八年制临床医学专业全科医学理论教学探讨

Problems in the theory teaching of general practice course for eight-year program of clinical medi-cal students

目的 探讨八年制医学生全科医学理论授课的方式和效果.方法 对87名临床医学八年制学生于第四学年设置《全科医学概论》理论课,之后进行闭卷考试.课后分析考试成绩,并通过问卷调查课程教学满意度、教学内容必要性以及对授课方法 、考核方法的建议.采用SPSS 16.0进行数据分析,调查数据用百分比表示.结果 两个年级学生《全科医学概论》的理论考试成绩分别为(80.92±7.26)分、(83.76±5.75)分;学生对《全科医学概论》理论授课的总体满意度为40.2％(35/87);对各节课的必要性评分波动为3.6～4.1分(5分量表),其中'全科医学中的交流与沟通'(3.6分)和'全科医师核心能力及诊疗技能的培养'(3.7分)较低;学生对授课方式的意愿选择与授课内容有一定关系.结论 在八年制临床医学专业学生中开设《全科医学概论》课程,需要从课程设置、教学方法 、考试考核、师资培养等多层面进行探索与研究.

Objective To explore the effect and method of the theory teaching of general practice course for eight-year program of clinical medical students. Methods The course of General Medicine was set up for 87 students from two grades in their fourth school year. All of them attended a closed-book exami-nation when they finished the lectures. The satisfaction rates, necessity and the suggestion of teaching and assessment were collected from the questionnaire. Results The examination results of the two grade students were (80.92±7.26) and (83.76±5.75); The satisfaction rate was 40.2％ (35/87); Necessity of the courses was between 3.6 to 4.1 (5-point-Likert-scale). The way of teaching method students chose was dif-ferent by course content. Conclusion The theory teaching of general practice course for eight-year program of clinical medical students needs more reform from curriculum designing, teaching methods, faculty train-ing and evaluation methods.