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大连大学医学院,大连 116622
孙莉,Email:dlsunli@126.com
纸质出版日期:2023-02-20,
收稿日期:2020-10-22,
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孙莉, 郎明非, 曾常茜, 等. 从临床执业医师资格考试成绩分析加强基础与临床结合的教学改革效果[J]. 中华医学教育探索杂志, 2023, 22(2): 203-207.
Sun Li, Lang Mingfei, Zeng Changqian, et al. Analysis of the effects of the teaching reform to strengthen the integration of basic medicine and clinical medicine through the National Medical Licensing Examination scores[J]. Chinese Journal of Medical Education Research, 2023,22(2):203-207.
孙莉, 郎明非, 曾常茜, 等. 从临床执业医师资格考试成绩分析加强基础与临床结合的教学改革效果[J]. 中华医学教育探索杂志, 2023, 22(2): 203-207. DOI: 10.3760/cma.j.cn116021-20201022-01173.
Sun Li, Lang Mingfei, Zeng Changqian, et al. Analysis of the effects of the teaching reform to strengthen the integration of basic medicine and clinical medicine through the National Medical Licensing Examination scores[J]. Chinese Journal of Medical Education Research, 2023,22(2):203-207. DOI: 10.3760/cma.j.cn116021-20201022-01173.
目的
2
通过统计2014年至2018年临床执业医师资格考试成绩,分析加强基础与临床结合的教学改革效果。
方法
2
通过完善培养方案、开设学科整合课程、规范化病例教学模式和开设综合性医学实验课程,进行基础与临床结合的教学改革。对临床执业医师资格考试本校考生与全国院校考生的成绩进行差值比较,包括总成绩平均分数、通过率、基础医学部分平均掌握率、基础医学部分认知层次平均掌握率等4个指标。
结果
2
2014年、2015年和2016年本校考生总成绩平均分数为(384.70±53.62、395.45±50.49、401.43±50.88),低于全国水平(396.15±58.85、400.78±56.88、405.15±58.06);本校考生基础医学部分平均掌握率为(56.28%、62.45%、64.92%),低于全国水平(58.41%、62.46%、65.36%);2014至2016年本校考生基础医学部分认知层次平均掌握率低于全国水平,2017至2018年高于全国。2017年和2018年本校考生总成绩平均分数为(397.11、400.26±61.15),高于全国水平(388.91、397.01±58.35);本校考生基础医学部分平均掌握率为(61.53%、59.85%),高于全国水平(58.64%、58.38%);本校考生基础医学部分认知层次平均掌握率为(61.53%、59.85%),高于全国水平(58.64%、58.38%)。总成绩通过率,本校考生2014年和2016年为(91.11%、72.73%),低于全国水平(91.18%、73.75%);2015年、2017年和2018年为(76.47%、77.78%、77.59%),均高于全国水平(73.59%、74.29%、76.89%)。随着教学改革进程成绩呈上升趋势。
结论
2
在基础医学阶段加强基础与临床结合的教学改革,能够提高学生对基础医学知识的学习兴趣和重视程度,加强了基础与临床相关性的认识,对医学生岗位胜任力的培养和应用型医学人才培养目标的达成有着积极的作用。
Objective
2
To investigate the effects of teaching reform to strengthen the integration of basic medicine and clinical medicine by analyzing the scores of the National Medical Licensing Examination from 2014 to 2018.
Methods
2
Through the improvement of the training program
the establishment of subject integration courses
the standardization of case teaching mode and the establishment of comprehensive medical experiment courses
the teaching reform of the combination of basic medicine and clinical medicine was carried out. The differences in the scores of the National Medical Licensing Examination between the students from Dalian University and those from the whole country were compared
including the average total scores
the passing rates
the average mastery rates of the basic medicine
and the average mastery rates of the cognitive level of the basic medicine.
Results
2
In 2014
2015 and 2016
the average total scores of the students from Dalian University were 384.70±53.62
395.45±50.49
and 401.43±50.88
respectively
which were lower than those from the whole country (396.15±58.85
400.78±56.88
and 405.15±58.06). The average mastery rates of the basic medicine of the students from Dalian University were 56.28%
62.45%
and 64.92%
respectively
lower than those from the whole country (58.41%
62.46%
and 65.36%). The average mastery rates of the basic medicine of the students form Dalian University from 2014 to 2016 were lower than those from the whole country
and those were higher in 2017 to 2018 than the whole country. The average total scores of the students form Dalian University in 2017 and 2018 were 397.11 and 400.26 ± 61.15
respectively
higher than those from the whole country (388.91 and 397.01±58.35). The average mastery rates of the basic medicine of the students form Dalian University were 61.53% and 59.85%
respectively
higher than those from the whole country (58.64% and 58.38%). The total passing rates of the students from Dalian University in 2014 and 2016 were 91.11% and 72.73%
respectively
lower than those from the whole country (91.18% and 73.75%)
while in 2015
2017 and 2018 those were 76.47%
77.78%
and 77.59%
respectively
all higher than those from the whole country (73.59%
74.29%
and 76.89%). All the data showed a trend of increase with the teaching reform process.
Conclusion
2
Strengthening the teaching reform of the combination of basic medicine and clinical medicine during the learning stage of basic medicine could improve students' learning interest and attention to the basic medical knowledge
strengthen the understanding of the relevance of basic medicine to clinical medicine
and play a positive role in the cultivation of medical students' post competency and the achievement of the goal of training applied medical talents.
执业医师资格考试基础与临床结合岗位胜任力培养目标教学改革
National Medical Licensing ExaminationCombination of basic medicine and clinical medicinePost competencyTraining goalTeaching reform
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