Teaching Reform of Clinical Medicine Gastroenterology Based on Case-Based Learning and Experiential Teaching Concepts

Xinli Feng, Meng Sun
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Abstract

Objective: To explore the value of the application of case-based learning (CBL) and experiential teaching concepts in the teaching reform of clinical medicine gastroenterology. Methods: 70 clinical medicine students who interned in the Department of Gastroenterology of our hospital from May 2022 to April 2023 were selected and divided into the control group and the study group of 35 each using the mean score method. The CBL teaching model was adopted in the control group and the CBL combined with experiential teaching model was adopted in the study group. At the end of the internship, Mini-CEX (mini-clinical evaluation exercise) scores, medical record writing scores, and teaching satisfaction surveys were applied to assess the teaching effects of the two groups. Results: All scores in the Mini-CEX evaluation scale of the students in the study group were higher than those of the control group (P < 0.05); the assessment scores of the students in the study group in the areas of chief complaint, history of other diseases, and psychiatric examination were significantly higher than those of the control group (P < 0.05); and the teaching satisfaction of the students in the study group was higher (94.29%) than that of the control group (71.43%), and the difference was statistically significant (P < 0.05). Conclusion: The teaching effect of clinical medicine gastroenterology based on CBL and experiential teaching concepts is good, which can effectively improve the theoretical and practical performance of interns and increase teaching satisfaction, and it is worth popularizing and applying in the practice of clinical teaching reform.
基于案例式学习和体验式教学理念的消化内科临床医学教学改革
目的探讨案例式学习(CBL)和体验式教学理念在消化内科临床医学教学改革中的应用价值。方法:选取2022年5月至2023年4月在我院消化内科实习的临床医学专业学生70名,采用均分法分为对照组和研究组,各35名。对照组采用CBL教学模式,研究组采用CBL结合体验式教学模式。实习结束后,采用迷你临床评估练习(Mini-CEX)评分、病历书写评分和教学满意度调查来评估两组的教学效果。结果研究组学生的 Mini-CEX 评价量表的所有得分均高于对照组(P < 0.05);研究组学生在主诉、其他疾病史和精神检查方面的评估得分显著高于对照组(P < 0.05);研究组学生的教学满意度(94.29%)高于对照组(71.43%),差异有统计学意义(P < 0.05)。结论基于CBL和体验式教学理念的临床医学消化内科教学效果良好,能有效提高实习生的理论和实践成绩,提高教学满意度,值得在临床教学改革实践中推广应用。
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