CAJ | 학술논문

在诊断学见习带教中引入阶梯式教学模式，按学生能力和教学进度设置渐进的阶梯，进行临床思维训练。通过执行整体规划、循序渐进的教学计划，使学生初步形成临床思维能力、具备综合分析能力，顺利进入下一阶段的临床专业课程学习。随机选择中南大学2008级临床八年制27名学生及2009级临床五年制87名学生为实验组，2007级临床八年制30名学生和2008级五年制88名学生为对照2组。对照组按传统教学模式采取部分临床思维训练，不加入整体式、阶梯式模式；实验组采取阶梯式临床思维训练方法进行教学。通过技能测试和传统考试检验2组学习效果，对成绩进行 t检验。实验组技能测试成绩明显优于对照组，传统考试成绩最高分及平均成绩都优于对照组（ P＜0．005）。因此，改进教学方法，引入阶梯式教学模式，进行整体设计，修正临床思维训练，将有利于提高诊断学教学效果，培养医学生的综合分析能力和医学思维。
재진단학견습대교중인입계제식교학모식，안학생능력화교학진도설치점진적계제，진행림상사유훈련。통과집행정체규화、순서점진적교학계화，사학생초보형성림상사유능력、구비종합분석능력，순리진입하일계단적림상전업과정학습。수궤선택중남대학2008급림상팔년제27명학생급2009급림상오년제87명학생위실험조，2007급림상팔년제30명학생화2008급오년제88명학생위대조2조。대조조안전통교학모식채취부분림상사유훈련，불가입정체식、계제식모식；실험조채취계제식림상사유훈련방법진행교학。통과기능측시화전통고시검험2조학습효과，대성적진행 t검험。실험조기능측시성적명현우우대조조，전통고시성적최고분급평균성적도우우대조조（ P＜0．005）。인차，개진교학방법，인입계제식교학모식，진행정체설계，수정림상사유훈련，장유리우제고진단학교학효과，배양의학생적종합분석능력화의학사유。
Introducing ladder teaching mode into practical teaching of diagnostics ,setting progressive ladders according to student’s ability and teaching schedule and applying clinical thinking training on it .Through the implementation of the overall and step‐by‐step instruction plan ,helping students of forming the clinical thinking ability ,comprehensive analysis ability and smoothly into the next phase of clinical courses .Randomly selected class 2008 clinical 8 years 27 and Class 2009 clinical 5 year 87 students as experimental group and Class 2007 8 years 30 and 2008 5 year 88 students as the control group in Central South Hospital .The control group according to the traditional teaching mode to take the part of clinical thinking training ,not to join the integral ,ladder model ;the experimental group a‐dopt the teaching method of clinical thinking training ladder .Through the skills test and traditional test to test 2 group learning effect ,t test results .The experimental group skills to the test result was better than the control group ,the traditional test scores the highest score and average score were bet‐ter than the control group .The improvement of teaching methods ,introducing the step type teaching mode ,the overall design ,correct clinical thinking training ,will help to improve the effect of teaching diagnostics ,the cultivation of comprehensive analytical ability of medical students and medical think‐ing .