案例式教学法在中医老年医学研究生教学中的应用

Application of Case-based Teaching Method in Teaching Postgraduates of TCM Geriatrics

目的探讨案例式教学法在中医老年医学研究生中的教学效果,为提高教学质量提供参考依据。方法以2022年9月16日-2022年10月15日期间在某三甲医院老年病科学习的100名专业型研究生为研究对象,随机分为对照组和实验组,对照组(n=50)采用传统教学方法,实验组(n=50)采用案例式教学法。通过使用考试成绩和问卷调查相结合的方式,比较2组学生的中医老年病学理论成绩、实践操作成绩、学生的自我评价、对教学法的评价和对教师的评价方面的差异,对2种教学模式的教学效果进行评价。结果实验组理论成绩和实践技能操作成绩分别为(85.78±6.08)分和(89.12±6.40)分,高于对照组,差异有统计学意义;学生的自我评价方面,实验组调查问卷各项结果均显著优于对照组,差异有统计学意义;对教学法的评价方面,实验组在教学引起好奇心、教学文本内容符合兴趣、教学能加深对老年病的理解和掌握、能从中学到一些意料之外的知识、努力得到肯定、教学有关于如何运用理论知识的说明方面的调查问卷分数均显著高于对照组,差异有统计学意义,在文本内容比想象中困难、讨论难度太大、教学模式增加了学习负担方面实验组的调查问卷分数均显著低于对照组,差异均有统计学意义;对教师的评价方面,实验组在教学开始前教师能适当引导学生收集资料、教学过程中教师能进行有针对性的引导、教学过程中教师能深入了解学生想法、教学过程中教师能补充讲解最新进展、整体上教师的角色扮演是称职的方面的调查问卷分数均显著高于对照组,差异均有统计学意义;实验组在教学过程中教师没有过多表达他自己的意见调查问卷分数显著低于对照组,差异有统计学意义。结论案例式教学法在中医老年医学研究生临床教学中应用,可提高学生的理论成绩和操作成绩,提高学生对自我及带教老师的满意度,引起学生的好奇心及培养创新性思维,加深学生对中医老年病学的理解和掌握,这种带教模式值得进一步研究和推广。

Objectives This study aims to explore the teaching effect of case-based teaching method in postgraduate students of geriatrics in Chinese medicine to provide a reference basis for improving the quality of teaching.Methods 100 professional postgraduate students studying in the geriatrics department of a tertiary hospital from September 16,2022 to October 15,2022 were randomly divided into a control group and an experimental group,with the control group(n=50)adopting the traditional teaching method and the experimental group(n=50)adopting the case-based teaching method.The teaching effect of the 2 teaching modes was evaluated by using a combination of examination scores and questionnaires to compare the differences in the theory scores of Chinese geriatrics,the practical operation scores,the students'self-evaluation,the evaluation of the teaching method,and the evaluation of the teachers in the 2 groups.Results The experimental group scored 85.78±6.08 and 89.12±6.40 in theory and practical skills operation,respectively,higher than the control group,and the difference was statistically significant.In terms of students'self-evaluation,the results of the questionnaires in the experimental group were significantly better than those in the control group,and the difference was statistically significant.In terms of evaluation of the teaching method,the experimental group found that the teaching aroused curiosity,the content of the teaching text was in line with interests,the teaching could deepen the understanding and mastery of geriatric diseases,some unexpected knowledge could be learned from it,the efforts were affirmed,and the teaching was relevant.The questionnaire scores on how to apply theoretical knowledge were significantly higher than those in the control group,and the difference was statistically significant.In terms of the text content being more difficult than expected,the discussion being too difficult,and the teaching model increasing the learning burden,the questionnaire scores of the experimental group were significantly lower than those of the control group,and the differences were all statistically significant.In terms of teacher evaluation,teachers in the experimental group can properly guide students to collect information before the start of teaching.During the teaching process,teachers can provide targeted guidance,have an in-depth understanding of students'ideas,and supplement with the latest explanations.The questionnaire scores on progress and overall teacher role play were significantly higher than those of the control group,and the differences were statistically significant.The experimental group's questionnaire scores were significantly lower than those of the control group in terms of the teacher's failure to express too much of his own opinion during the teaching process,and the difference was statistically significant.Conclusions The application of case-based teaching method in the clinical teaching of postgraduate students of Chinese medicine and geriatrics can improve students'theoretical and operative scores,increase students'satisfaction with themselves and their teachers,arouse students'curiosity and cultivate innovative thinking,and deepen students'understanding and mastery of Chinese medicine and geriatrics,which is a mode of teaching that deserves to be further researched and promoted.