多元化教学模式在中医院普外科临床带教中的应用

Application of diversified teaching modes in clinical teaching of general surgery department in traditional Chinese medicine hospitals

目的研究多元化教学模式在中医院普外科临床带教中的应用价值,为中医院校医学生的西医学科教学提供参考方案。方法选取2020年10月-2022年10月在天津中医药大学第一附属医院普外科临床实习的77名中医学专业医学生为研究对象,根据入科时间分为对照组43名和观察组34名。对照组采用传统的西医外科教学授课模式,观察组采用多种教学模式融合的多元化教学模式,并且充分引入中医元素。记录并比较两组医学生理论考核、临床操作和临床思维能力、对教学模式及教师授课的满意率。结果观察组病例分析、病史采集、影像学检查阅片、化验分析及病历书写等理论考核成绩高于对照组,差异均有统计学意义(P<0.05)。观察组临床操作及临床思维能力考核成绩高于对照组,差异均有统计学意义(P<0.05)。观察组医学生对教学模式及教师总满意度率为100.00%,高于对照组的76.74%,差异有统计学意义(χ^(2)=9.087,P<0.05)。结论在中医院普外科临床带教中应用多种教学模式融合的多元化教学模式,能够提升教学质量,促进学生中西医结合临床思维的建立,提高学生满意率,值得在中医院普外科的临床教学中推广应用。

Objective To study the application value of diversified teaching modes in clinical teaching of general surgery in traditional Chinese medicine hospitals,and to provide reference plans for the teaching of Western medicine for medical students in traditional Chinese medicine schools.Methods A total of 77 medical students majoring in traditional Chinese medicine who underwent clinical internships at the General Surgery Department of First Teaching Hospital of Tianjin University of Chinese Medicine from October 2020 to October 2022 were selected as the research subjects.The students were divided into control group with 43 cases and observation group with 34 cases based on their admission time.The control group adopted the traditional teaching modes of Western medicine and surgery,the observation group adopted the diversified teaching modes that integrated multiple teaching modes and fully introduced traditional Chinese medicine elements.The theoretical assessment scores,clinical operation and clinical thinking abilities,the satisfaction rates with teaching mode and teacher teaching of two groups of medical students were recorded and compared.Results The theoretical assessment scores in case analysis,medical history collection,imaging examination,laboratory analysis and medical record writing were higher in the observation group than thoses in the control group,and the differences were statistically significant(P<0.05).The scores of clinical operation and clinical thinking ability assessment of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The total satisfaction rate of medical students in the observation group with the teaching mode and teachers was 100.00%,which was higher than 76.74%in the control group,and the difference was statistically significant(χ^(2)=9.087,P<0.05).Conclusion The application of diversified teaching modes that integrated multiple teaching modes in clinical teaching of general surgery department in traditional Chinese medicine hospitals could improve teaching quality,promote the establishment of clinical thinking of integrating traditional Chinese and Western medicine among students,and improve students'satisfaction rate.It was worth promoting and applying in clinical teaching of general surgery in traditional Chinese medicine hospitals.