Application of Seminar Teaching Method Combined with Case-Based Learning and Problem-Based Learning Teaching Models in Oral Clinical Nursing Teaching

Purpose:To analyze the role of the seminar teaching method+case-based learning(CBL)teaching method+problem-based learning(PBL)teaching method in oral clinical nursing teaching.Methods:13 undergraduate nursing students who entered the department from September 2020 to September 2021 were selected as the control group,adopting conventional nursing teaching methods;13 undergraduate nursing students who entered the department from September 2021 to August 2022 were selected as the observation group,adopting the seminar+CBL+PBL teaching method.The teaching effects were compared between the two groups.Results:All assessment scores of the observation group were higher than those of the control group;all teaching satisfaction levels were higher than those of the control group(P<0.05).Conclusion:Adopting the seminar+CBL+PBL teaching method during oral clinical nursing teaching can improve nursing students’assessment scores,strengthen their core competencies,and enhance teaching satisfaction.

Exploring the Application Effect of Flipped Classroom Combined with Problem-Based Learning Teaching Method in Clinical Skills Teaching of Standardized Training for Resident Doctors of Traditional Chinese Medicine

Objective: To explore the application effect of flipped classroom combined with problem-based learning teaching method in clinical skills teaching of standardized training for resident doctors of traditional Chinese Medicine. Methods: The study used the experimental control method. The study lasted from September to November 2022. The subjects of this study were 49 students of standardized training for resident doctors of traditional Chinese Medicine from grades 2020, 2021 and 2022 of Dazhou integrated TCM & Western Medicine Hospital. They were randomly divided into experiment group (25) and control group (24). The experiment group adopted flipped classroom combined with problem-based learning teaching method, and the control group adopted traditional teaching method. The teaching content was 4 basic clinical skill projects, including four diagnoses of traditional Chinese Medicine, cardiopulmonary resuscitation, dressing change procedure, acupuncture and massage. The evaluation method was carried out by comparing the students’ performance and a self-designed questionnaire was used to investigate the students’ evaluation of the teaching method. Results: The test scores of total scores in the experimental group (90.12 ± 5.89) were all higher than those in the control group (81.47 ± 7.96) (t = 4.53, P P Conclusions: The teaching process of the flipped classroom combined with problem-based learning teaching method is conducive to improving the efficiency of classroom teaching, cultivating students’ self-learning ability, and enhancing students’ willingness to learn.

Research on the Application of Problem-Based Learning(PBL)Teaching Method in Clinical Emergency Teaching

Objective:To explore the application advantages of problem-based learning(PBL)teaching method in clinical emergency teaching.Methods:Two classes of students in the five-year clinical medicine major of our university were selected as the research subjects and divided into two groups according to different teaching methods.Among them,50 students who received the traditional teaching method constituted the control group,while 52 students who received the PBL teaching method constituted the observation group.After one semester,an exam was conducted to assess their theoretical knowledge and first-aid practical skills,and evaluate their clinical thinking skills.At the same time,a teaching satisfaction questionnaire was distributed to evaluate the teaching satisfaction.Results:The results of the t-test showed that the observation group was significantly higher than the control group in terms of theoretical assessment,first aid practical assessment,and clinical thinking skills,and the differences were statistically significant(P<0.05).The results of theχ2 test showed that the difference in teaching satisfaction between the observation group and the control group was statistically significant(P<0.05),and the teaching satisfaction in the observation group was significantly higher than the control group.Conclusion:Compared with traditional teaching methods,applying PBL teaching method in clinical emergency teaching can achieve more significant teaching effects.Students’mastery of theoretical knowledge,first aid practical skills,and clinical thinking skills can be effectively strengthened,and it is conducive to improving teaching satisfaction.

Application of Heuristic Method to the Clinical Teaching of Internal Medicine

There is an old saying,“Give a man a fish,and he will eat for a day.Teach a man to fish,and he will eat for the rest of his life.”In clinical teaching,students should not only be taught about diseases,but their intelligence should also be cultivated,along with their analytical,comprehension,and independent learning skills.The ability to solve problems enables students to think independently and acquire knowledge.This is known as the heuristic method of teaching.In this study,we mainly analyze the application value of the heuristic method in the clinical teaching of internal medicine.

A review of clinical reasoning in nursing education:based on high-fidelity simulation teaching method

Objective： Clinical reasoning is an essential feature of health care practice; it is also a crucial ability for providing patient care of high quality. It has been identified that graduate nurses may lack the clinical reasoning skills to deliver safe and effective patient cam. It is therefore of paramount importance to enhance nursing students＇ clinical reasoning ability. High-fidelity simulation （HFS） is proved to be an effective teaching and learning method, which may also have some advantages over other teaching methods. Methods： The authors retrospectively reviewed the related literature, illustrated the application of high-fidelity simulation teaching method in nursing education, putting the focus on the use of it in teaching with clinical reasoning. Results： The application of high-fidelity simulation to nursing education can simulate the clinical situation, thus to create a safe, continuous and efficient learning environment for students, and it can effectively improve students＇ clinical reasoning ability. Conclusions： high-fidelity simulation is effective for clinical reasoning teaching in nursing education. The extension of its application in China should be of great value. The relevant further study is suggested focusing on how to overcome its own limitations and have it better applied in nursing education in China.

Application Effect of Clinical Pathway Teaching Method in Clinical Teaching of Cardiology

Objective:To study the clinical effect of applying clinical pathway teaching method in clinica1 teaching of cardiology.Methods:This paper verifies and calculates that 50 interns working in cardiology department in our hospita1 from October 2016 to October 2019 are divided into groups and comparea in the form of double-blind method.1he rererence group(n=25)uses traditional teachingmethods,and the experimental group(n=25)uses clinical pathway teaching method.The satisfaction degree,teaching quality,theoretical assessment results,operation assessment and comprehensive assessment results of interns in the experimental group and the reference group are compared.Results:The satisfaction degree,theoretical examination result,operation examinationt comprehensive examination result,improvement of team spirit,professiona1 quality,improvemen of professional ethics,standardized diagnosis and treatment,improvement of clinical problem handling ability,stimulation of learning interest and cultivation of clinical thinking of the interns in the experimental group were compared with those of the reference group(P<0.05),showing the value of statistica1 comparison and demonstration between data indexes.Conclusion:The application of clinical path-teaching method in clinical teaching of cardiology can improve the clinical teaching effect and teaching quality.

Analysis of Common Clinical Practice Teaching Methods in Medical Colleges and Universities

Clinical practice teaching is an important part of medical education.For medical students in colleges and universities,the teaching method is mostly single before the teaching reform.Innovative clinical practice teaching methods have been implemented in colleges and universities with the deepening of the teaching reform in recent years.

Application of Scenario Simulation Method in Pediatric Clinical Nursing Teaching

Purpose Analysis of Situational Teaching Method Applied in Pediatric Clinical Nursing Teaching.Method The 120 nursing students who studied in our University from 2015 to 2017 were selected as the study subjects and divided into routine group and experimental group.General teaching methods were adopted for the routine group,and the experimental group took a scenario simulation teaching method on this basis.Results The satisfaction of the teaching methods between the experimental group and the routine group were 93.33% and 81.67% respectively,P<0.05;The theoretical and practical results of the experimental group were better than the routine group,P<0.05.Conclusion The application of the situational teaching method in pediatric clinical nursing teaching has a significant effect and can effectively arouse students’interest in learning.

5A教学模式在普通外科住院医师规范化培训中的应用

目的探讨5A教学模式在普通外科住院医师规范化培训中的应用效果。方法采用随机对照研究方法,以2020年1月至2022年12月在解放军总医院第一医学中心普通外科医学部接受住院医师规范化培训并进入本研究团队主诊组轮转学习的学员为研究对象,随机分为试验组和对照组。试验组20名,采用5A教学模式;对照组20名,采用传统教学模式。对2组学员进行理论考核、临床技能考核和综合能力考核,记录考核成绩,并比较2组的教学效果。结果相对于对照组,试验组学员在消毒铺巾、切开缝合和腔镜技能考核3个方面的成绩得到提高,差异有统计学意义(P<0.05);试验组学员在团队协作和科学研究2个方面的成绩高于对照组,差异有统计学意义(P<0.05);试验组学员带教满意度高于对照组,差异有统计学意义(P<0.05)。结论5A教学模式可以显著提高学员的临床实践操作、团队协作和科学研究能力,可作为普通外科住院医师规范化培训的有效教学方法。

情景模拟教学法在临床基本技能培训中的应用研究

目的基于PDCA循环理论探索情景模拟教学法在临床基本技能培训中的应用模式。方法选取哈尔滨医科大学附属第一医院2019级临床医学专业96名学生作为研究对象,分别设置实验组和对照组,每组48名学生,于2022年3—12月开展技能培训。对照组采用传统方式培训,实验组采用基于PDCA循环的情景模拟教学法培训。比较分析对照组和实验组的培训效果及培训满意度。结果在实验组学生的培训效果调查中,临床基本技能操作中多方面评价结果均高于对照组,差异均有统计学意义(P<0.01)。在适当且安全的操作方式方面,两组比较差异无统计学意义(P>0.05)。在培训满意度调查中,实验组学生对培训满意度明显高于对照组,差异有统计学意义(P<0.01)。结论在临床基本技能培训中应用基于PDCA循环的情景模拟教学法,有助于提升临床基本技能培训质量和学生满意度。

基于问题导向式的中西医结合临床教学的现状研究

基于问题导向式的临床教学模式(problem based learning,PBL)是指通过问题案例或场景使学生确定自己的学习目标,且经由学生自我独立式学习和小组讨论以完善知识。经过60余年的教学实践,在世界许多国家的临床医学教育中都取得了良好的效果,PBL引入我国也有近30年的历史,其在我国临床医学教育的应用中仍然处于探索和改革的阶段。文章就PBL在国内中西医结合临床各科室中的教学现状进行总结,发现其对提高学生积极性,改善学习效果,提高学生的教学满意度等方面效果较好,同时探讨其目前存在的问题,并针对现有的问题提出应对策略,如“靶向PBL教学”模式,以期为未来的医学临床教育提供思路。

案例为基础教学法在生殖医学中心临床医学专业实习医生教学中的应用

目的:探讨案例为基础教学法(CBL)在生殖医学中心临床医学专业实习医生教学中的应用效果。方法:选取2019年2月—2021年6月在郑州大学第二附属医院生殖医学中心实习的65名临床医学专业实习医生为研究对象,按照随机数表法分为对照组32名和研究组33名。对照组采用传统教学法,研究组采用CBL,比较两组实习生理论考核成绩、技能考核成绩、自评结果(思维能力、自学能力、沟通能力、学习兴趣、团队协作能力)和教学满意度。结果:研究组实习医生的理论考核成绩高于对照组,差异有统计学意义(t=3.529,P<0.05);研究组实习医生的技能考核成绩高于对照组,差异有统计学意义(t=5.353,P<0.05);研究组实习医生的思维能力、自学能力、沟通能力、学习兴趣、团队协作能力得分均高于对照组,差异有统计学意义(t=6.126、4.612、8.495、7.344、11.813,P<0.05);研究组实习医生的教学满意度为93.94%,高于对照组的71.88%(χ^(2)=5.626,P<0.05)。结论:CBL教学法在生殖医学中心临床医学专业实习医生教学中的应用效果显著,不仅提升了医生的理论和技能考核成绩,还提高了实习医生的思维能力、自学能力、沟通能力、学习兴趣以及团队协作能力,而且大多数实习医生对该方法也表示满意。

基于O-AMAS的翻转课堂在临床药理学教学中的探索

临床药理学是连接药学与临床医学间的重要基础课程。文章通过对临床医学专业连续两届参加本课程学习的本科生分别进行传统的授课方式(对照组)以及翻转课堂模式(研究组)的教学,并展开比较研究。结果表明,研究组学生的理论考试总成绩为明显高于对照组。两组学生对基础知识掌握并无明显差异,但在病例分析综合应用上,研究组学生的得分显著优于对照组。通过匿名的问卷调研,研究组学生具有更好的学习体验感,新教学方式取得了较好的教学效果。

住培医师作为标准化病人的PBL教学法在神经内科教学中的应用

目的探讨住培医师作为标准化病人的以问题为导向的教学法(problem-based learning,PBL)在神经内科临床教学中的应用效果。方法采用随机数字表法,将2020年6月—2021年10月苏州大学附属第二医院62名正在培训的神经内科住培医师随机分成对照组(31名,传统教学法)和观察组(31名,住培医师作为标准化病人的PBL教学法)进行临床住培。从神经内科轮转期6个月以上住培学员中选取标准化病人培训对象。比较2组住培医师培训之后的理论知识、实践能力及综合素质评分。结果观察组住培医师的理论知识及实践操作成绩均高于对照组,差异有统计学意义(P<0.05);观察组住培医师的综合素质评分均高于对照组,差异有统计学意义(P<0.05)。结论住培医师作为标准化病人的PBL教学法在神经科临床培训教学中的应用效果显著。

临床路径教学法在实验诊断学课程应用中的教学质量分析

目的将临床路径教学法引入实验诊断学教学,通过学生及教师反馈对其教学质量进行分析。方法2021年8月—2022年2月,课题组选取武汉大学第一临床学院2019级临床医学生150名,教师18名,通过制作调查问卷,分析学生与教师的满意度情况及学生期末考试成绩。结果通过问卷发现,引入临床路径教学法后,100%的被调查者掌握了学习方法和实验室指标的合理选择及应用,98.6%的调查者掌握了教学大纲中的重难点内容,88.7%的调查者掌握了检验项目原理及临床意义。在教学方式评价方面,100%的调查者更倾向于临床路径式教学法及实验课教学。在授课满意度上,80.0%以上的调研者对课程中10节课程均表示满意。在期末考试方面,考试成绩优秀(总分在80分以上)的学生占了总人数的62.0%,不合格率仅为0.7%。结论临床路径教学法可以满足实验诊断学教学要求,得到师生肯定,有利于提高实验诊断学的教学质量。

基于针灸推拿专升本专业教学特点探讨PBL联合SP教学法在针灸临床学的应用

随着我国中医学的迅速发展,对高等医学的教育要求越来越高,各大高校也逐步认识到教学方法改革创新的必要性,我国的医学教育已经逐步将重点放到对学生职业素质和职业能力的培养之上。针灸推拿专升本专业学生学情分析有别于其他全日制本科生,生源的特殊性决定了其教学过程应有别于其他专业学生。针对针灸推拿专升本专业学生开设针灸临床学这门综合性和临床实践性较强的专业课程,用问题式学习(PBL)教学法提出问题,培养学生自主学习能力,并结合相关的学情分析,提高学生的学习主观能动性、培养学生的临床综合应用能力,以期培养真正的实用型人才;同时联合标准化病人(SP)教学法模拟问题,培养学生实际临证思辨能力,进而加强学生理论与临床的衔接能力,增强学生的针灸综合临证思辨能力及医患沟通能力等。

基于访谈法探索科室教学绩效的建立及对临床教学的影响

目的探索科室教学绩效的建立及其对临床教学的影响。方法运用半结构访谈法,构建科室教学绩效考核体系。通过Likert调查问卷,半结构访谈法及检索教学智慧平台数据等方式,分析教学绩效体系对临床教学的影响。结果临床教师对科室教学绩效体系满意度良好,认为可提高自身薪酬、改善教学即时反馈及教学积极性,其中,医疗小组组员评价更高。教学区长认为教学绩效对科室教学管理具有重要的促进作用。在教学绩效改革后,住院医师规培化培训年度考核理论成绩较前有明显的上升。结论科室教学绩效体系合理稳定,可提高临床教师的教学积极性,优化科室的教学工作,并提高教学质量。

神经外科临床带教中采取案例及任务驱动教学法的效果

目的探讨在神经外科临床带教中运用案例及任务驱动教学法进行带教的实施效果。方法选取2021年9月—2022年7月神经外科临床实习的80名学生为研究对象,将2021学年度采取传统教学法的40名学生纳入对照组,将2022学年度采取案例及任务驱动教学法的40名学生纳入研究组,对比教学效果调查结果、考核成绩、教学满意度评价以及评判性思维能力评分。结果教学前,2组教学效果比较,差异无统计学意义(P>0.05)。教学后,研究组解剖学知识的理解力、临床思维能力、主动学习积极性、解决临床问题能力、口头表达能力及期待临床实习评分均高于对照组,差异有统计学意义(P<0.001)。研究组理论考核、临床知识、病例分析评分均高于对照组,差异有统计学意义(P<0.001)。研究组基础知识理解、重点内容掌握、教学模式可行、学习兴趣、课堂气氛、教师教学热情以及师生互动评分均高于对照组,差异有统计学意义(P<0.001)。研究组评判性思维能力评分均高于对照组,差异有统计学意义(P<0.001)。结论神经外科临床带教采取案例及任务驱动教学法可激发学生学习兴趣,增加师生互动,可提高学生理论知识与操作技能,教学评价效果较好。

临床路径教学法在牙体牙髓科本科生临床教学中的应用

目的探讨临床路径教学法在牙体牙髓科本科生临床教学中的应用效果。方法选取2021年1月-2022年12月在首都医科大学口腔医学院牙体牙髓科进行临床实习的103名本科生作为研究对象,分为对照组(51名)和观察组(52名),对照组予以问题为基础的教学法(problem-basedlearning,PBL),观察组予以临床路径教学法(clinical pathway teaching method,CPTM),出科时进行理论、实践操作考核和问卷调查评价。结果观察组学生的理论、临床实践操作考核成绩分别为(92.30±3.00)分和(91.70±3.00)分,均优于对照组,差异有统计学意义(P<0.001);观察组学生对“培养临床思维能力”和“病例汇报和分析能力”的满意度高于对照组,2组学生在提高学习主观能动性、理论知识与实践紧密结合、文献查阅和总结能力、达到预期实习目标的满意度均高于96%,但2组差异均无统计学意义(P>0.05)。结论CPTM适用于牙体牙髓专业本科生的临床实习教学,对夯实医学生的基础理论和基本操作技能、提高临床教学质量有重要作用。

互联网混合式教学在风湿免疫科教学中的应用

互联网混合教学模式是利用网络信息技术把传统课堂教学和互联网教学的优势相结合,激发学生学习积极性和主动性,引导学生自主学习,增强学习成绩和效果,扩大教学资源的教学模式。风湿免疫科疾病分类复杂、种类多、临床表现多样、有异质性,疾病与自身抗体间关系纵横交错,涉及基础免疫学知识、理论性强、抽象不易懂,致使诊治困难,是内科教学的重点和难点。在风湿免疫科临床教学中利用互联网混合教学模式,开展以问题为基础的教学法(problem-based learning,PBL)、以案例为基础的教学法(case-based learning,CBL)、形式多样自主学习和互联网混合式教学,将互联网教学和传统教学“有机”结合,引导学生由“大致了解”“体会”的表层学习到“完全理解”“熟练应用”的深层学习,使学生更好地掌握和应用风湿免疫科的相关知识。