转化医学理念结合病例讨论在胃肠外科临床教学中的优势分析

目的 探索转化医学理念结合病例讨论在胃肠外科临床教学中的优势。 方法 选取2016年6月-2017年5月皖南医学院弋矶山医院胃肠外科实习学生120名作为研究对象,采用随机化列表将其分为对照组和试验组,每组60名,对照组采取传统的教学方法,试验组实施转化医学理念结合病例讨论的教学模式,1个月后,采用问卷调查和理论考试2种考核形式对教学效果进行评价,观察并比较2组实习学生的考试成绩及其他相关指标。 结果 2组实习学生的基本资料对比,差异无统计学意义(均P>0.05);试验组实习学生的考试成绩高于对照组,差异具有统计学意义(P<0.05);试验组实习学生的增加探索临床的兴趣、提炼科研思路的能力、增加学习的深度和广度和促进独立思考、自主学习的能力均高于对照组,差异均有统计学意义(均P<0.05);试验组实习学生对教学模式感兴趣和认可病例讨论教学效果均高于对照组,差异均有统计学意义(均P<0.05)。 结论 转化医学理念结合病例讨论在胃肠外科临床教学中的优势显著,突破了传统教学方法的不足,适合现代临床实践教学,更适应现代医学教学的要求,教学优势明显,能提高其考试成绩,增加探索临床的兴趣、提炼科研思路的能力、增加学习的深度和广度和促进独立思考、自主学习的能力,对培养医学生强化创新思维和增强临床技能都具有重要意义,值得在胃肠外科临床教学中推广和使用。 

Advantages of translational medicine combined with case discussion in clinical teaching of gastrointestinal surgery

Objective To explore the advantages of the concept of transformation medicine and case discussion in the clinical teaching of gastroenterological surgery. Methods A total of 120 of gastrointestinal surgery interns from June, 2016 to May, 2017 in our hospital were randomly divided into control group and experimental group, with 60 cases in each group. The students in the control group took traditional teaching methods, and experimental students in the experimental group carried out the concept of translational medicine combined with case discussion and clinical practice teaching mode. After one month of teaching, two teaching forms were evaluated by questionnaire and theoretical examination, and to observe and compare the average scores and other related indicators of the students in the two groups. Results There was no significant difference in the comparison of the basic data between the two groups of students (P>0.05); The test scores of the students in the experimental group was significantly higher than the control group(P<0.05); The students in the experimental group increased the ability to explore the clinical interest, refine the ability of scientific research thinking, increase the depth and breadth of learning, and promote the ability of independent thinking and self-learning were higher than those of the control group, with statistically significant difference (P<0.05); The teaching effect of the experimental group students interested in teaching mode and approving case discussion was higher than that of the control group, and the difference was statistically significant (P<0.05). Conclusion Translational medicine combined with case discussion in clinical teaching of gastrointestinal surgery enjoys a significant advantage, breaks through the shortcomings of the traditional teaching method, suitable for the modern clinical practice teaching, to adapt to the modern medical teaching requirements, teaching advantages, improves the exam results, increasing the ability to explore clinical interests, refining research ideas, increasing the depth and breadth of learning, and promoting independent thinking and autonomous learning, strengthens the cultivation of innovative thinking and is of great significance to enhance the clinical skills of medical students, and is worthy of popularizing in clinical use in the teaching of gastrointestinal surgery.