中华医学教育探索杂志
中華醫學教育探索雜誌
중화의학교육탐색잡지
Chinese Journal of Medical Education Research
2013年
10期
1043-1046
,共4页
概念图%循证医学%教学查房%心内科
概唸圖%循證醫學%教學查房%心內科
개념도%순증의학%교학사방%심내과
Concept mapping%Evidenced based medicine%Teaching rounds%Depart-ment of cardiology
目的：探索以循证医学为基础的概念图法在心内科教学查房中的应用价值。方法对25名在心内科轮转的医学生进行循证概念图法教学查房，通过熟悉概念图的制作方法、选择案例、提出问题、查阅文献、讨论并成图等进行查房能力训练。针对循证概念图教学、传统教学在培养评判性、提高分析问题及解决问题能力、理论联系实际等方面得分情况进行比较，分级量化得分行t检验，以P≤0.05为差异具有统计学意义。结果与传统教学查房相比，循证概念图教学查房在培养医学生评判性[（4.58±0.89）vs.（4.01±1.02）]、创造性[（4.38±0.92）vs.（2.45±0.88）]、整体临床思维能力[（4.08±0.67）vs.（3.59±0.49）]和提高自学能力[（4.81±0.88）vs.（3.01±1.18）]等方面得分更高，差异具有统计学意义。结论循证概念图教学可有效提高教学查房的质量，提高医学生整体临床技能，但要通过培养学生熟悉制图软件、改变学习思路来实现。
目的：探索以循證醫學為基礎的概唸圖法在心內科教學查房中的應用價值。方法對25名在心內科輪轉的醫學生進行循證概唸圖法教學查房，通過熟悉概唸圖的製作方法、選擇案例、提齣問題、查閱文獻、討論併成圖等進行查房能力訓練。針對循證概唸圖教學、傳統教學在培養評判性、提高分析問題及解決問題能力、理論聯繫實際等方麵得分情況進行比較，分級量化得分行t檢驗，以P≤0.05為差異具有統計學意義。結果與傳統教學查房相比，循證概唸圖教學查房在培養醫學生評判性[（4.58±0.89）vs.（4.01±1.02）]、創造性[（4.38±0.92）vs.（2.45±0.88）]、整體臨床思維能力[（4.08±0.67）vs.（3.59±0.49）]和提高自學能力[（4.81±0.88）vs.（3.01±1.18）]等方麵得分更高，差異具有統計學意義。結論循證概唸圖教學可有效提高教學查房的質量，提高醫學生整體臨床技能，但要通過培養學生熟悉製圖軟件、改變學習思路來實現。
목적：탐색이순증의학위기출적개념도법재심내과교학사방중적응용개치。방법대25명재심내과륜전적의학생진행순증개념도법교학사방，통과숙실개념도적제작방법、선택안례、제출문제、사열문헌、토론병성도등진행사방능력훈련。침대순증개념도교학、전통교학재배양평판성、제고분석문제급해결문제능력、이론련계실제등방면득분정황진행비교，분급양화득분행t검험，이P≤0.05위차이구유통계학의의。결과여전통교학사방상비，순증개념도교학사방재배양의학생평판성[（4.58±0.89）vs.（4.01±1.02）]、창조성[（4.38±0.92）vs.（2.45±0.88）]、정체림상사유능력[（4.08±0.67）vs.（3.59±0.49）]화제고자학능력[（4.81±0.88）vs.（3.01±1.18）]등방면득분경고，차이구유통계학의의。결론순증개념도교학가유효제고교학사방적질량，제고의학생정체림상기능，단요통과배양학생숙실제도연건、개변학습사로래실현。
Objective To explore the value of evidence-based medicine (EBM)induced con-cept mapping in the teaching rounds in the department of cardiology. Methods Totally 25 medical students were taught to use EBM based concept mapping in preparing the medical teaching rounds during their rotations in the department of cardiology. Training of ward round ability was conducted by familiarizing with the producing method of concept map,selecting cases,posing questions,looking for literatures and discussing the concept map. Then assessment of this method was investigated and compared with that of the traditional teaching rounds method in other departments. t test was used and P≤0.05 was considered statistically significant. Results Compared with traditional method,EBM based concept mapping method showed advantages in cultivating medical students' critical thinking ((4.58±0.89)vs. (4.01±1.02)),creativity ((4.38±0.92)vs. (2.45±0.88))and integrated clinical thinking ((4.08±0.67)vs. (3.59±0.49)),self-study ability ((4.81±0.88)vs. (3.01±1.18))and literature search ability(P<0.05). Conclusions EBM based concept mapping can be a useful teaching ward round tool,which could efficiently improve teaching round quality and assist medical students in overall clinical skills.
