CAJ | 학술논문

针对医学生学习曲线的特点,第二军医大学附属长征医院设计并实施了“三阶段、七步法”案例引导教学,分别在学生理论课学习阶段、第一轮实习和第二轮实习过程中实施,案例由单一系统、单种疾病到多个系统、多种疾病层次递进.每一次案例教学又分为确定学习目标,选择典型案例；学生自主研究案例,提出问题；小组讨论,确立共同问题；学生自主查阅资料,回答问题并准备汇报材料；集体授课,大组讨论；教师总结和课后评价七个步骤实施.在学生主动建构基础医学知识体系的过程中,保证了学生掌握基础医学知识的宽度、深度、系统性和完整性,逐步培养了其分析、解决临床实际问题的能力和临床科研能力.
침대의학생학습곡선적특점,제이군의대학부속장정의원설계병실시료“삼계단、칠보법”안례인도교학,분별재학생이론과학습계단、제일륜실습화제이륜실습과정중실시,안례유단일계통、단충질병도다개계통、다충질병층차체진.매일차안례교학우분위학정학습목표,선택전형안례；학생자주연구안례,제출문제；소조토론,학립공동문제；학생자주사열자료,회답문제병준비회보재료；집체수과,대조토론；교사총결화과후평개칠개보취실시.재학생주동건구기출의학지식체계적과정중,보증료학생장악기출의학지식적관도、심도、계통성화완정성,축보배양료기분석、해결림상실제문제적능력화림상과연능력.
In view of the characteristics of the learning curve for medical students,the ' three phases and seven steps' case-based learning model was designed and implemented by Changzheng Hospital,the Second Military Medical University.This model was carried out in the theoretical study stage,the first round of internship and the second round of internship.Cases of single diseases,multiple diseases involving variant systems and a variety of diseases involving different department were enrolled for analysis and discussion.Implementation of each case study was divided in seven procedures:determining learning objective and choosing typical case,studying case and raising questions,panel discussions and establishment of common problems,looking up for information to answer questions and preparing report slide,large group discussions,summary and evaluation.'Three phases and seven steps' case based learning model ensure the width and depth of basic medical knowledge learned by the students.With the practice of this model,the basic medical knowledge was constructed systemically and comprehensively by medical students.Students' abilities of problem-analyzing and problem-solving as well as clinical research were developed.This model was effective according to our practice and was worth spreading out.