CAJ | 학술논문

目的：分析“以器官系统为基础”的临床毕业实习整合模式的教学效果。方法选取沈阳医学院2009级临床医学专业本科生150人，随机分为实验组75人，对照组75人。实验组接受“以器官系统为基础”的整合模式实习，即按照人体器官系统实习；对照组按照“以学科为中心”的传统模式实习。实习结束对两组学生进行问卷调查和综合考试，对教学效果进行比较。数据统计利用SPSS 19.0软件，采用卡方检验和t检验进行分析。结果实验组学生在实习模式认可度（χ2=11.437，P=0.003）、知识体系的完整性（χ2=9.881，P=0.007）、提高自主学习能力（χ2=9.643，P=0.008）、教学方法和手段（χ2=11.006，P=0.004）、激发学习兴趣（χ2=13.550，P=0.001）、提高临床思维能力（χ2=13.309，P=0.001）六个方面满意度均高于对照组学生，差异均有统计学意义。综合考试成绩显示，实验组学生在理论知识考试（t=2.768，P=0.006）、技能操作考试（t=2.212，P=0.029）、临床能力考试（t=5.015，P=0.000）三部分成绩也明显高于对照组学生，差异有统计学意义。结论“以器官系统为基础”的临床毕业实习整合模式受到学生的普遍认可，明显提高了学生的临床思维能力以及毕业实习教学质量。
목적：분석“이기관계통위기출”적림상필업실습정합모식적교학효과。방법선취침양의학원2009급림상의학전업본과생150인，수궤분위실험조75인，대조조75인。실험조접수“이기관계통위기출”적정합모식실습，즉안조인체기관계통실습；대조조안조“이학과위중심”적전통모식실습。실습결속대량조학생진행문권조사화종합고시，대교학효과진행비교。수거통계이용SPSS 19.0연건，채용잡방검험화t검험진행분석。결과실험조학생재실습모식인가도（χ2=11.437，P=0.003）、지식체계적완정성（χ2=9.881，P=0.007）、제고자주학습능력（χ2=9.643，P=0.008）、교학방법화수단（χ2=11.006，P=0.004）、격발학습흥취（χ2=13.550，P=0.001）、제고림상사유능력（χ2=13.309，P=0.001）륙개방면만의도균고우대조조학생，차이균유통계학의의。종합고시성적현시，실험조학생재이론지식고시（t=2.768，P=0.006）、기능조작고시（t=2.212，P=0.029）、림상능력고시（t=5.015，P=0.000）삼부분성적야명현고우대조조학생，차이유통계학의의。결론“이기관계통위기출”적림상필업실습정합모식수도학생적보편인가，명현제고료학생적림상사유능력이급필업실습교학질량。
Objective To explore the teaching effect of"Organ-system-based curriculum" in-tegrated model on clinical graduation field work. Method 150 clinical medical undergraduates of Grade 2009 from Shenyang Medical College selected, were randomly divided into the experimental group (75 persons) and the control group (75 persons). The experimental group adopted the means of the "Organ-system-based curriculum" integrated model, namely practicing according to human organ-system and the control group accepted the traditional pattern of "discipline centered" practice during the clinical graduation internship. The two groups of students carried out questionnaire survey and comprehend examinations when the practice ended, and then statistics analysis (the chi square test, t test) was done by the SPSS 19.0 software between the two groups in order to explore the teaching effect. Result The students' satisfaction degree from six aspects of the questionnaire survey showed in the experimental group was significantly higher than that in the control group (the degree of recognition of practicing pattern: χ2=11.437, P=0.003; the architectonic integrality: χ2=9.881, P=0.007; the im-provement of the autonomic learning ability χ2=9.643, P=0.008; the teaching method and means: χ2=11.006, P=0.004; motivating learning interest: χ2=13.550, P=0.001; increasing the ability of clinical thinking: χ2=13.309, P=0.001), and the average test scores of students from three parts of examination results showed by comprehend examinations (speculative knowledge examination: t=2.768, P=0.006;technical skill examination: t=2.212, P=0.029; clinical capability examination: t=5.015, P=0.000) in the experimental group was obviously higher than that in the control group and the difference was sig-nificant. Conclusion "Organ-system-based curriculum" integrated model on clinical graduation in-ternship is generally approved by the students, which has significantly improved the students' clinical thinking ability, and the quality of graduation internship teaching.