基础医学与临床 ›› 2023, Vol. 43 ›› Issue (9): 1481-1485.doi: 10.16352/j.issn.1001-6325.2023.09.1481

• 医学教育 • 上一篇    下一篇

文献案例汇报和讨论在专业型硕士生临床流行病学教学中的应用

韩慧君*, 廖巍, 王丽   

  1. 中国医学科学院基础医学研究所 北京协和医学院基础学院 流行病与卫生统计学系, 北京 100005
  • 收稿日期:2023-06-05 修回日期:2023-07-04 出版日期:2023-09-05 发布日期:2023-09-01
  • 通讯作者: *hanhuijun@ibms.pumc.edu.cn

Application of literature case presentation and discussion in teaching of clinical epidemiology for professional Master students

HAN Huijun*, LIAO Wei, WANG Li   

  1. Department of Epidemiology and Biostatistics, Institute of Basic Medical Sciences CAMS, School of Basic Medicine PUMC, Beijing 100005, China
  • Received:2023-06-05 Revised:2023-07-04 Online:2023-09-05 Published:2023-09-01
  • Contact: *hanhuijun@ibms.pumc.edu.cn

摘要: 目的 为了增强临床医学专业型硕士生的科研能力,在临床流行病学教学中尝试文献案例汇报与讨论的新教学模式并对其教学效果进行评价。方法 选取北京协和医学院2019~2021年各学年选修临床流行病学课程的临床医学专业型硕士生(128名)为研究对象。2019年全部采用专题讲授式教学,2020年和2021年针对“队列研究”专题增设了文献案例汇报和讨论课。2021年选课学生就新教学模式提供了问卷反馈。结果 2020年学生期末考试全部题目的题均得分率高于2019年(中位值分别为84.7% vs 75.4%, P<0.001); 两学年学生的队列研究题目的题均得分率差异无统计学意义。2020年学生的队列研究案例讨论课得分率与期末考试队列研究题目的题均得分率、全部题目的题均得分率均呈正相关(r=0.40,P<0.01;r=0.31,P<0.05)。2021年学生中,80%自评达到了案例讨论课的知识学习目标,90%认为文献案例汇报与讨论式教学有助于提升临床研究设计能力、文献阅读能力、学术汇报交流能力及团队协作能力,全部学生对案例讨论课表示满意。结论 在临床流行病学教学中开展文献案例汇报和讨论式教学,有助于学生更好地掌握临床研究方法学并提升综合科研能力,值得推广。

关键词: 流行病学, 教学方法, 临床医学专业学位硕士研究生, 案例教学, 科研能力

Abstract: Objective To strengthen the research capacity of professional Master students in clinical medicine,a new teaching mode of literature case presentation and discussion was tried in clinical epidemiology teaching and the teaching effectiveness was evaluated. Methods The professional Master students in clinical medicine of Peking Union Medical College who joined clinical epidemiology courses during 2019—2021 were selected as the research subjects(n=128). In 2019, the lecture-based teaching was adopted. In 2020 and 2021, a 4-hour literature case presentation and discussion class was added for the topic of “cohort study”. Feedback on the new teaching mode was collected through questionnaires from students taking the course in 2021. Results The average per-question score rate across all questions in the final examination for a student in 2020 was higher than that in 2019 (the median value was 84.7% vs 75.4%, P<0.001). There was no statistical difference in the average per-question score rate across questions related to the cohort study topic for a student between the two years. Students′ score ratefor the case presentation and discussion in 2020 was positively correlated with the average per-question score rate for not only questions related to the cohort study topic but also all questions in the final examination(r=0.40, P<0.01; r=0.31, P<0.05). Among the students taking the course in 2021, 80% believed that they had achieved the knowledge-learning goal of this case discussion class. About 90% agreed that the teaching mode of literature case presentation and discussion was helpful in improving their ability in designing clinical research, reading literatures, presenting research work and carrying out team collaboration. All students were satisfied with this new teaching mode. Conclusions Conducting literature case presentation supplemented with discussion in clinical epidemiology teaching can help students better to Master clinical research methodology and enhance their comprehensive research capacity.

Key words: epidemiology, teaching methods, professional master of clinical medicine, case-based learning, research ability

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