以学生为考官的教学法在神经查体教学中的应用

Application of the Students as Examiners Teaching Method in Neurophysical Examination Teaching

目的探讨以学生为考官的教学法在住院医师神经系统体格检查培训中的作用和价值。方法选择2021年2—10月在浙江大学医学院附属第二医院神经内科进行住院医师规范化培训的二年级和三年级住院医师96名,按1︰1比例进行随机分组,试验组采用以学生为考官的教学法,对照组采用传统教学方法。比较2组住培生出科考试神经查体的成绩及对教学方法的评价。结果试验组住培生出科成绩为(90.02±4.18)分,最低分为83.00分,最高分为96.00分;对照组平均为(85.15±5.85)分,其中最低分为68.00分,最高分为93.00分,统计结果显示试验组住培生的成绩高于对照组,差异有统计学意义(t=4.527,P<0.001);且对教学方法的评价优于对照组,尤其是在提高学习趣味性、理解查体重要性、有利于掌握操作要点和希望在其他操作中应用方面,差异均有统计学意义(P<0.05)。结论以学生为考官的教学法可以提高住培生的神经系统体格检查成绩,有利于其临床实践能力的培养。

Objective To explore the role and value of students as examiners teaching method in the training of neurological examinations for residents.Methods A total of 96 second-grade and third-grade residents who received standardized resident training in the department of neurology,the Second Affiliated Hospital of Zhejiang University School of Medicine from February to October 2021 were randomly assigned according to the ratio of 1︰1.The experimental group adopted the students as examiners teaching method,while the control group adopted the traditional teaching method.The results of neurological examinations and the evaluation of teaching method were compared between the two groups.Results In experimental group,the mean score was(90.02±4.18)points,the lowest score was 83.00 points,the highest score was 96.00 points.The mean score of the control group was(85.15±5.85)points,the lowest score was 68.00 points and the highest score was 93.00 points.The scores of the experimental group were higher than those of the control group,the difference was statistically significant(t=4.527,P<0.001),and the evaluation of teaching method was better than that of the control group.Of note,in terms of improving the interest of learning,understanding the importance of physical examinations,helping to master the main points of operation,and hoping to be applied in other operations,the differences were statistically significant(P<0.05).Conclusion The students as examiners teaching method can improve the performance of neurological examinations and is beneficial to the cultivation of clinical practice ability.