电子模拟人优化心脏听诊教学的探讨

Objective To explore the assistant teaching effects with electronic simulated patients in the heart auscultation teaching. Methods 106 students were divided into the electronic simulated patient teaching group (experimental group ) and the traditional method teaching group (control group ) at random. Through the questionnaire survey, the written examination and the practice skill inspection form,we compared the students' learning situation of the two groups. Results There was no significant differ-ence in the written examination results between the two group students ( P ＞ 0.05 ); the practice skill in-spection results of the experimental group was obviously higher than those of the control group, there being significant difference ( P ＜ 0.05 ). The questionnaire survey about teaching satisfaction degree with electronic simulated patients showd that 77.36% of the students appraiseot for good, 18.87% for general,3.77% for poor. Conclusions The assistant teaching with electronic simulated patients was helpful in improving students' practice operation skills. It had many merits, such as comprehensive contents, directviewing and strong repeatability, which might optimize the heart auscultation teaching.     

电子模拟人优化心脏听诊教学的探讨

Objective To explore the assistant teaching effects with electronic simulated patients in the heart auscultation teaching. Methods 106 students were divided into the electronic simulated patient teaching group (experimental group ) and the traditional method teaching group (control group ) at random. Through the questionnaire survey, the written examination and the practice skill inspection form,we compared the students' learning situation of the two groups. Results There was no significant differ-ence in the written examination results between the two group students ( P ＞ 0.05 ); the practice skill in-spection results of the experimental group was obviously higher than those of the control group, there being significant difference ( P ＜ 0.05 ). The questionnaire survey about teaching satisfaction degree with electronic simulated patients showd that 77.36% of the students appraiseot for good, 18.87% for general,3.77% for poor. Conclusions The assistant teaching with electronic simulated patients was helpful in improving students' practice operation skills. It had many merits, such as comprehensive contents, directviewing and strong repeatability, which might optimize the heart auscultation teaching.     

诊断学教学中医学生临床思维能力培养的探索

Objective For the current shortcomings in clinical probation of diagnostics, cussed the effect of case-based teaching in practicing lessons of diagnostic was discussed. Methods 130 students were randomly divided into two groups. 66 students in the experimental group were used case-based teaching,64 students in the control group were used traditional teaching. A comparison was made between the two groups in terms of the scores. Results It showed that there were no significant differences in scores of diagnostics, including the scores of histories, physical examination, samples between the experimental group and the control group. The scores of theories, case-analyzing and total scores obtained by experimental group were higher than those by the control group, P ＜ 0.05. The questionnaires showed that the casebased teaching was welcome by the students. The manner' s satisfactions was 84.4%, 12.5% ,3.1%.Conclusions The methods of case-based teaching helped the students well understand and master the contents of physical and laboratory diagnostics, enhance the ability of clinical thinking as well as promoting the teaching qualities of diagnostics.     

"八环节"教学方法在五年制高职学生病原生物与免疫课程教学中的研究与实践

目的 探讨"八环节"教学方法在五年制高职学生病原生物与免疫课程教学中的应用效果.方法 随机抽取郑州铁路职业技术学院2006级护理专业五年制学生作为研究对象,将其分为对照组与实验组.对照组采用传统教学方法,实验组采用"引起注意→告知学习目标→复习→启发教授→检测反馈→迁移→预习→强化"即"八环节"教学方法.最终通过考试成绩、问卷调查比较两组学生教学效果的差异.结果 两组学生期末考试平均成绩和及格率差异显著,具有统计学意义(P<0.05)."八环节"教学方法有利于培养五年制学生学习兴趣、自主性,有利于增强其知识迁移、应用的能力.结论 "八环节"教学方法优于传统教学方法,值得进一步研究和推广.

Abstract：

Objective To explore the effects of "eight links" method on the teaching of "causal organism and immunology" for five-year vocational students. Methods Vocational students majoring in the five-year nursing program of Zhengzhou Railway Vocational and Technical College were selected randomly as the study objects. They were divided into a control group and an experimental group. The traditional teaching method was adopted in the control group, while the eight-link method arousing attention, instructing learning objectives, reviewing, enlightening, feedback, transferring, previewing, consolidating was adopted in the experimental group. The teaching effect of these two groups was compared by the examination scores and questionnaire. Results The differences of average scores and pass rates in the final examination were very distinguished and of statistic significance(P<0.05). The eight-link teaching method was beneficial to cultivate students'studying enthusiasm and autonomy. It can also enhance their ability to transfer and apply knowledge. Conclusions The eight-link teaching method was superior to the traditional teaching method, and deserved to be further studied and popularized.     

急诊医学教学中两种教学方法实施效果的比较研究

目的 比较以问题为基础学习(problem-based learning,PBL)结合智能化计算机模拟教学与传统的以授课为基础学习(lecture-based learning,LBL)两种教学方法在急诊医学教学中的应用效果.方法 以大连大学医学院2006级五年制临床医学专业1班和2班49名学生为研究对象,1班25名学生为对照组,2班24名学生为实验组.两组学生在年龄、性别、基础文化程度、专业知识掌握等方面差异无统计学意义.针对心肺脑复苏章节的急诊教学,对照组采用LBL教学方法;实验组采用PBL结合智能化计算机模拟教学方法.教学结束后,采用问卷调查、理论及操作技能考核等主客观评价方法共同评价教学效果.结果 与对照组学生比较,实验组学生在教学中能够主动提出问题,积极参与讨论,发言踊跃,课堂气氛活跃.调查结果显示,学生对PBL结合智能化计算机模拟教学方法满意度高于LBL教学方法.比较两组学生的考试成绩,无论是理论测试还是操作技能考核,实验组学生的成绩均明显优于对照组学生(P<0.05).结论 PBL结合智能化计算机模拟教学比LBL教学更能够增加学生学习的兴趣,加深学生对知识的理解和记忆,增进团体协作精神,并且能够更好地培养学生急诊医学思维和解决临床问题的能力,显著提高了急诊医学的教学效果.

Abstract：

Objective To evaluate the application effects of problem-based leaning (PBL) combined with intelligent simulation teaching and lecture-based learning (LBL) in course of cardio-pulmonary-cerebral resuscitation of emergency medicine. Methods Using 49 undergraduate students of grade 2006, five-year clinical medicine in Medical School of Dalian University as the object of research, and class 1 (n=25) for control group, class 2(n=24) for experimental group. The students of control group were taught by traditional LBL teaching method, and experimental group were taught by PBL combined with intelligent computer simulations teaching method. The teaching effect was evaluated by using the results of questionnaire survey and theory examination skills and operating skills together. Results Compared with controls group, the students of experimental group were able to question actively and participate in discussions, spoken enthusiastically, and active atmosphere. The results of students' questionnaires showed that satisfaction of students for PBL combined with intelligent simulation teaching method were better than LBL teaching method. Test scores, either in theory or skills assessment test experimental results are better than control group (P<0.05). Conclusions Compared with traditional LBL teaching method, PBL combined with intelligent simulation teaching method can increase students' interest in learning, deepen understanding and memory of the knowledge, enhance team spirit and bring up ability to emergency medicine clinical thinking and solving practical problems, and improve the teaching effect of emergency medicine greatly.     

A Life-skills-based HIV/AIDS Prevention Education for Rural Students of Primary Schools in China：What Changed？ What Have We Learned？

Objective To evaluate a four-hour life-skills-based HIV/AIDS prevention curriculum among 5th grade students in rural primary schools of Hainan province.Methods The study included two stages.Stage one （September 2006-May 2007） was a pre-post-quasi experimental design;a total of 2 413 students aged 9 to 14 years from fifth grade classes of nine primary schools completed a baseline survey （1 720 students were in the intervention group,693 in the control group）,and over 98% of them took part in a short survey.The experimental curriculum was provided to the intervention group.At stage two （September 2008）,a cross-sectional questionnaire was administered to 6 923 students in 7th grade classes of eight middle schools in the same study sites.There were 1 437 students in the intervention group when the curriculum was conducted.Results Students tended to score higher in areas of HIV/AIDS related knowledge and attitudes,if they were younger than average,lived in the county seat,had access to the internet,and their parents had completed higher levels of education.Path analysis showed that,after controlling for characteristics such as family and community factors,the total effects of curriculum on knowledge in the short-term model increased remarkably compared with the baseline,and maintained major contributions to knowledge in the mid-term model.The positive effect of knowledge on attitudes was significantly improved in the short-term model as well.Conclusion A life-skills based curriculum can improve HIV/AIDS related knowledge and self-perceived level of life-skills among primary school students in rural areas in a short time,and these positive effects can still be observed at least 2 years post participation in the curriculum.     

以学习小组为基础的问题讨论式教学方法探讨

目的 寻求更好的系统解剖学教学方法.方法 将泰山医学院2008级本科护理学专业(麻醉护理与重症监护方向)1班和2班109名学生分为实验组和对照组,实验组采用以学习小组为基础的问题讨论式教学方法,对照组采用传统的教学方法讲授系统解剖学.课程结束后,两组学生采用相同的试题进行闭卷考试,并对实验组学生进行问卷调查.结果 实验组学生考试成绩的及格率和优秀率均高于对照组学生,差异具有统计学意义(P<0.05);实验组95.0%以上的学生对以学习小组为基础的问题讨论式教学方法持肯定态度.结论 以学习小组为基础的问题讨论式教学方法优于传统教学方法.

Abstract：

Objective To seek the better teaching methods in the teaching course of systematic anatomy. Methods The subjects of 109 nursing students were divided into the trial group and the control group. The "problem-disscuss" teaching method based on learning groups was performed in the trial group while the traditional teaching method was done in the control group. After the course of systematic anatomy was finished, the two groups were tested with the same test paper,and the trial group were investigated.Results The testing result of the trial group was higher than that of the control group. There was significant difference between the two groups (P<0.05), and 95. 0% students approved the " problem-disscussion" teaching method based on learning groups. Conclusions The " problem-disscussion" teaching method based on learning groups was superior to the traditional teaching method.     

电脑模拟人在医学本科诊断学教学中的作用与评价

目的 探讨电脑模拟人在诊断学教学中的应用效果.方法 将我校临床医学五年制学生338名分成模拟教学组和传统教学组,采用不同教学手段授课后进行考核,统计两组学生的理论考试和操作考核成绩,并进行问卷调查.结果 模拟教学组操作考核成绩明显高于传统教学组(P<0.05).调查问卷显示,79.2%的学生认为有必要运用电脑模拟人进行教学.结论 应用电脑模拟人可提高学生的诊断学临床实践能力.

Abstract：

Objective To evaluate the resultof applying computer simulated human for the diagnostics teaching.Methods The survey was conducted on medical simulation teaching and traditional teaching applied in 338 medical students through statistical evaluation of operative performance and questionnaire.Results The simulation teaching group performed better than the traditional teaching group on the operative assessment(P<0.05).79.2%students thought it was necessary to have simulation teaching.Conclusions Computer simulated human Can improve students'clinical practice ability.     

双语教学在妇产科学教学中的应用效果

为了解妇产科学双语教学的实施效果,对大连大学附属中山医院五年制临床医学专业39名学生进行了问卷调查.结果 显示,学生英语基础、师资队伍素质、英语教材以及教学组织形式对双语教学的效果有所影响.妇产科学双语教学需要进一步规范化.

Abstract：

In order to improve the teaching effect of obstetrics and gynecology a questionnaire survey among medical students was carried out in the Affiliated Zhongshan Hospital of Dalian University to know the views and the suggestions of bilingual teaching in obstetrics and gynecology. Through analysis, it showed that the effect of bilingual teaching was influenced by student's English level, the teachers' quality, teaching materials and the teaching arrangement.     

以问题为基础学习教学方法在局部解剖学实验教学中的应用

目的 探讨以问题为基础学习(problem-based learning,PBL)教学方法在局部解剖学实验教学中的应用价值,以提高教学质量.方法 以湖北民族学院医学院2009级临床医学专业本科1班、2班为实验组,3班、4班为对照组.实验组采用PBL教学方法,对照组采用传统的以教师讲授为主的教学方法.分析比较两组学生的考试成绩,评价以问题为基础学习教学方法的实施效果.结果 比较实验组与对照组学生的客观题考试成绩,差异无统计学意义(P＞0.05);比较病例分析题考试成绩,差异具有统计学意义(P＜0.05).结论 PBL教学方法能够激发学生的学习兴趣,培养学生的综合能力,有利于学生学习观念的转变,提高了学生分析和解决问题的能力.

Abstract：

Objective To explore the practical value of problem-based learning (PBL) teaching method in regional anatomy experiment teaching to improve teaching quality. Methods Took 2 classes of clinical undergraduates grade 2009 as experimental group and 2 classes as control group in medical school. PBL is applied in experimental group, while traditional teaching method (teacher-centered) is adopted in control group. Results There was little difference between the experimental group's scores of objective items in the exams and those of control group(P>0.05), while striking difference appears between the two groups in their scores of case analysis(P<0.05). Conclusions PBL teaching method could arouse students' interest in study, develop students' comprehensive abilities, prompt students' attitude change toward study and improve students' abilities in analyzing and solving problems.     

自助式教学模式在生物化学教学中的应用

目的 探讨自助式教学模式在生物化学理论教学中的应用价值.方法 将长治医学院2008级五年制临床医学专业371名学生随机分为实验组和对照组,在生物化学理论教学中,实验组采用自助式教学模式教学,对照组采用传统教学模式教学.教学结束后,比较两组学生的理论考试结果和问卷调查结果.结果 实验组学生理论考试成绩显著高于对照组学生;实验组学生对自助式教学模式评价较高.结论 自助式教学模式优于传统教学模式,自助式教学模式有助于提高生物化学的教学质量.     

医学生物化学自助式教学法的实践与讨论

目的探讨自助式教学法在生物化学理论课的应用效果及学生角色的转换。方法将2008级临床医学本科生随机分为实验组（190人）和对照组（181人）;对照组采用传统教学法,实验组采用自助式教学法;采用不记名问卷调查和理论考试相结合的方法比较分析两组教学效果间的差异。结果实验组学生的平均成绩和高分数段比例高于对照组,差异有统计学意义（P〈0．01）。学生对白助式教学法的总体满意度较高。结论自助式教学法确实能够提高学生对教学的满意度,并能显著提高生物化学的教学质量。     

网络式研究性教学在生物化学教学中的应用

目的：比较传统教学与网络式研究性教学在生物化学教学中的应用效果。方法选择齐齐哈尔医学院2012级五年制临床医学专业425名学生为研究对象,5至8班246名学生为实验组,采用网络式研究性教学;17至20班179名学生为对照组,采用传统教学。教学结束后,对实验组学生进行问卷调查;组织两组学生进行考试以评价教学效果。采用t检验进行统计学分析。结果实验组70%以上学生对网络式研究性教学总体满意,给予良好的评价;实验组学生的总成绩以及各单项成绩均高于对照组,且在实验成绩、病例分析题成绩两项中,两组学生考试成绩比较差异有统计学意义,P值分别为0.000、0.002。结论在生物化学这门医学基础课教学中,采用网络式研究性教学的效果优于传统教学,有利于提高学生的学习积极性,培养其解决问题的能力。     

医教协同背景下Seminar教学模式在“中医肛肠科学”教学中的应用

目的探讨基于医教协同背景下的Seninar教学模式在“中医肛肠科学”教学中的应用及效果评价。方法选取湖南中医药大学中医学专业2017级五年制本科生43名为对照组,2018级五年制本科生45名为试验组。观照组应用课堂理论教学及传统教学见习,试验组采用课堂理论教学及Seminar教学见习。学期末对学生进行书面考核及问卷调查,比较两组书面考核成绩及教学满意度调查得分。结果试验组书面考核成绩(8240+5.45)分,高于对照组的(76.16+5.81)分(P<0.05),试验组学生的满意度评分(94.892.33)分,高于对照组的(86.563.59)分(P<0.05)。结论Seminar教学模式有效提高了“中医肛肠科学”的教学质量。     

PBL结合案例教学在泌尿外科见习教学中的实践

目的探讨采用PBL结合案例教学在三年制高职临床专科医学泌尿外科见习教学中的效果。方法选取在石嘴山市第二人民医院见习的宁夏医科大学高职临床专科班2015级1班45名和2016级2班37名学生为研究对象,每班分为4个小组,再从每班抽取2个小组进行分组教学,实验组(42名)采用PBL结合案例教学进行教学,对照组(40名)采用传统临床见习教学方法进行教学,对两组学生在泌尿外科见习成绩和效果进行问卷调查。采用SPSS 16.0进行t检验。结果实验组和对照组学生的理论考试成绩,差异无统计学意义(P>0.05);两组学生的病史采集、体格检查、实践技能成绩及总成绩比较,实验组高于对照组,差异有统计学意义。见习效果问卷调查结果显示,实验组教学可明显调动学习积极性,提高参与教学意识,提高自学能力,提高信息获取能力,培养创新能力,提高分析解决问题能力及提高团队意识,差异有统计学意义(P<0.05)。结论在泌尿外科见习教学中,采用PBL结合案例教学有利于提高学生学习成绩、见习效果与综合实践能力,在临床教学中有推广价值。     

七年制临床医学专业学生循证医学课程教学模式改革探索

目的通过七年制临床医学专业循证医学课程教学模式改革,探索提高学生临床实践和研究能力的循证医学教学模式。方法2010年7月至2012年7月,将中国医科大学2006级和2007级临床医学专业学生在每一个年级内随机分成实验组和对照组。循证医学教学中,实验组采取新教学模式,对照组采用传统的讲授式教学模式,2012年6月集中进行问卷调查以了解循证医学教学效果。结果实验组学生用循证医学思想解决临床问题的实践能力优于对照组学生,两组学生的差异具有统计学意义;两组学生制作证据的研究能力的差异无统计学意义,但实验组学生发表1篇循证医学论文的人数高于对照组。结论新的循证医学教学模式得到学生的认可,提高了学生应用证据解决临床问题的实践能力及制作证据的研究能力,提高了循证医学教学效果。     

以团队为基础学习模式在生理学实验教学中的应用

目的：探讨以团队为基础学习模式应用于生理学实验教学的效果。方法选择丽水学院医学院护理学专业86名学生为研究对象,将其随机分为实验组和对照组。实验组教学采用以团队为基础学习模式,对照组教学采用传统模式。实验课全部结束后,采用实验考核及问卷调查评估实验教学效果。结果实验组学生考核成绩明显优于对照组学生,多数学生认为,以团队为基础学习模式能激发学习兴趣,提高自学能力及实验操作水平,培养临床思维和团队合作意识。结论在生理学实验教学中采用以团队为基础学习模式,教学效果明显优于传统教学模式,值得进一步探索推广。     

PBL联合CBL在超声医学教学中的应用研究

  目的  探讨在超声医学科实习、规培学员教学中开展以问题为基础的学习(problem based learning, PBL)教学法联合以病例为基础的学习(case based learning, CBL)教学法的效果。  方法  选取2020年1—12月于蚌埠医学院第一附属医院超声医学科实习、规培的学员50名为研究对象,按随机数字表法分为观察组与对照组,每组25人。对照组以传统教学方式进行教学,观察组采取PBL结合CBL教学模式进行教学。通过理论考核,对超声基础知识和专业知识的掌握情况、操作技巧能力的掌握情况进行考察。同时在教学结束后,以问卷调查表的形式,对2组学员在超声理论知识的掌握、学习兴趣情况、解决实际问题能力、自主学习能力、团队合作能力、临床技能的提高、总体满意度等方面进行了解及分析,综合判断学员对教学模式的满意度。  结果  观察组学员的考核成绩分别为(83.45±8.45)分、(84.86±8.28)分和(85.25±5.26)分,均高于对照组的考核成绩[(76.45±5.78)分、(74.35±6.68)分和(76.45±4.38)分],差异有统计学意义(均P < 0.05)。观察组所有学员对采取PBL结合CBL教学模式的评价均为良好。  结论  与传统教学方式相比,在超声医学科教学中采用PBL结合CBL教学模式进行教学更能够促进学生综合能力的培养,取得良好的教学效果,值得推广应用。      

案例教学方法在临床肿瘤学教学中的应用

目的 探讨案例教学方法在肿瘤学教学中的效果及应用价值.方法 94名学生作为研究对象分别采用案例教学方法及传统教学方法进行教学,分别对学生成绩、学生对授课满意度等方面进行评价,对听课教师进行问卷调查.结果 使用案例教学方法组（实验组）和传统教学组（对照组）相比理论成绩有统计学差异（P〈0.05）,实验组满意度调查高于对照组,有统计学意义（P〈0.05）,教学督导专家及教研组教师评价中显示案例教学方法组在学生对课堂内容掌握、能否调动学生积极性、授课效果、能否激发学生学习兴趣等方面和传统教学组有统计学差异（P〈0.05）.结论 案例教学方法可以提高医学本科生的临床肿瘤学教学效果.     

医学生物化学实验教学模式的探索及对理论课的影响

目的：探索新的实验教学模式在生物化学实验教学中的效果及对理论课教学的影响。方法：抽取2008级部临床5年制医学本科学生118名,随机分成实验班（60人）和对照班（58人）,实验班开展了与传统教学模式不同的实验教学实践,对照班采用传统教学方法,最后通过考核和问卷考试评价教学效果。结果：实验组实验课成绩和理论课考核成绩明显高于对照组学生,意见反馈显示新的实验教学模式可以激发学生的学习兴趣,有利于学生综合能力的培养。结论：新的实验教学模式可以深化教学改革,提高生物化学实验教学质量,同时还可以促进理论课教学,教学效果优于传统常规的教学方法。