社会互动教学在临床内科教学中的效果评价

目的 评价社会互动教学在医学生临床内科教学中的应用效果,探索可提高医学生临床内科实习质量的教学方法.方法 选择2012年7月至2013年6月在内科各临床科室实习的临床医学专业学生261人为研究对象,入科后随机分至2个不同的教学小组,传统教学组130人,社会互动教学组131人.实习结束后比较两组学生理论考试、技能考核、病历书写及医学人文知识考核成绩;并通过问卷调查了解社会互动教学组学生对社会互动教学效果的评价.数据采用SPSS 17.0软件进行统计学处理,计量资料以（互±s）表示,两个样本均数比较采用t检验,率的比较采用x2检验,P＜0.05为差异具有统计学意义.结果 传统教学组与社会互动教学组学生的理论成绩差异无统计学意义（P＝0.108）;社会互动教学组的病历书写成绩、医学人文成绩明显高于传统教学组,差异有统计学意义（P值分别为0.013和0.009）.与传统教学组比较,社会互动教学组书写甲级病历人数明显增多,2组比较差异有统计学意义（P＝0.014）;并且在临床技能考核中其体格检查、心肺复苏、常用穿刺操作合格人数明显多于传统教学组（P＜0.05）.问卷调查结果显示,大多数社会互动教学组学生对社会互动教学持肯定态度.结论 社会互动教学有助于提高临床内科实习质量,尤其能提高医学生的临床实践技能,培养其医学人文素养.

Effect of social interaction model on the teaching of clinical internal medicine

Objective To evaluate the effect of social interaction model on the internal clinical practice and to explore the teaching model which can improve the quality of medical students in clinical medical practice.Methods Totally 261 students of practiced in department of internal medicine from July 2012 to June 2013 were enrolled and were randomly divided two different teaching teams：traditional teaching group （n=130） and social interaction group （n=131）.Results of theory examination,skills assessment,medical record writing test and medical humanities appraisal in two groups were compared.Questionnaire was employed to investigate the effect of social interaction model on the internal clinical practice.SPSS 17.0 software was used to do statistical analysis and measurement data was expressed x ± s.Two-sample mean was analyzed by t test andx2 test was used to compare the ratio.P〈0.05 stands for the statistically significant difference.Results There was no statistically significant difference in theory resuhs between traditional teaching group and social interaction model group（P=0.108）.Results of medical record writing test and medical humanities appraisal in social interaction group were obviously higher than those of traditional teaching group（P=0.013,0.009）.Number of class A medical record and qualified students in clinical skill examination was obviously increased in social interaction group than in traditional teaching group（P〈0.05）.Most students held a positive attitude to the social interactive teaching model.Conclusions Social interaction teaching helps to improve the quality of clinical internal medical practice,especially the improvement of clinical practice skills and the cultivation of medical humanities knowledge of medical students.