引用本文:李彬寅 马建芳 傅毅 刘军.神经病学整合课程在临床前教学中的实践与思考[J].中华医学教育探索杂志,2020,(5):539~542
神经病学整合课程在临床前教学中的实践与思考
Practice and reflections on integrated neurology curriculum in pre-clinical education
DOI:
中文关键词:  神经病学  整合课程  教学实践
英文关键词:Neurology  Integrated curriculum  Education practice
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作者单位
李彬寅 马建芳 傅毅 刘军 上海交通大学医学院附属瑞金医院神经内科 200005 
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中文摘要:
      目的 探索“神经病学整合课程”在临床实习前教学中的实践过程和初步效果。方法 在教学内容、教师队伍和教学方式3个维度上进行整合。教学内容包括基础理论衔接和临床知识拓展,师资包括基础教学和临床多学科教师,教学方式包含课堂教学、病例讨论和临床见习。课程共56学时,理论课40学时,临床见习课16学时,面向学生82人。采用独立样本t检验对比相同年级、不同课程结构的学生成绩,采用SPSS 22.0行卡方检验对比满意度问卷的结果。结果 本届2017至2018学年课程平均得分(84.7±9.3)分,显著高于历年3届同期同等年级的医学生。满意度问卷结果认为:整合课程总体很有帮助的占38.6%,病例分析很有帮助的占47.7%,临床见习很有帮助的占31.8%。结论 基于整合教材的课程设计在临床前教学实践中取得了初步成效,课程组将继续跟踪医学生进入神经内科临床实习后的表现,同时在授课和考核方面进一步提高整合课程的质量。
英文摘要:
      Objective To explore the practice and preliminary effects of "integrated neurology curriculum" for medical students before internship. Methods The following 3 aspects were integrated together: teaching content, teaching faculty and teaching methods. Teaching contents are comprised of basic medical theories and extension of clinical knowledge; teaching faculty includes teachers that teach basic theories and many other clinical disciplines; teaching methods were composed of classroom teaching, case discussion and clinical internship. It is a 56-hour curriculum, with 40 hours for studying theories and 16 for clinical internship. 82 students in total had attended the course. Independent sample t-test was used to compare the scores of students in the same grade but had different course structures, and chi-square test was performed with SPSS 22.0 to compare the results of the satisfaction degree from questionnaires. Results The average score of students was (84.7±9.3) for the courses of 2017-2018 academic year, significantly higher than that of the students who were in the same grade in previous three years. The results of satisfaction degree by the questionnaires showed that 38.6% of the students considered the integrated course to be very helpful in general, 47.7% of the students thought the case analysis part during class was helpful, and 31.8% of the students thought clinical internship was of great help to their medical study. Conclusion The neurology curriculum based on integrated textbooks has achieved preliminary achievements in preclinical teaching practice, and the teaching group of the curriculum will continue to track the performance of medical students after entering neurology clinical internship, while further improving the quality of integrated courses in terms of teaching and assessment.
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