本科教育阶段《全科医学概论》课程建设的需求研究

赵睿; 刘峰; 朱坤; 丁楠楠

doi:10.16766/j.cnki.issn.1674-4152.002066

本科教育阶段《全科医学概论》课程建设的需求研究

doi: 10.16766/j.cnki.issn.1674-4152.002066

赵睿¹,
刘峰¹,
朱坤^2, ,,
丁楠楠¹

1.
蚌埠医学院全科医学系，安徽蚌埠 233030
2.
蚌埠医学院第一附属医院骨科，安徽蚌埠 233004

基金项目:

安徽省教育厅教学研究项目 2019jyxm0253

安徽省教育厅教学研究项目 2020jyxm1207

蚌埠医学院教学研究项目 2019jyxm22

详细信息

通讯作者:
朱坤，E-mail：zk19870128@163.com

中图分类号: R499 R192
计量
- 文章访问数: 137
- HTML全文浏览量: 52
- PDF下载量: 6
- 被引次数: 0
出版历程
- 收稿日期: 2020-07-03
- 网络出版日期: 2022-02-16

Research on the demand of curriculum construction of general practice medicine in undergraduate education

1.
Department of General Practice Medicine, Bengbu Medical College, Bengbu, Anhui 233030, China

摘要

摘要: 目的对本科教育阶段《全科医学概论》课程建设进行需求研究，为进一步推进高校全科医学教育提供参考依据。方法对5所高等医学院校教学管理人员、全科相关专业带头人以及承担《全科医学概论》课程的教师进行关键事件访谈；同时选取已经完成全科医学概论课程的临床专业在校学生进行问卷调查。结果被访谈的26名专家认为本科教育阶段《全科医学概论》课程建设仍需进一步完善，课程管理队伍不健全，教学手段单一，课程评估方式较传统；对300名学生的问卷调查结果显示，有183人(61.00%)认为有必要开设《全科医学概论》这门课程，173人(57.67%)对《全科医学概论》课程感兴趣，仅116人(38.67%)对该课程目前的教学方式满意，有148人(49.33%)更倾向于讲授+案例分析授课方式，234人(78.00%)认为该课程的社区实践内容安排合理，有157人(52.33%)对目前该课程的考核方式满意，仅有161人(53.67%)认为通过学习该课程有助于增加认知和转变观念。结论高校应进一步加强全科医学课程建设和师资队伍培养，创新以社区为导向的教学模式，采用多元融合的教学设计，构建多元动态的课程评价与反馈机制，将全科医学理念融入本科教育阶段的课程建设中，为全科医学的可持续发展奠定基础。
- 全科医学 /
- 医学教育 /
- 本科 /
- 课程建设
Abstract: Objective In order to provide reference for the further promotion of general practice medicine education in colleges and universities, this paper studied the needs of the curriculum construction of general practice medicine in undergraduate education stage. Methods Key event interviews were conducted with the teaching management personnel, professional leaders of general practice and teachers who undertook the course introduction to general practice in 5 medical colleges and universities. At the same time, students of clinical specialties who have completed the course of general practice of medicine were selected for the questionnaire survey. Results The 26 experts interviewed believed that the curriculum construction of general practice in undergraduate education still needed to be further improved, the curriculum management team was not sound, the teaching methods were single, and the curriculum evaluation method was traditional. Of 300 students, according to the results of the questionnaire survey of 183 people (61.00%) considered it necessary to offer the course general introduction to medical, 173 people (57.67%) were interested in an introduction to the general medical courses, only 116 people (38.67%) were satisfied with the current teaching method of the course, there were 148 people (49.33%) preferred teaching + case analysis, 234 people (78.00%) believed that the communities of practice content of the course arrangement was reasonable, 157 people (52.33%) were satisfied with the assessment method. Only 161 people (53.67%) believed that learning the course helped increase cognition and change perceptions. Conclusion Colleges and universities should further strengthen the course construction and teaching staff training in general medicine, innovation community-oriented teaching mode, adopt multiple integration of teaching design, build multivariate dynamic course evaluation and feedback mechanism, the concept into the stage of undergraduate education in general medicine curriculum construction, lay a foundation for the sustainable development of the general medicine.
- General practice /
- Medical education /
- Undergraduate /
- Curriculum construction

HTML全文

表 1 学生对《全科医学概论》课程的评价与看法

问卷项目	人数(%)
对该课程的兴趣程度如何
感兴趣	173(57.67)
一般	68(22.67)
不感兴趣	59(19.66)
认为开设该课程是否有必要
有必要	183(61.00)
一般	78(26.00)
没有必要	39(13.00)
对该课程的教学方式是否满意
满意	116(38.67)
一般	89(29.67)
不满意	95(31.66)
针对该课程你更倾向于哪种授课方式
讲授	61(20.33)
讲授+案例分析	148(49.33)
TBL教学	91(30.33)
对该课程教学内容的设置是否满意
满意	182(60.67)
一般	87(29.00)
不满意	31(10.33)
认为该课程的社区实践内容安排是否合理
合理	234(78.00)
一般	39(13.00)
不合理	27(9.00)
对该课程的考核方式是否满意
满意	157(52.33)
一般	119(39.67)
不满意	24(8.00)
你认为通过学习该课程是否有助于增加认知、转变观念
是	161(53.67)
否	80(26.66)
不清楚	59(19.67)

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参考文献(26)

[1]	陶兴永, 李迎春, 操基玉, 等. 健康中国背景下医学生全科医学概论课程教学实践与思考[J]. 继续医学教育, 2019, 33(5): 25-27. doi: 10.3969/j.issn.1004-6763.2019.05.013
[2]	教育部, 国家卫生健康委员会, 国家中医药管理局. 关于加强医教协同实施卓越医生教育培养计划2.0的意见[N]. 中华人民共和国教育部公报, 2018-10-15(10). http://www.fgb.gxnu.edu.cn/2018/1109/c125a128/page.htm.
[3]	王健, 赵琦, 祝墡珠, 等. 在校医学本科生对《全科医学概论》课程的评价和全科医学认知状况的调查研究[J]. 中华全科医师杂志, 2018, 17(11): 901-904. doi: 10.3760/cma.j.issn.1671-7368.2018.11.009
[4]	秦福芳, 张思森, 王留义, 等. 多学科协作教学在全科医师规培学员临床教学中的应用[J]. 中华全科医学, 2019, 17(10): 1758-1761. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201910041.htm
[5]	马峥, 黄亚芳, 赵亚利, 等. 我国部分高等医学院校全科医学教育现况分析[J]. 继续医学教育, 2017, 31(3): 61-63. https://www.cnki.com.cn/Article/CJFDTOTAL-JYJY201703043.htm
[6]	CHARLES A, DAS P. 英国全科医生的一天[J]. 中国卫生, 2016, 11(7): 28-30. doi: 10.3969/j.issn.1674-2982.2016.07.005
[7]	路孝琴, 刘艳丽, 孙晨, 等. 我国全科医学师资培训中存在的问题及队伍建设对策研究[J]. 继续医学教育, 2016, 30(3): 1-2. https://www.cnki.com.cn/Article/CJFDTOTAL-JYJY201603002.htm
[8]	MACCARTHY D, KALLSTROM L, KADLEC H, et al. Improving primary care in British Columbia, Canada: Evaluation of a peer-to-peer continuing education program for family physicians[J]. BMC Med Educ, 2012, 12(1): 1-12. doi: 10.1186/1472-6920-12-1
[9]	于晓松. 新中国成立70年以来中国全科医学发展与展望[J]. 中华全科医学, 2019, 17(11): 1797-1799. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201911001.htm
[10]	李勇, 冯建启. 心内科临床实习带教模式的创新[J]. 中国校医, 2016, 30(2): 83-84. https://www.cnki.com.cn/Article/CJFDTOTAL-XIYI201602003.htm
[11]	EMERSON K, MOORE P, EDWARDS J. Using GP trainees as role players as a teaching/training tool for established GP trainers[J]. Educ Prim Care, 2017, 28(3): 165-170. doi: 10.1080/14739879.2017.1289340
[12]	JEAN K S, FRANCESCO C, CHRISTOS L, et al. The wind of change: After the European definition- orienting undergraduate medical education towards general practice/family medicine[J]. Eur J Gen Pract, 2007, 13(3): 248-251. doi: 10.1080/13814780701814986?needAccess=true
[13]	TURKESHI E, MICHELS N R, HENDRICKX K, et al. Impact of family medicine clerkships in undergraduate medical education: A systematic review[J]. BMJ Open, 2015, 5(8): 1-19.
[14]	WATMOUGH S. An evaluation of the impact of an increase in community-based medical undergraduate education in a UK medical school[J]. Educ Prim Care, 2012, 23(7): 385-390. http://www.onacademic.com/detail/journal_1000038776413810_3da4.html
[15]	VAN DER WEYDEN M B. Expanding primary care- based medical education: A renaissance of general pracitce[J]. Med J Aust, 2007, 187(2): 66-67. doi: 10.5694/j.1326-5377.2007.tb01139.x
[16]	徐志杰, 蔡博宇, 戚麟, 等. "三位一体"模式下的全科医学人才培养[J]. 全科医学临床与教育, 2017, 15(1): 1-4. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYL201701002.htm
[17]	梁冰, 王敏, 郦忆文, 等. 课程整合模式下以器官系统为中心的联合教学查房在全科医学专业实习带教中的应用[J]. 中华全科医学, 2019, 17(10): 1749-1752. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201910038.htm
[18]	BUURMAN B M, VERHAEGH K J, SMEULERS M, et al. Improving handoff communication from hospital to home: The development, implementation and evaluation of a personalized patient discharge letter[J]. Int J Qual Health Care, 2016, 28(3): 384-390. doi: 10.1093/intqhc/mzw046
[19]	陈英, 赵磊, 郭映花, 等. 在《全科医学概论》课程中实施混合式教学的几点思考[J]. 教育教学论坛, 2018(40): 208-209. doi: 10.3969/j.issn.1674-9324.2018.40.090
[20]	王欣, 赵文淑, 徐琳, 等. 以问题为导向的教学法在心内科临床实习教学中的应用[J]. 中国临床医生杂志, 2017, 45(1): 97-99. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLYS201701038.htm
[21]	赵海峰, 吴昌凡. 应用PBL和Seminar教学模式提高眼科研究生及住院医师培养质量[J]. 安徽医学, 2016, 37(4): 484-486. https://www.cnki.com.cn/Article/CJFDTOTAL-AHYX201604035.htm
[22]	申颖, 左延莉, 孔燕, 等. "三三三制"课堂教学在《全科医学概论》课程中的应用效果研究[J]. 中国全科医学, 2019, 22(31): 3866-3870. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX201931022.htm
[23]	钱红, 刘理静, 胡柯, 等. CPC联合LBL教学法在全科医学概论课程中的应用效果评价[J]. 中华全科医学, 2019, 17(6): 1025-1028. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201906038.htm
[24]	赵睿, 杨秀木, 刘峰, 等. 团队自主学习模式应用于《全科医学概论》[J]. 牡丹江医学院学报, 2019, 40(2): 158-161. https://www.cnki.com.cn/Article/CJFDTOTAL-MDJB201902052.htm
[25]	康晶, 王艳春. 网络辅助手段在全科医学PBL教学中的应用[J]. 中国多媒体与网络教学学报(上旬刊), 2018, 16(12): 5-6. https://www.cnki.com.cn/Article/CJFDTOTAL-JMNT201812003.htm
[26]	刘洪民, 杨艳东. 高校研讨类课程评价考核方式及其动态反馈机制研究[J]. 高等理科教育, 2016, 11(4): 80-85. https://www.cnki.com.cn/Article/CJFDTOTAL-GDLK201604015.htm