讨论式教学在普外科见习教学中的应用

目的评价讨论式教学在普外科见习教学中的应用效果。方法将临床医学专业普外科见习生210名随机分为实验组和对照组，每组各105人，实验组采用讨论式教学，对照组采用传统教学。见习结束后，组织考试和问卷调查，计量资料用t检验，计数资料用r检验。结果实验组和对照组学生对教学方法的满意度分别为88．6％和70．5％（P〈0．05）；实验组和对照组平均考试成绩分别为（80．3±9．2）分和（74．5±11.3）分（P〈0．05）；实验组和对照组的考试成绩及格率分别为97．1％和88．6％（P〈0．05）；实验组和对照组的考试成绩优秀率分别为24．8％和12．4％（P〈0．05）；实验组绝大多数学生认为讨论式教学在提高自身学习主动性和积极性、提升分析和解决问题能力等方面具有明显优势。结论讨论式教学是有效的普外科见习教学方法，优于传统教学。

Application of discussion-based teaching in clinical noviciate of general surgery

Objective To evaluate the effect of discussion-based teaching pattern in clinical noviciate of general surgery. Methods Two hundred and ten students majoring in ehnical medicine were randomly divided into the trial group and the control group during clinical novlciate of general surgery.There were 105 students in each group. The discussion-based teaching pattern and traditional teaching pattern were performed in the trial and control groups, respectively. After the clinical novici- ate of general surgery was completed, the teaching effects of both groups were evaluated by the exam- ination performance analyses and the questionnaire-based survey. Student＇s t-test andx2 test were used in statistical analysis. Reults The rate of satisfaction with the teaching pattern was 88.6% in the trial group and 70.5% in control group（P〈0.05）. The mean scores in the trial group and control group were 80.3 ± 9.2 and 74.5± 11.3, respectively （P〈0.05）. The pass rate of examination in the trial group and control group were 97.1% and 88.6%, respectively （P〈0.05）. The excellence rate in the examination was 24.8% in the trial group and 12.4% in control group （P〈0.05）. The overwhelming majority of stu- dents in the trial group thought that the discussion-based teaching pattern had more advantages in im- proving students＇ learning initiative and enthusiasm, ability to analyze and solve problems, etc., acord- ing to the questionnaire-based survey. Conclusions Discussion-based teaching is an effective teach- ing pattern and superior to the traditional teaching pattern.