转化医学理念在外科学临床教学中的效果研究

宋培军; 徐静; 王怀谷; 霍继武; 李旭文; 李建成

doi:10.16766/j.cnki.issn.1674-4152.002654

转化医学理念在外科学临床教学中的效果研究

doi: 10.16766/j.cnki.issn.1674-4152.002654

蚌埠医学院第一附属医院整形烧伤外科，安徽蚌埠 233004

基金项目:

安徽省省级质量工程重点项目 2018jyxm0826

详细信息

通讯作者:
李建成, E-mail: ljc7426@163.com

中图分类号: R192 R65
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- 被引次数: 0
出版历程
- 收稿日期: 2021-09-26
- 网络出版日期: 2022-11-29

Effect of translational medicine concept on the clinical teaching of surgery

Department of Plastic and Burn Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

摘要

摘要: 目的探讨转化医学理念在外科学临床教学中的效果，为外科学的临床教学提供新思路和新方向。方法选取2020年8—9月在蚌埠医学院第一附属医院整形烧伤外科见习的2018级临床医学本科专业90名学生作为研究对象，采用计算机的随机数发生器将学生简单随机化分为对照组和实验组，每组各45名学生。对照组采用传统教学; 实验组将转化医学理念作为整形烧伤外科临床教学的指导思想，采用以病例为基础和模拟临床教学法。教学结束后，对对照组和实验组学生的理论知识水平、临床技能操作能力、创新能力进行考核，从而对教学效果进行评价。结果教学结束后，实验组的理论成绩[(88.21±4.43)分]和及格率(93.33%)均高于对照组的理论成绩[(79.73±1.80)分]和及格率(82.22%)，且实验组的理论成绩与对照组比较差异有统计学意义(P＜0.001);实验组的技能操作能力[(71.22±9.84)分]和及格率(91.11%)均高于对照组的技能操作能力[(66.21±9.71)分]和及格率(80.00%)，且实验组的技能操作能力高于对照组，差异均有统计学意义(均P＜0.001);实验组科研课题申报人数及中标人数均高于对照组，差异有统计学意义(均P＜0.05)。结论转化医学理念应用于整形烧伤外科的临床教学，有助于提高临床教学质量，为健康中国打造基础研究与临床实践为一体的新型复合型医学人才和今后的临床医学教学改革奠定了坚实的基础。
- 转化医学理念 /
- 外科学 /
- 临床教学
Abstract: Objective To explore the effect of translational medicine concept on the clinical teaching of surgery to provide new ideas and new directions. Methods Ninety undergraduate clinical medicine students of the class of 2018 who were on internship in the Plastic and Burn Surgery Department of the First Affiliated Hospital of Bengbu Medical College from August 2020 to September 2020 were selected as the study subjects. They were divided into a control group and an experimental group using the random-number generator of a computer, with 45 students each. The control group used traditional teaching methods. The experimental group used the concept of translational medicine as the guiding ideology for the clinical teaching of surgery, and case-based learning and simulated clinical teaching methods were adopted. After teaching, the theoretical-knowledge level, clinical skill-operation ability, and innovation ability of the students were determined, to evaluate the teaching effect. Results After teaching, the theoretical score [(88.21±4.43) points] and passing rate (93.33%) of the experimental group were higher than those of the control group [(79.73±1.80) points] and passing rate (82.22%). The theoretical scores of the experimental group was significantly higher than those of the control group (P < 0.001). The skill-operation ability [(71.22±9.84) points] and passing rate (91.11%) of the experimental group were higher than those of the control group [(66.21±9.71) points] and passing rate (80.00%). The difference between the skill-operation abilities of the experimental and control groups were statistically significant (all P < 0.001). The number of applicants in scientific research projects and the number of successful bidders in the experimental group were higher than those in the control group, and the difference was statistically significant (all P < 0.05). Conclusion The application of translational medicine concept to the beneficial exploration of the clinical teaching of surgery can help improve the quality of clinical teaching in surgery and help create a new type of composite medical talent that integrates basic research and clinical practice for a healthy China. The future reform of clinical medicine teaching has laid a solid foundation.
- Translational medicine concept /
- Surgery /
- Clinical teaching

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表 1 2组学生见习前一般资料比较

Table 1. Comparison of general information before probationary in the two groups

组别	人数	性别(人)		年龄(x±s，岁)	理论知识得分(x±s，分)	实践技能得分(x±s，分)
组别	人数	男性	女性	年龄(x±s，岁)	理论知识得分(x±s，分)	实践技能得分(x±s，分)
实验组	45	23	22	20.15±0.26	62.32±1.43	52.48±5.56
对照组	45	24	21	20.36±0.24	61.85±2.02	53.54±6.12
统计量		0.045^a		3.981^b	-1.274^b	0.860^b
P值		0.833		< 0.001	0.206	0.392
注：^a为χ²值, ^b为t值。

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表 2 2组见习生理论知识水平比较

Table 2. Comparison of theoretical knowledge level between two groups of trainees

组别	人数	得分(x±s，分)	及格率(%)
实验组	45	88.21±4.43	93.33(42/45)
对照组	45	79.73±1.80	82.22(37/45)
统计量		11.897^a	2.589^b
P值		< 0.001	0.108
注：^a为t值，^b为χ²值。

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表 3 2组见习生临床技能操作能力比较

Table 3. Comparison of clinical skill operation ability between two groups of trainees

组别	人数	得分(x±s，分)	及格率(%)
实验组	45	71.22±9.84	91.11(41/45)
对照组	45	66.21±9.71	80.00(36/45)
统计量		-2.431^a	2.248^b
P值		0.017	0.134
注：^a为t值，^b为χ²值。

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表 4 2组见习生科研能力比较(人)

Table 4. Comparison of scientific research ability between two groups of trainees (persons)

组别	人数	申报人数	中标人数
实验组	45	12	6
对照组	45	3	0
χ²值		6.480	4.464
P值		0.011	0.035

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