CAJ | 학술논문

目的：探索三明治教学在骨外科临床教学中的应用效果。方法选取临床医学专业的150名本科学生作为研究对象，随机分成实验组（75人）和对照组（75人）。实验组采用三明治教学＋床旁教学；对照组采用讲授法＋床旁教学。课程内容学习结束后采用理论测试、临床操技能测试、临床病例分析测试、问卷调查量化评分等对教学效果进行评价。计量资料以均数±标准差表示，2组间比较采用独立样本t检验。结果实验组学生理论成绩[（53.70±4.27） vs.（48.00±4.83）]、技能考试成绩[（15.70±2.49） vs.（11.40±2.87）]及病例分析考试成绩[（17.10±1.52） vs.（13.80±1.32）]均高于对照组。问卷调查显示，实验组学生在交流及表达能力、合作能力、自我思考能力等方面的评分均高于对照组，差异均有统计学意义。结论三明治教学应用于骨外科临床教学的效果优于传统讲授法，值得推广。
목적：탐색삼명치교학재골외과림상교학중적응용효과。방법선취림상의학전업적150명본과학생작위연구대상，수궤분성실험조（75인）화대조조（75인）。실험조채용삼명치교학＋상방교학；대조조채용강수법＋상방교학。과정내용학습결속후채용이론측시、림상조기능측시、림상병례분석측시、문권조사양화평분등대교학효과진행평개。계량자료이균수±표준차표시，2조간비교채용독립양본t검험。결과실험조학생이론성적[（53.70±4.27） vs.（48.00±4.83）]、기능고시성적[（15.70±2.49） vs.（11.40±2.87）]급병례분석고시성적[（17.10±1.52） vs.（13.80±1.32）]균고우대조조。문권조사현시，실험조학생재교류급표체능력、합작능력、자아사고능력등방면적평분균고우대조조，차이균유통계학의의。결론삼명치교학응용우골외과림상교학적효과우우전통강수법，치득추엄。
Objective To explore the application effect of sandwich teaching method in clini-cal teaching in the department of orthopedics. Methods Totally 150 clinical medicine students were divided into 2 groups: sandwich teaching group (n=75) and lecture-based learning group (n=75). Sandwich teaching method combined with bedside teaching method was used in sandwich teaching group while lecturing combined with bedside teaching method was used in control group. Theoretical examination, clinical operation skill test, clinical case analysis and questionnaire investigation were conducted after the course. Comparison between the two groups was made using independent sample t test and measurement data were expressed as x±s. P<0.05 signifies statistically significant differences. Results Theoretical examination score, clinical skill test score and clinical case analysis score were higher in sandwich teaching group than in control group. [(53.70±4.27) vs. (48.00±4.83);(15.70± 2.49) vs. (11.40±2.87);(17.10±1.52) vs. (13.80±1.32)]. Questionnaire showed that commutation and expression ability, cooperation ability and self thinking ability were better in sandwich teaching group than in control group , with statistical differences . Conclusions Sandwich teaching method achieves good teaching effect and it is worth recommending in clinical teaching.