循证教学模式在外科学硕士研究生骨科临床教学中应用.docVIP

循证教学模式在外科学硕士研究生骨科临床教学中应用 　　[摘要] 目的 探讨循证教学模式在外科学硕士研究生骨科临床教学中的应用效果。 方法 2013年1月～2015年6月选择新乡医学院第一附属医院2012、2013级进入骨科临床实习的硕士研究生46名，随机分为循证教学组（按照循证医学的基本步骤指导教学）和传统教学组，各23名。分别对两组学生进行常规理论考试、临床病例分析、骨科新进展知识考核及学习主动性调查。 结果 ①两组研究生理论考试成绩比较，差异无统计学意义（P 0.05），而在临床病例分析方面，循证教学组研究生成绩明显高于传统教学组（P 0.05）。②在骨科新进展考核方面，循证教学组研究生成绩明显高于传统教学组，差异有统计学意义（P 0.05）。③通过对研究生学习主动性的调查，循证教学组研究生在强化基础理论知识、激发学习兴趣、提高学习效率和提高自学能力方面均明显优于传统教学组，差异有统计学意义（P 0.05）。 结论 外科学研究生在骨科临床学习中引入循证教学模式，可以明显提高研究生对前沿知识的学习，并能将理论知识很好地应用于临床工作中，亦能提高研究生学习工作的主动性、积极性。 　　[关键词] 骨科；循证医学；外科学 　　[中图分类号] G643 [文献标识码] A [文章编号] 1673-7210（2016）04（a）-0131-04 　　1.Department of Orthopeadic Surgery， the First Affiliated Hospital of Xinxiang Medical University， Henan Province， Weihui 453100， China； 2.Department of Orthopeadic Surgery， the Third Affiliated Hospital of Xinxiang Medical University， Henan Province， Xinxiang 453003， China 　　[Abstract] Objective To study the application effect of evidence-based teaching mode in the orthopedic clinical training of surgery masters. Methods 46 surgery masters in the First Affiliated Hospital of Xinxiang Medical University from January 2013 to June 2015 were randomly allocated into the evidence based teaching group and the traditional teaching group， each group had 23 cases. Evidence based teaching was performed according to evidence based medicine. Theory examination， clinical case analysis， knowledge update examination and study initiatives were assessed in both groups. Results ①No significant difference existed in the scores of theory examination between the two groups （P 0.05）. However， clinical analysis of evidence-based teaching group was significantly better than that of traditional teaching group （P 0.05）. ②Better performance in new knowledge update was gained in the evidence based teaching group than in the traditional teaching group （P 0.05）. ③Compared with the traditional teaching group， more advance in study initiative （intensifying surgery knowledge， stimulating learning interest， improving