智能手机APP结合CBL教学在医学生骨科手术操作技能训练中的应用与探讨

目的  探索智能手机App应用软件在医学生骨科显微操作中的应用。方法  选择全日制临床专业2016级本科生40人，分为对照组和试验组，对照组采用以病例为基础的教学(case-based learning，CBL)（20人），试验组采用手机APP教学结合CBL教学（20人）。两组的基础课程学习内容均一致，在骨科培训时间均为4个月。培训完后进行出科考试，考试包括理论考试、操作考试和出科问卷调查，将成绩用统计软件进行分析，把对照组和试验组理论考试与操作考试成绩进行比较。结果  通过对成绩的统计分析，发现试验组学生手术操作时间明显短于对照组，其操作的熟练程度优于对照组(P<0.05)，试验组的操作成绩明显高于对照组(P<0.05)。结论  运用智能手机APP结合CBL教学方法可以提高学生自信心和骨科手术操作能力，缩短学习时间。

Application of smartphone app in orthopedic microsurgery skill training for medical students

Objective  To explore the application of smartphone app in orthopedic microsurgery of medical students. Methods  Randomly divided undergraduate students of 2016 grade   into two groups: control group and experimental group. The control group used CBL teaching (20 students), the experimental group used mobile app teaching combined with CBL teaching (20 students). The basic courses of the two groups were the same, and the training time in orthopedics was 4 months. After the training, the examination included theory test, operation test and questionnaire survey. Results  Through the statistical analysis of the results, it was found that the operation time of the experimental group was significantly shorter than that of the control group, the operation proficiency of the experimental group was better than that of the control group (P<0.05), and the operation performance of the experimental group was significantly higher than that of the control group (P<0.05).  Conclusion  The application of smartphone app combined with CBL teaching method can improve students self-confidence and orthopedic operation ability, and shorten learning time.