基于基础医学虚拟仿真实验平台的"早期临床" "早期科研"实践课程体系构建及应用

目的构建以虚拟仿真实验平台为基础、以早期接触临床和早期接触科研为核心思想，以临床病例、科研成果为主体，以虚拟仿真和多媒体为主要形式的基础医学实践教学模式。方法围绕基础医学各学科的教学大纲，选取体液系统、循环系统、血液系统、心脏系统、呼吸系统等典型临床病例和科研案例，将转化成标准化的虚拟案例投入虚拟仿真平台使用。在临床医学“5+3一体化”专业中随机抽取班级进行教学实践，并通过问卷调查、成绩分析评价教学效果。结果目前建成虚拟案例10个，问卷调查结果显示，观察组学生对教学满意度为93.3%，高于对照组的77.8%（P < 0.05）；在激发学习兴趣方面观察组为91.1%，高于对照组的77.5%（P < 0.05）；在有利于未来临床或科研工作方面，观察组为95.6%，明显高于对照组的59.1%（P < 0.01）；在有利于拓宽知识面、学习效率、知识获得能力、加深对课程理解方面，2组差异均无统计学意义（P>0.05）。观察组学生综合性实验课期末成绩为（81.54±15.12）分，与对照组的（80.62±14.32）分差异无统计学意义（P>0.05），但观察组学生期末考试成绩优秀比例优于对照组（P < 0.05）。结论基于基础医学虚拟仿真实验平台的“早期临床”“早期科研”实践课程体系初步构建成功，通过该体系进行案例讨论教学可以实现虚拟临床场景、科研场景与理论知识的有机结合，有利于提高学习的兴趣，使学生尽早建立临床思维和科研思路，学生满意度较高，对医学教学改革有较好的推动和促进作用。

Construction and application of the "early clinic" and "early scientific research" practical curriculum system based on the virtual simulation experiment platform of basic medicine

ObjectiveTo construct the basic medical practice teaching mode based on virtual simulation experiment platform with early contacting clinic and scientific research as the core idea, taking clinical cases and scientific research achievements as the main body, and virtual simulation and multimedia as the main form.MethodsAccording to the teaching syllabus of basic medicine, the typical clinical and scientific research cases in the body fluid system, circulatory system, blood system, heart system and respiratory system were selected, transformed into the standardized virtual cases, and put into virtual simulation platform.The students from the clinical medicine "5+3 integration" major were randomly selected and taught, the teaching effect was evaluated using questionnaire survey.ResultsTen virtual cases were constructed.According to the results of questionnaire, the students' satisfaction with teaching in observation group(93.3%, ) was higher than that in control group(77.8%)(P < 0.05).The aspect of stimulating learning interest in observation group(91.1%) was higher than higher than that in control group(77.5%)(P < 0.05).The aspect of beneficial to future clinic or scientific research in observation group(95.6%) was significantly higher than that in control group(59.1%) (P < 0.01).The differences of widening the scope of knowledge, learning efficiency, knowledge acquisition ability and deepening the understanding of the course between two groups were not statistically significant(P>0.05).The difference of the final score between the observation group(81.54±15.12)] and control group(80.62±14.32)] was not statistically significant(P>0.05).The proportion of excellent students in the final examination in observation group was better than that in control group(P < 0.05).ConclusionsBased on the basic medical virtual simulation experiment platform, the "early clinic" and " early scientific" preliminary practice curriculum system is constructed.Through this system, the case discussion teaching can realize the organic combination of virtual clinical and scientific research scene with theoretical knowledge, which is conducive to improve learne interest and enable students to establish clinical thinking and scientific research ideas as soon as possible, and improve the students' satisfaction.It can promote the reform of medical teaching.