clinical cases has a good application effect in the clinical teaching practice of traditional Chinese medicine oncology department.