以病人症状为出发点的妇产科临床教学改革

目的了解以病人症状为出发点的专题临床教学改革成效，调查学生对教学改革的认可度及实践信息反馈。方法在妇产科学教学过程中，以三峡大学第二临床医学院2008级医学本科2班42名学生为实验组，引入以病人症状为出发点的专题临床教学；以4班39名学生为对照组，采用传统方法进行教学。利用学生成绩和问卷调查进行教学效果评价。采用SPSS13．0软件进行数据的统计和分析，2组学生理论考试及技能操作考试成绩进行t检验，以P〈0．05为差异有统计学意义。结果实验组与对照组理论考试成绩比较差异无统计学意义（P〉0．05）；实验组技能操作考试成绩明显优于对照组（P〈0．01）。调查发现实验组学生对该教学的认可度非常高，认为能够提高自学能力、临床操作能力及思维能力，而并不影响其对理论知识的学习。结论以病人症状为出发点的专题临床教学切实可行。该教学方法不影响学生的理论考试成绩且能显著提高其技能操作考试成绩。

Practice of taking patient's symptoms as the starting point in clinical teaching of obstetrics and gynecology

Objective To understand the effects of reform on clinical teaching taking patient＇s symptoms as the starting point and to investigate students＇ recognition degree towards this reform and their information feedback. Methods Totally 42 clinical students of the second clinical medical college （ the second class ） of China Three Gorges University were enrolled in the study and clinical teaching taking patient＇s symptoms as the starting point was conducted. Thirty-nine clinical students of the second clinical medical college （ the fourth class ） were enrolled as control group and traditional method was conducted. Effects of clinical teaching were evaluated by examination score and students＇ recognition degree towards this reform was investigated by self-made questionnaire and information feedback. Data were processed using SPSS 13.0 statistical software; t tests were used to compare students＇ scores of theoretical test and skill test; P 〈 0.05 signifies that the difference is statistically significant. Results There was no statisti- cal difference in theoretical test score between experiment group and control group （ P 〉 0.05 ）. Skill test scores were higher in experiment group than in control group （ P〈0.01 ）. Students highly admitted this teaching mode and they thought that this mode can improve their self-study ability, clinical practice skill and clinical thinking ability without influencing their theoretical learning. Conclusions Practice of clin- ical teaching taking patient＇s symptoms as the starting point is feasible, which can increase scores of skill test significantly without influencing scores of theoretical test.