医学教育管理

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病案导学式教学法在消化内科实习教学中的应用效果评价:一项随机对照研究 

  

  1. 滨州医学院附属医院消化内科,滨州 256600
  • 出版日期:2026-04-09 发布日期:2026-04-09

Evaluation of the application effect of medical record guided teaching method in clinical practice teaching of gastroenterology: a randomized controlled study

  1. Department of Gastroenterology, Affiliated Hospital of Binzhou Medical College, Binzhou 256600, China
  • Online:2026-04-09 Published:2026-04-09

摘要: 目的 评价病案导学式教学法在消化内科实习生教学中的应用价值。方法 以2022年7月—2024年11月在滨州医学院附属医院消化内科参与临床实习的医学生为调查对象,从中统计出100名,均由相同教学水平和教学经验>2年的带教老师展开施教,依据随机数字表法进行分组,对照组(n=50)采取传统教学法,观察组(n=50)开展病案导学式教学法,比较各组教学的考核成绩、教学满意度、教学质量评估、自主学习能力。结果 经不同教学法实施后,观察组学生的理论知识考核成绩(91.32±5.73)分、实操技能成绩(91.58±5.44)分、病案书写成绩(92.77±5.33)分,均高于对照组[(82.09±4.84)分、(81.66±4.72)分、(82.84±4.66)分],差异有统计学意义(P<0.05);观察组教学满意度各项评分亦高于对照组[(8.31~8.57)分 vs (6.29~6.55)分],差异有统计学意义(P<0.05);观察组教学质量及自主学习能力各维度评分均显著高于对照组(P<0.05)。结论 临床教学中采纳病案导学式教学法,可有效提高消化内科实习生的理论知识水平和临床技能操作能力,全方位满足学生的教学认可度和满意度,还能多样化提高学生的学习水平,值得推广应用。

Abstract:

 Objective To evaluate the application value of medical record guided teaching method in the teaching of gastroenterology.Methods Medical students who participated in clinical internship in the Department of Gastroenterology, Affiliated Hospital of Binzhou Medical University from July 2022 to November 2024 were selected as research subjects, and 100 students were included. All students were taught by instructors with the same teaching level and more than 2 years of teaching experience. They were divided into groups using a random number table method: the control group (n=50) received traditional teaching, and the observation group (n=50) received case-guided teaching. The assessment scores, teaching satisfaction, teaching quality evaluation, and autonomous learning ability were compared between the two groups.Results After the implementation of different teaching methods, the observation group showed significantly higher scores in theoretical knowledge (91.32±5.73 vs 82.09±4.84), practical skills (91.58±5.44 vs 81.66±4.72), and medical record writing (92.77±5.33 vs 82.84±4.66) compared with the control group (all P<0.05). The teaching satisfaction scores in the observation group were also significantly higher than those in the control group ((8.31~8.57 vs 6.29~6.55), with statistically significant differences (P<0.05). The scores of teaching quality and autonomous learning ability in the observation group were significantly higher than those in the control group (P<0.05).Conclusion The adoption of medical record guided teaching method in clinical medicine teaching can effectively improve the theoretical knowledge level and clinical skill operation ability of interns in the Department of Gastroenterology, fully meet students' teaching recognition and satisfaction, and diversify the learning level of students. It is worthy of popularization and application.

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