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病例导入式“简要病例题干题”在助理全科医师培训《临床综合课程》教学中的应用
引用本文:张东海,刚君,赵留庄,马秀华.病例导入式“简要病例题干题”在助理全科医师培训《临床综合课程》教学中的应用[J].中华医学教育探索杂志,2018(6):580.
作者姓名:张东海  刚君  赵留庄  马秀华
作者单位:102600 北京,首都医科大学大兴医院消化内科(张东海),科教科(刚君),院部(赵留庄、马秀华)
摘    要:通过编撰“简要病例题干题”练习集,在“3+2”助理全科医师培训《临床综合课程》中持续推进病例导入式教学。但发现,授课教师提供的试题中仍有10.7%围绕在大型设备、手术方式等方面,提示部分教师的全科医学意识亟待增强。根据对2015级学员的结业测验结果分析可见,试卷改革后学员平均成绩并未受到明显影响。而问卷调查显示,绝大多数教师与学员均认为采用“简要病历题干题”有积极意义;91.5%的教师、81.7%的学员表示适应试卷形式改革且未影响答题;对于已编撰的1册试题练习集,86.6%的教师、67.8%的学员表示认可。鉴于“简要病历题干题”形式对病例导入式教学有补充作用,有必要编制适合本门课程的试题练习集,并应用于具体教学活动。

关 键 词:临床综合课程    病例导入式教学    简要病例题干题    “3+2”助理全科医师培训

Application of case introduction "brief illness example" in clinical integrated curriculum teaching of assistant general practitioners training
Zhang Donghai,Gang Jun,Zhao Liuzhuang,Ma Xiuhua.Application of case introduction "brief illness example" in clinical integrated curriculum teaching of assistant general practitioners training[J].Chinese Journal of Medical Education Research,2018(6):580.
Authors:Zhang Donghai  Gang Jun  Zhao Liuzhuang  Ma Xiuhua
Institution:Department of Gastroenterology, Daxing Hospital Affiliated to Capital Medical University, Beijing 102600, China (Zhang DH); Department of Science and Education, Daxing Hospital Affiliated to Capital Medical University, Beijing 102600, China (Gang J); Office of Hospital, Daxing Hospital Affiliated to Capital Medi-cal University, Beijing 102600, China (Zhao LZ, Ma XH)
Abstract:By compiling the practice set of "brief problem examples", we continue to advance case-oriented teaching in the "3+2" assistant general practitioner training "clinical comprehensive course". However, we have found that 10.7% of the questions provided by the instructors are still concerned with large-scale equipment, and operation methods etc., suggesting that parts of the teachers'' consciousness in general medicine is still urgent to be enhanced. According to the analysis of the graduation test results of the students of Grade 2015, it is obvious that the average scores of the students after the examination reform have not been significantly affected. The questionnaire survey shows that most of the teachers and students think that it is of positive significance to adopt a "brief medical record problem", and 91.5% of the teachers and 81.7% of the students do not affect the examination paper form and do not affect the answers. As for the compiled 1 exercises, 86.6% of the teachers and 67.8% of the students agreed. In view of the supple-mental effect of the form of "brief medical record problem" to case introduction teaching, it is necessary to compile the exercise set suitable for this course and apply it to specific teaching activities.
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