中西医结合临床专业外科基本技术培训模式改革研究(1)
摘要：目的 探讨改革中西医结合临床专业外科基本技术培训模式在外科学实习课教学中的应用效果。方法 选取西南医科大学2014级中西医临床医学本科专业学生204人为实验组，2013级中西医临床医学本科专业学生198人为对照组，实验组采用全新编写的实习指导和形成性评价体系，对照组采用传统教学方法和课程终结性评价模式，比较两组考试成绩，设计调查问卷了解学生对不同教学方法评价情况。结果 实验组学生考试成绩优于对照组，差异有统计学意义(P<0.05);实验组学生对教学效果评价优于对照组，差异有统计学意义(P<0.05)。结论 采用全新的培训模式更加关注外科技能教学过程，该模式具有评价周期短、反馈及时的特点，更适合当前中西医结合临床专业在新形势下的教学，教学效果更好，且学生对该教学法认可度高。
关键词：中西医结合;外科技术;培训模式
中图分类号：G642 文献标识码：B DOI：10.3969/j.issn.1006-1959.2019.03.009
, 百拇医药
文章编号：1006-1959(2019)03-0025-03
Abstract：Objective To explore the application effect of reforming the basic technical training mode of clinical specialty surgery combined with traditional Chinese medicine and western medicine in the teaching of surgery practice.Methods A total of 204 undergraduate students majoring in clinical medicine of traditional Chinese and Western medicine in Southwest Medical University of China (2014) were selected as experimental group.and 198 undergraduate students of 2013 Chinese and Western medicine clinical medicine were selected as the control group. The experimental group used the newly prepared internship guidance and formative evaluation system. The traditional teaching method and the course final evaluation model compare the test scores of the two groups and design a questionnaire to understand the students' evaluation of different teaching methods.Results The test scores of the experimental group were better than those of the control group，the difference was statistically significant (P<0.05). The experimental group's evaluation of teaching effect was better than the control group，the difference was statistically significant (P<0.05). Conclusion The new training mode pays more attention to the surgical skill teaching process. This model has the characteristics of short evaluation period and timely feedback. It is more suitable for the teaching of the traditional Chinese and Western medicine clinical profession under the new situation. The teaching effect is better and the students are teaching the teaching. The law is highly recognized.
, 百拇医药
Key words：Integrated Chinese and Western Medicine;Surgical technique;Training mode
醫学生临床实践能力的培养在医学教育中极其重要，但是近几年来医学生临床实践能力培养面临着许多困境。建立符合当前形势及医改要求的改革型教学模式，已经成为当下医学教育研究的热点[1]。中西医结合是我国独具特色的医疗体系，近年来得到快速发展，我们一直致力于探索中医诊疗方法和西医理论及操作的综合运用，切实提高中西医结合临床专业学生的临床操作能力。目前我校选用的《外科手术学》内容详尽，适用于临床硕士研究生、本科实习生，对外科规范化培训专科医师及低年资住院医师的培养有一定参考价值。但随着我校教育改革的推进，中西医结合临床本科专业学生的外总实习课被压缩，实习时间减少，目前中西医结合临床专业学生选用的教材约80%超出教学范围，本着减轻学生学习和经济负担，最大程度合理高效的指导学生实习，在有限的时间里提高其外科基本技能，适应新时期对临床医师的要求，本项目建立了一套针对中西医结合临床专业学生外科基本技术培训的完善模式，通过实践取得了较好的教学效果，报告如下。, 百拇医药(刘浩 黄娟)
关键词：中西医结合;外科技术;培训模式
中图分类号：G642 文献标识码：B DOI：10.3969/j.issn.1006-1959.2019.03.009
, 百拇医药
文章编号：1006-1959(2019)03-0025-03
Abstract：Objective To explore the application effect of reforming the basic technical training mode of clinical specialty surgery combined with traditional Chinese medicine and western medicine in the teaching of surgery practice.Methods A total of 204 undergraduate students majoring in clinical medicine of traditional Chinese and Western medicine in Southwest Medical University of China (2014) were selected as experimental group.and 198 undergraduate students of 2013 Chinese and Western medicine clinical medicine were selected as the control group. The experimental group used the newly prepared internship guidance and formative evaluation system. The traditional teaching method and the course final evaluation model compare the test scores of the two groups and design a questionnaire to understand the students' evaluation of different teaching methods.Results The test scores of the experimental group were better than those of the control group，the difference was statistically significant (P<0.05). The experimental group's evaluation of teaching effect was better than the control group，the difference was statistically significant (P<0.05). Conclusion The new training mode pays more attention to the surgical skill teaching process. This model has the characteristics of short evaluation period and timely feedback. It is more suitable for the teaching of the traditional Chinese and Western medicine clinical profession under the new situation. The teaching effect is better and the students are teaching the teaching. The law is highly recognized.
, 百拇医药
Key words：Integrated Chinese and Western Medicine;Surgical technique;Training mode
醫学生临床实践能力的培养在医学教育中极其重要，但是近几年来医学生临床实践能力培养面临着许多困境。建立符合当前形势及医改要求的改革型教学模式，已经成为当下医学教育研究的热点[1]。中西医结合是我国独具特色的医疗体系，近年来得到快速发展，我们一直致力于探索中医诊疗方法和西医理论及操作的综合运用，切实提高中西医结合临床专业学生的临床操作能力。目前我校选用的《外科手术学》内容详尽，适用于临床硕士研究生、本科实习生，对外科规范化培训专科医师及低年资住院医师的培养有一定参考价值。但随着我校教育改革的推进，中西医结合临床本科专业学生的外总实习课被压缩，实习时间减少，目前中西医结合临床专业学生选用的教材约80%超出教学范围，本着减轻学生学习和经济负担，最大程度合理高效的指导学生实习，在有限的时间里提高其外科基本技能，适应新时期对临床医师的要求，本项目建立了一套针对中西医结合临床专业学生外科基本技术培训的完善模式，通过实践取得了较好的教学效果，报告如下。, 百拇医药(刘浩 黄娟)