医学技术技能比赛促进中医外科教学的应用实践

Medical technical skills competition promotes practice application of traditional Chinese medicine in surgical teaching

目的结合医学技术技能比赛的内容及模式进行中医外科教学改革,探讨以赛促学、以赛促教的应用效果。方法选取温州医科大学仁济学院2018级中医本科五年制班为教学改革班,2017级中医本科五年制班为传统教学班,通过考核成绩比较、问卷调查等方法进行教学效果评估,同时对教学改革班开展满意度评价。结果(1)教学改革班考核成绩[(80.24±4.87)分]优于传统教学班[(76.76±5.36)分],教学改革班优秀良好总占比高于传统教学班,差异均有统计学意义(P<0.05)。(2)教学改革班在课前对授课内容熟悉度、课堂参与度、课后知识掌握程度及自主文献检索能力等方面均优于传统教学班,差异有统计学意义(P<0.05)。(3)以课前案例引导、情景模拟的教学方式、小组分工和讨论、情景导入或进入真实临床环境、技能竞赛和临床实践相融合提升中医临床思维及缓解技能操作紧张度、个人喜爱度为7个满意度调查条目,教学改革班的满意率达84.04%(79/94)。结论医学技术技能比赛能促进中医外科教学,学生满意度高,值得推广运用。

Objective This study aimed to reform the teaching of traditional Chinese medicine(TCM)by integrating the content and mode of medical technical skills competition,and to explore the effectiveness of promoting learning and teaching by competitions.Methods The five-year undergraduate class of TCM at Renji College of Wenzhou Medical University in 2018 was selected as the teaching reform class,while the five-year undergraduate class of TCM in 2017 was selected as the traditional teaching class.The teaching effect was evaluated by comparison of assessment results and a questionnaire survey,which also measured the satisfaction of the teaching reform class.Results(1)The average assessment score of the teaching reform class(80.24±4.87)was higher than that of the traditional teaching class(76.76±5.36),with a higher proportion of students in the teaching reform class achieving excellent or good scores,a statistically significant difference(P<0.05).(2)The teaching reform class is better than the traditional teaching class in terms of familiarity with the teaching content,classroom participation,post-class knowledge mastery,and pre-class independent literature search ability,all showing statistically significant differences(P<0.05).(3)In the satisfaction survey,the overall satisfaction rate of the teaching reform class reached 84.04%(79/94),covering two aspects:teaching implementation methods and overall evaluation.The teaching implementation methods included pre-class case guidance,scenario simulation,group division of labor and discussion,scenario introduction,skill competition,and integration of clinical practice.Conclusion Medical technical skills competition can promote the teaching of Traditional Chinese Medicine surgery,with high student satisfaction,making it a method worth promoting and applying.