课程整合模式下以器官系统为中心的联合教学查房在全科医学专业实习带教中的应用

目的 探究课程整合模式下以器官系统为中心的联合教学查房在全科医学专业实习带教中的应用。 方法 选取2013～2015级在蚌埠医学院第一附属医院全科医学科实习的51名学员为研究对象，采用简单随机法将其分为2组，实验组25人，对照组26人。对照组进行常规教学方法，实验组进行以器官系统为中心的联合教学查房方法，后通过出科考核、问卷调查的方式比较2组出科考核成绩、患者评价、教师评价以及学员自我认同度。 结果 出科考试成绩比较显示，实验组的理论成绩(62.76±3.23)、技能成绩(24.48±2.26)及总成绩(87.32±4.18)均优于对照组(均P<0.05)；带教老师评价表结果显示，实验组的专业知识(19.52±1.85)、沟通能力(19.44±2.10)、临床思维能力(19.64±1.89)均优于对照组(均P<0.05)；患者评价表结果显示，实验组的职业素养(26.04±1.51)、人文关怀(25.96±1.97)均优于对照组(均P<0.05)；实习学员自我评价表结果显示，实验组在人文关怀(13.88±6.75)、团队协作(14.12±1.36)、未来规划(14.44±1.26)方面均优于对照组(均P<0.05)。 结论 以器官系统为中心的联合教学查房在全科医学专业实习带教中的应用效果较好。 

Application of organ-systems-centered joint teaching rounds in the practice and teaching of general practice under the mode of curriculum integration

Objective To explore the application of organ-systems-centered joint teaching rounds in the practice and teaching of general practice under the mode of curriculum integration. Methods A total of 51 students from the general medical department of the First Affiliated Hospital of Bengbu Medical College from 2013 to 2015 were selected as the research subjects. They were divided into two groups, 25 students in the experimental group and 26 students in the control group. In the control group, conventional teaching method were carried out, the experimental group conducted the organ-systems-centered joint teaching rounds, then the examination results, patients' evaluation of interns, teachers' evaluation and students'self-identification were compared by means of examination and questionnaire survey. Results The comparison of test scores showed that the theoretical scores (62.76±3.23), skills scores (24.48±2.25) and overall scores (87.32±4.18) of the experimental group were significantly higher than those of the control group (all P<0.05). The results of the evaluation form showed that the experimental group was superior to the control group in professional knowledge (19.52±1.85), communication ability (19.44±2.10) and clinical thinking ability (19.64±1.89) all P<0.05. The results of the patient evaluation form showed that the professional quality (26.04±1.51) and humanistic care (25.96±1.97) of the experimental group were better than those of the control group(all P<0.05).The results of self-evaluation form showed that the experimental group is superior to the control group in professional quality (14.08±1.04), humanistic care (13.88±6.75), teamwork (14.12±1.36) and future planning(14.44±1.26), all P<0.05. Conclusion The application effect of organ-systems-centered joint teaching rounds is better in the practice and teaching of general practice.