A preliminary study on curriculum reform and evaluation system
-
摘要: 随着社会的发展、科技的进步,全球化交流逐渐增多,为了培养具有岗位胜任力的医学人才,实现“卓越医师计划”的培养目标,实现健康中国的伟大战略,迫切需要进行医学教育改革。内科学是对医学科学发展有重要影响的临床医学学科, 是一门涉及面广和整体性强的学科,是各临床医学学科的基础学科,内科学的内容在临床医学的理论和实践中具有重要意义,是学习和掌握其他临床学科的重要基础,因此内科学教学改革至关重要。蚌埠医学院内科学教研室根据国内外医学教育改革的先进经验,结合自身实际情况,完成了内科学分阶段课程体系和考评体系的教学改革,将内科学教学分为理论教学和实践教学2个阶段,根据不同阶段的教学目的制定了系统的、科学的课程规划和考评方案。在课程建设方面,制定各阶段的教学目标,优化课堂教学,推广线上教学,开展以问题为基础及以案例为基础的学习,医学模拟教学、标准化病人教学、思维导图等多元化的教学方法。完善教师考评和学生考评的方案,教师考核实现了教研室考核、系部考核、学院考核、学生评价4个方面的综合评价体系。学生评价实现了理论考核、过程性评价和客观结构化临床考试等多种形式的考核方法,全面考察学生的学习过程和学习效果。通过教学改革,提高了教师的职业素养和教学水平,提高了学生的学习兴趣,培养了学生临床思维能力和医学人文素质。Abstract: With the development of society, the progress of science and technology, and the rise of global communication, in order to cultivate medical personnel with post competence, realize the training goal of "Excellent Physician Program" and realize the great strategy of healthy China, medical education reform is urgently needed. Internal medicine is a clinical medicine discipline that has an important impact on the development of medical science, it is a discipline with wide range and strong integrity, and is the basic discipline of clinical medicine, the content of internal medicine is of great significance in the theory and practice of clinical medicine and is an important basis for learning and mastering other clinical disciplines, so the reform of internal medicine teaching is very important. According to the advanced experience of medical education reform at home and abroad, the Department of Internal Medicine of our school has completed the teaching reform of internal medicine credit stage course system and evaluation system with our own actual situation. A systematic and scientific curriculum planning and evaluation scheme has been developed according to the teaching purpose of different stages, based on dividing teaching of internal medicine into two stages: theoretical teaching and practical teaching. In terms of curriculum construction, the teaching objectives of each stage have been established to optimize classroom teaching and promote online teaching, carry out problem-based learning, case-based learning, medical simulation teaching, standardized patient teaching, mind mapping and other diversified teaching methods. Teacher evaluation and student evaluation program have been improved, the assessment of teachers has realized the comprehensive assessment system of teaching and research office, department, college and student. Student evaluation has realized many kinds of assessment methods, such as theory assessment, process assessment and objective structured clinical examination, the students' learning process and learning effect have been comprehensively examined. Through teaching reform, teachers' professional quality and teaching level have been improved, students' interest in learning has been improved, and students' clinical thinking ability and medical humanistic quality have been cultivated.
-
Key words:
- Internal medicine /
- Teaching reform /
- Course system /
- Evaluation system /
- Teaching method
-
[1] 罗海希, 张绪元. "教-学-做"——体化教学模式建构与实践——以高职生物制药工艺学实践课程为例[J]. 教育现代化, 2019, 6(42): 38-40, 46. https://www.cnki.com.cn/Article/CJFDTOTAL-JYXD201942013.htm [2] 秦永亭, 李晨, 陈珊珊, 等. 基于微课的翻转课堂在高职护理专业生理学实验教学中的应用[J]. 中华全科医学, 2019, 17(2): 295-297, 336. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201902037.htm [3] 冯延伟. 新时期高校内科学课堂教学改革分析[J]. 健康之友, 2020(4): 253. [4] 刘睿超, 王悦, 王宗隅, 等. 新医改背景下医学生人文素质培育探讨[J]. 基础医学教育, 2018, 20(11): 1036-1040. https://www.cnki.com.cn/Article/CJFDTOTAL-SXYD201811036.htm [5] 魏伦收, 张祎捷, 索智敏, 等. 慕课在内科学教学中的应用探讨[J]. 中国继续医学教育, 2016, 8(31): 4-6. doi: 10.3969/j.issn.1674-9308.2016.31.003 [6] CARVALHO P F, SANA F, YAN V X. Self-regulated spacing in a massive open online course is related to better learning[J]. NPJ Sci Learn, 2020(5): 2. http://www.nature.com/articles/s41539-020-0061-1 [7] 金国玺, 高涌, 毕娅欣, 等. 内科学教学中CBL和PBL教学法的联合运用[J]. 中华全科医学, 2016, 14(4): 672-675. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201604052.htm [8] 韩卓越, 张殿红, 刘新, 等. Sandwich教学法在ICU创伤教学中的应用实践[J]. 中国医药指南, 2019, 17(28): 295-296. https://www.cnki.com.cn/Article/CJFDTOTAL-YYXK201928242.htm [9] 常方方, 李平. 以思维导图为主导的多元化教学模式在内科学教学中的应用及效果评价[J]. 卫生职业教育, 2018, 36(17): 56-58. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYX201817029.htm [10] HERMSEN J L, MOKADAM N A, VERRIER E D. Flipping the classroom: how to optimize learning in the didactic setting[J]. Thorac Surg Clin, 2019, 29(3): 279-284. doi: 10.1016/j.thorsurg.2019.04.002 [11] 程诚, 何非, 王同. "互联网+"背景下"BOPPPS+CBL"在物理诊断教学中的应用[J]. 中华全科医学, 2020, 18(9): 1573-1576. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202009040.htm [12] 谢璇, 唐健, 赵芷汀. OSCE在临床医学毕业考核中的应用与研究[J]. 医学教育管理, 2019, 5(6): 520-524, 530. doi: 10.3969/j.issn.2096-045X.2019.06.008 [13] 宋念艺. 卓越医师培养现状调查与分析——以长江大学医学部卓越医师班为例[J]. 医学理论与实践, 2020, 33(9): 1536-1258. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLL202009089.htm [14] 刘婷婷, 梁淑娟, 刘艳菲, 等. 岗位胜任力视角下临床医学生能力素质指标体系的定量化评价[J]. 中国卫生统计, 2020, 37(1): 43-44. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT202001012.htm [15] 李晓, 关晓光, 李宝琴, 等. 基于岗位胜任力的高等中医药院校公共事业管理专业人才培养体系构建[J]. 医学与社会, 2020, 33(3): 130-134. https://www.cnki.com.cn/Article/CJFDTOTAL-YXSH202003032.htm [16] 王岩, 江平, 姚芳, 等. 英属哥伦比亚大学的医学教育和课程设计及对我国的启示[J]. 中国卫生事业管理, 2020, 37(2): 128-130. https://www.cnki.com.cn/Article/CJFDTOTAL-ZWSG202002015.htm [17] MA Y, LU X. The effectiveness of problem-based learning in pediatric medical education in China: A meta-analysis of randomized controlled trials[J]. Medicine(Baltimore), 2019, 98(2): e14052. http://journals.lww.com/md-journal/Fulltext/2019/01110/The_effectiveness_of_problem_based_learning_in.55.aspx [18] 马兆垠, 钟宁, 陆楠, 等. 标准化病人教学质量评价体系的研究与实践[J]. 医学理论与实践, 2020, 33(9): 1538-1540. https://www.cnki.com.cn/Article/CJFDTOTAL-YXLL202009090.htm [19] 常方方, 李平. 以思维导图为主导的多元化教学模式在内科学教学中的应用及效果评价[J]. 卫生职业教育, 2018, 36(17): 56-58. https://www.cnki.com.cn/Article/CJFDTOTAL-ZDYX201817029.htm [20] 赵炜明, 张晓杰, 云长海, 等. 医学教育全球标准中的学生考核新理念探析——以美国名校为例[J]. 医学与哲学, 2020, 41(8): 56-59. https://www.cnki.com.cn/Article/CJFDTOTAL-YXZX202008014.htm