CAJ | 학술논문

在临床教学中影响教学质量的两个重要因素分别是教师的教学方法和学生的主观学习愿望.教与学这两个因素互相适应,使得教学质量不断提高.而在神经外科重症监护的临床实践中,由于神经重症专业的特殊性,这两种因素会呈现出一些冲突,进而影响临床教学的效果.结合近年临床带教实践,提出教师与学生存在的几组矛盾,即学生偏重临床技术操作与教师重视诊疗决策思维之间的矛盾,教师重视基础理论的应用与学生掌握常见疾病特征的矛盾,教师关注A(气道)、B(呼吸)、C(循环)等生命体征与学生面对大量监测数据理解的矛盾.针对矛盾冲突进行分析,并提出相应对策,以期提高临床教学水平.
재림상교학중영향교학질량적량개중요인소분별시교사적교학방법화학생적주관학습원망.교여학저량개인소호상괄응,사득교학질량불단제고.이재신경외과중증감호적림상실천중,유우신경중증전업적특수성,저량충인소회정현출일사충돌,진이영향림상교학적효과.결합근년림상대교실천,제출교사여학생존재적궤조모순,즉학생편중림상기술조작여교사중시진료결책사유지간적모순,교사중시기출이론적응용여학생장악상견질병특정적모순,교사관주A(기도)、B(호흡)、C(순배)등생명체정여학생면대대량감측수거리해적모순.침대모순충돌진행분석,병제출상응대책,이기제고림상교학수평.
There are two critical factors that can reflect the quality of teaching in clinical teaching of neurosurgery.The first is the effectiveness of the teachers' teaching methods,the other is the intensity of the students' learning will.With both factors adapted to each other,the teaching quality will be greatly improved.However,in neurosurgical intensive care(NIC) practices,due to the particularity of the NIC,these two factors will lead to a confliction,and result in a negative effect of clinical teaching.This article is based on practical experiences of the author in clinical teaching.In view of this contradiction,brief analysis should be made both for clinical teachers and medical students,and a corresponding solution should be proposed in order to raise the standards of clinical teaching.