Application of blended teaching in clinical skill practice course for undergraduate medical students

Chen Jie; Duan Baohua; Yu Jun; Shen Haibo; Chu Jingshen

doi:10.3760/cma.j.cn116021-20230920-01525

您当前的位置：

首页 >

文章列表页 >

Application of blended teaching in clinical skill practice course for undergraduate medical students

Teaching Reform Special Column of Shanghai Jiao Tong University School of Medicine | 更新时间：2023-12-26

- Application of blended teaching in clinical skill practice course for undergraduate medical students
- Chinese Journal of Medical Education Research Vol. 22, Issue 12, Pages: 1806-1810(2023)
- 作者机构：
  
  1.上海交通大学医学院附属新华医院内科，上海　200092
  2.上海交通大学医学院教务处临床技能实验教学中心，上海　200025
  3.上海交通大学医学院附属新华医院妇产科，上海　200092
  4.上海交通大学医学院附属新华医院泌尿外科，上海　200092
  5.上海交通大学医学院附属瑞金医院科技发展处，上海　200025
- 作者简介：
  
  Duan Baohua, Email: duanbaohua@hotmail.com
- 基金信息：
  
  "Golden Course" Construction for Organ-System Integration Course at Shanghai Jiao Tong University School of Medicine (Shanghai Jiao Tong Medical Education〔2019〕No.12)(沪交医教〔2019〕12号)
- DOI：10.3760/cma.j.cn116021-20230920-01525
  CLC： R541;R605
- Published：20 December 2023，
  
  Received：20 September 2023，
扫描看全文
陈洁, 段宝华, 虞俊, 等. 医学本科生临床技能实践课程混合式教学研究[J]. 中华医学教育探索杂志, 2023, 22(12): 1806-1810.

Chen Jie, Duan Baohua, Yu Jun, et al. Application of blended teaching in clinical skill practice course for undergraduate medical students. [J]. Chinese Journal of Medical Education Research 22(12):1806-1810(2023)
陈洁, 段宝华, 虞俊, 等. 医学本科生临床技能实践课程混合式教学研究[J]. 中华医学教育探索杂志, 2023, 22(12): 1806-1810. DOI： 10.3760/cma.j.cn116021-20230920-01525.

Chen Jie, Duan Baohua, Yu Jun, et al. Application of blended teaching in clinical skill practice course for undergraduate medical students. [J]. Chinese Journal of Medical Education Research 22(12):1806-1810(2023) DOI： 10.3760/cma.j.cn116021-20230920-01525.

摘要

目的

探索混合式教学模式在临床技能实践课程中的应用和效果。

方法

依据上海交通大学医学院针对本科阶段医学生的实践教学大纲及国家执业医师实践操作考试项目，选择内、外、妇、儿、急救基本技能共20项，试验组采用线上与线下相结合的混合式教学模式开设临床技能基本操作实践课程。选取2020至2021两学年大三年级医学生（120人）参加该教学模式学习，与同期对照组采用单纯线下教学模式医学生（120人）在流程完整性、手法熟练度、无菌观念、沟通关爱、临床思维等方面的实践能力考核成绩进行比较，并对试验组学生进行调查问卷分析课程的设计、适应性及兴趣和满意度、学习效果等。采用SPSS 21.0进行Wilcoxon秩和检验和卡方检验。

结果

两组学生在性别和专业等一般性资料上差异无统计学意义。试验组上述各实践能力成绩均明显优于对照组[88（86，89）vs. 75（72，77）；57（56，58） vs. 52（50，54）；7（6，8） vs. 5（4，6）；8（7，8） vs. 5（4，6）；9（8，9） vs. 6（6，7）；8（7，9） vs. 7（6，7）；

0.001]，问卷调查显示试验组学生对课程的总体评价较高（4.0~4.8分）。

结论

混合式教学对本科阶段医学生临床技能实践能力的培养有利，有助于提升学生的自学能力和动手能力，提高课堂效率和教学效果。

Abstract

Objective

To investigate the application and effect of blended teaching model in clinical skill training.

Methods

According to the practical teaching syllabus for undergraduate medical students in Shanghai Jiao Tong University School of Medicine and the national practical operation examination for medical practitioners

20 basic skills of internal medicine

surgery

gynecology

pediatrics

and emergency were selected. A total of 120 junior medical students in the experimental group received the practice course of basic clinical skill operations using the online and offline blended teaching model in the academic years of 2020-2021

and 120 medical students in the control group received this course using the offline teaching model alone during the same period of time. The two groups were compared in terms of process completeness

skill proficiency

aseptic concept

communication and care

and clinical thinking

and a questionnaire survey was conducted for the students in the experimental group to investigate course design

adaptability

interest

satisfaction

and learning effect. SPSS 21.0 was used to perform the Wilcoxon rank-sum test and the chi-square test.

Results

There were no significant differences between the two groups in general information such as sex and major. The experimental group had significantly better scores of the above practical abilities than the control group [88 (86

89) vs. 75 (72

77)

57 (56

58) vs. 52 (50

54)

7 (6

8) vs. 5 (4

8 (7

8) vs. 5 (4

9 (8

9) vs. 6(6

8 (7

9) vs. 7 (6

0.001]

and the questionnaire survey showed that the students in the experimental group gave a relatively high overall evaluation of the course (4.0-4.8 points).

Conclusions

The blended teaching model is beneficial to the cultivation of clinical skills and practical ability in undergraduate medical students and can help to enhance their self-learning and operational abilities and improve classroom efficiency and teaching effectiveness.

关键词

混合式教学临床技能实践能力医学本科生

Keywords

Blending teachingClinical skills and practical abilityUndergraduate medical student

references

陈宝生. 坚持“以本为本” 推进“四个回归” 建设中国特色、世界水平的一流本科教育[J]. 时事报告（党委中心组学习）， 2018（5）： 18-30.

马玥璐，王平，宫黎明，等. “金课”建设中的三大动态因素与三大静态因素[J]. 科技风， 2023（1）： 22-24. DOI: 10.19392/j.cnki.1671-7341.202301008http://dx.doi.org/10.19392/j.cnki.1671-7341.202301008.

郑剑煌，刘丽红，庄梦娇，等. 微课结合模块化教学在ICU临床护理教学中的应用[J]. 中华护理教育， 2020， 17（11）： 1022-1025. DOI: 10.3761/j.issn.1672-9234.2020.11.013http://dx.doi.org/10.3761/j.issn.1672-9234.2020.11.013.

卢玉仙，高薇，魏志明，等. 基于“互联网+进展性案例”的教学改革在外科护理教学中的应用[J]. 护理研究， 2019， 33（18）： 3137-3140. DOI: 10.12102/j.issn.1009-6493.2019.18.009http://dx.doi.org/10.12102/j.issn.1009-6493.2019.18.009.

赵云鹤，刘雪芹，毕志斐，等. 线上线下混合式教学在整合医学的应用[J]. 基础医学教育， 2022， 24（2）： 132-134. DOI: 10.13754/j.issn2095-1450.2022.02.16http://dx.doi.org/10.13754/j.issn2095-1450.2022.02.16.

冯莉，陶玲，朱子晴，等. 医学课程线上教学现状与启示：以中南大学湘雅医学院为例[J]. 中华医学教育探索杂志， 2023， 22（3）： 443-447. DOI: 10.3760/cma.j.issn.2095-1485.2020.12.117http://dx.doi.org/10.3760/cma.j.issn.2095-1485.2020.12.117.

罗自强，冯丹丹，向阳，等. 高校在线开放课程的建设与应用：以中南大学《生理学》课程为例[J]. 生理学报， 2020， 72（6）： 707-715. DOI: 10.13294/j.aps.2020.0089http://dx.doi.org/10.13294/j.aps.2020.0089.

A revision of bloom's taxonomy: an overview [J]. Theory Pract, 2002, 41(4): 212-218. DOI: 10.2307/1477405http://dx.doi.org/10.2307/1477405.

Smith EB, Gellatly M, Schwartz CJ, et al. Training radiology residents, bloom style [J]. Acad Radiol, 2021, 28(11): 1626-1630. DOI: 10.1016/j.acra.2020.08.013http://dx.doi.org/10.1016/j.acra.2020.08.013.

教育部关于印发《高等学校课程思政建设指导纲要》的通知[EB/OL]. （2020-05-28）[2023-07-01]. http://www.moe.gov.cn/srcsite/A08/s7056/202006/t20200603_462437.htmlhttp://www.moe.gov.cn/srcsite/A08/s7056/202006/t20200603_462437.html.

国家卫生健康委，国家中医药管理局. 关于加强二级公立医院绩效考核工作的通知[EB/OL]. [2023-07-01]. http://www.nhc.gov.cn/yzygj/s3585/201912/1c39484b830442c4bd25c87ed0ee07b8.shtmlmlhttp://www.nhc.gov.cn/yzygj/s3585/201912/1c39484b830442c4bd25c87ed0ee07b8.shtmlml.

吴岩. 建设中国“金课”[J]. 中国大学教学， 2018（12）： 4-9. DOI: 10.3969/j.issn.1005-0450.2018.12.002http://dx.doi.org/10.3969/j.issn.1005-0450.2018.12.002.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

No data

Related Author

No data

Related Institution

No data

⁰