基于建构主义的儿科教学查房效果分析与评价

    Effect analysis and evaluation of pediatric teaching ward-round based on constructivism

    • 摘要:
      目的探讨以建构主义理论为指导的儿科教学查房效果。
      方法选取五年制临床医学本科专业46名实习学生为研究对象,随机分成观察组26名和对照组20名。对照组采用传统的教学查房模式,即以教师为中心,向学生们传授问诊和体格检查技巧,分析和讲解突出重点难点,由教师对本次教学查房进行总结。观察组采用以学生为中心的教学查房模式,即在建构主义理论指导下,对教学查房按照情境、协作、会话和意义建构等四大要素进行设计,整个教学查房过程由学生主持,学生们按预先安排的角色进行自主教学查房,教师只给予必要的指导。在实习结束前,对学生进行案例分析题测试,同时对教学查房效果进行分析评价。
      结果案例分析题测试结果显示,观察组成绩(85.12±21.23)分,与对照组成绩(81.80±19.33)分差异无统计学意义(P>0.05)。观察组在学习兴趣、与病人沟通交流能力、临床思维能力、自主学习能力、人文关怀精神以及团队协作精神等6个方面评价均优于对照组(P < 0.01)。
      结论在临床教学中灵活运用建构主义理论,创造有利于知识建构的学习情境,能够显著提高临床教学效果,提高好评率。

       

      Abstract:
      ObjectiveTo explore the effects of pediatric teaching ward-round based on constructivism.
      MethodsForty-six undergraduate interns majoring in five-year clinical medicine were randomly divided into the observation group(26 students) and control group(20 students).The traditional mode of teaching rounds was implemented in control group, namely, the teacher was the center, the students were taught with interrogation and physical examination skills, the teacher analyzed and and explained the key points and difficulties, and summarized the teaching rounds.The student-centered mode of teaching ward-round in observation group was implemented, namely, under the guidance of constructivism theory, the teaching ward-round was designed according to the four elements of situation, cooperation, conversation and meaning construction.The whole teaching ward-round was conducted by students, the students conducted their own teaching ward-rounds according to the prearranged roles, and the teacher only gave the necessary guidance.Before the end of the internship, the students were tested with case analysis questions, and the teaching ward-rounds were analyzed and evaluated.
      ResultsThe test results of case analysis questions showed that the difference of the achievement between the observation group(85.12±21.23) points and control group(81.80±19.33) points was not statistically significant(P>0.05).The evaluation of learning interest, ability to communicate with patients, clinical thinking ability, autonomous learning ability, humanistic care spirit and team spirit in observation group were better than those in control group(P < 0.01).
      ConclusionsThe flexible application of constructivism theory in clinical teaching to create a learning situation conducive to knowledge construction can significantly improve the clinical teaching effect and praise rate.

       

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