延伸见习在肾内科临床见习教学中的应用探索

Exploration of the Application of Extended Internship in Clinical Practice Teaching of Nephrology

目的:探讨延伸见习在肾内科临床见习教学中的应用效果。方法:选取在我科见习的西安医学院临床医学本科生为研究对象,对照组2016级87人采用CBL联合PBL教学法,试验组2017级61人在对照组基础上进行延伸见习,见习课程结束后进行随堂测试和问卷调查评估教学效果。结果:试验组学生随堂测试成绩为(82.74±7.69)分,对照组学生(77.70±6.61)分,差异具有统计学意义(P<0.001);试验组学生对见习课程的总体满意率为100%,对照组仅47.13%,试验组学生对见习课程的总体满意率和十分满意率均明显高于对照组(P<0.05);问卷调查显示,在激发学习兴趣、激发主动性、培养创新思维、培养临床诊疗思维、指引学习方法、提升医患沟通能力及团队协作方面,试验组得分都明显高于对照组(P<0.05)。结论:延伸见习符合未来医学教育发展方向,是值得探索的新模式。

Purpose:To explore the effectiveness of extended internship in the clinical practice teaching of nephrology.Methods:Clinical medical undergraduates from Xi'an Medical College who interned in our department were selected as the research subjects.The control group of 87 students from the 2016 level adopted the CBL combined with PBL teaching method,while the experimental group of 61 students from the 2017 level underwent extended internship on the basis of the control group.After the internship course,the teaching effect was evaluated through in-class tests and questionnaire surveys.Results:The average score of the experimental group in the in-class test was(82.74±7.69)points,while that of the control group was(77.70±6.61)points,and the difference was statistically significant(P<0.001);the overall satisfaction rate of the internship course for the experimental group was 100%,while that of the control group was only 47.13%.The overall satisfaction rate and highly satisfied rate of the internship course for the experimental group were significantly higher than those of the control group(P<0.05);the questionnaire survey showed that in terms of stimulating learning interest,promoting initiative,cultivating innovative thinking,fostering clinical diagnostic and therapeutic thinking,guiding learning methods,enhancing doctor-patient communication skills,and teamwork,the scores of the experimental group were significantly higher than those of the control group(P<0.05).Conclusion:Extended internship conforms to the direction of future medical education development and is a new model worth exploring.