小组培养模式在耳鼻咽喉科临床医学博士试点班教学中的效果评估

Evaluation of the effect of group training mode in otolaryngology clinical teaching of doctor of clinical medicine

目的 探讨小组培养模式在临床医学博士试点班(“4+4”医学博士项目)学生耳鼻咽喉科教学中的效果。方法 选取2022年5月至6月北京协和医院2019级临床医学博士改革试点班学生(本科非医学专业)共30名做为试点班组,临床实习采用小组培养模式,课前和课后发放调查问卷,收集问卷,统计分析数据。另2022年5月至6月北京协和医院2016级八年制学生89名,根据年龄、性别、基础医学成绩选取30名配对分组为八年制组,采用传统临床教学方法。教学后进行课后理论考试,按照满分100分的标准,统计分析两组学生理论成绩差异。结果试点班组30名学生课前问卷统计:前4年本科专业方向均来自于非医学专业,选择医学专业的原因是为了救死扶伤;51%的学生认为五官科在临床中占重要位置;课后问卷统计:90%的学生对床旁学习课程设计满意;40%的学生对耳鼻喉科新技术的应用比较感兴趣;28名针对教学中不足之处认为耳鼻喉科学知识深奥,29名认为应该增加多媒体教学方法。两组耳科理论成绩比较,差异无统计学意义(P>0.05),但试点班课时12学时较八年制20学时少。结论 改革试点班学生来自多个专业方向,为医学发展注入新的理念和思路;小组培养模式拉近学生与教师的距离,教学相长,提高学生学习效率,同时反馈改进教师教学方法。

Objective To explore the effect of group training mode in otolaryngology teaching of doctor of clinical medicine(“4+4”doctor of medicine project)students.Methods A total of 30 students of the 2019 clinical medicine Doctor reform pilot class(undergraduate non-medical majors)who studied in Peking Union Medical College Hospital from May to June 2022 were selected as the pilot group.The group training mode was adopted for clinical practice.Questionnaires were distributed before and after class,and data were collected and analyzed statistically.In addition,89 eight-year students of grade 2016 studying in Peking Union Medical College Hospital from May to June 2022 were selected and 30 were paired into eight-year group according to age and gender,and traditional clinical learning methods were adopted.After teaching,the theoretical test was conducted after class.According to the standard of 100 marks,the difference of theoretical scores between the two groups of students was statistically analyzed.Results The pre-class questionnaire statistics of 30 students in the pilot group showed that the basic undergraduate major in the first four years was from non-medical major,and the reason for choosing medical major was to save lives and heal the wounded;51%students think that the department of ent plays an important role in clinical practice.After class questionnaire statistics:90%students were satisfied with the course design of bed learning;40%of the students were interested in the application of new technologies in otolaryngology.In view of the shortcomings in teaching,28 people think that the knowledge of otolaryngology was profound,29 people think that multimedia teaching methods should be added.There was no significant difference in theoretical scores between the two groups(P>0.05),but the 12 hours of the pilot class was less than the 20 hours of the eight-year class.Conclusion The students of the pilot reform class come from many professional directions,which injects new ideas and ideas for medical development.Group training mode can narrow the distance between students and teachers,improve students’learning efficiency,and improve teachers'teaching methods.