人体解剖学和临床查体相结合的课程改革调查

基础医学与临床 ›› 2021, Vol. 41 ›› Issue (9): 1396-1402.

• 医学教育 • 上一篇

人体解剖学和临床查体相结合的课程改革调查

李明夏¹, 钱军^1*, 鲁昕¹, 马超², 王乃利², 张迪²

1.中国医学科学院北京协和医学院北京协和医院骨科, 北京 100730;
2.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人体解剖与组织胚胎学系, 北京 100005

收稿日期:2021-03-31 修回日期:2021-06-25 出版日期:2021-09-05 发布日期:2021-09-02
通讯作者: *qj@medmail.com.cn
基金资助:
北京协和医学院2019年教学质量工程(2019zlgc0101)

Human anatomy combined with physical examination: a survey on the course reform

LI Ming-xia¹, QIAN Jun^1*, LU Xin¹, MA Chao², WANG Nai-li², ZHANG Di²

1. Department of Orthopedics, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730;
2. Department of Anatomy, Histology and Embryology, Institute of Basic Medical Sciences CAMS, School of Basic Medicine PUMC, Beijing 100005, China

Received:2021-03-31 Revised:2021-06-25 Online:2021-09-05 Published:2021-09-02
Contact: *qj@medmail.com.cn

摘要/Abstract

摘要： 目的通过调查北京协和医学院八年制临床医学专业的学生(八年制医学生)对当前解剖学课程的认同度,以及对引入解剖查体混合课程的想法,尝试提出可行的改革方向。方法通过微信平台(WeChat)和制作问卷的软件问卷星(wjx)向北京协和医学院在读的四、五、六、七、八年级的八年制医学生发放问卷。结果共收到合格问卷216份。207名(95.8%)学生认同解剖学课程的重要性,196名(90.7%)的学生赞成在大体解剖学课程中引入与解剖相结合的临床查体内容,且不同学习阶段的学生认同度的差异无统计学意义。“后期缺乏随时巩固复习的途径” (149人,69.0%)和“课程衔接不好,见实习时许多都忘了”(143人,66.2%)是当前解剖学课程最为突出的问题。65人(30.1%)和151人(69.9%)分别倾向于以上大规模开放在线课程(MOOC)或传统线下学习形式开展新课程。结论北京协和医学院八年制不同学习阶段的学生,绝大多数赞成在大体解剖学课程中加入临床查体与解剖相结合的内容讲解,而相关的教学改革尝试是必要的。以线下为主、线上为辅开展混合模式新课程可能是最为适合的。

关键词: 解剖学, 医学生, 八年制

Abstract: Objective To investigate the attitude of 8-year-program clinical medical students in Peking Union Medical College (PUMC) towards current anatomy course and their perspective on introducing physical examination into anatomy course, and to raise feasible reform strategy. Methods Survey on WeChat platform through wenjuanxing(wjx) questionnaires was performed among 4th, 5th, 6th, 7th, 8th grade students in PUMC. Results 216 qualified questionnaires were collected. 207 (95.8%) and 196 (90.7%) students identified with the importance of anatomy course and agreed to introduce physical examination into anatomy course, respectively. Two major problems were considered existing in current anatomy course, the lack of feasible ways to review in later stage (149, 69.0%) and poor connection between anatomy and clinical courses leading to poor retention of the knowledge (143, 66.2%). 65 (30.1%) preferred online course and 151 (69.9%) preferred traditional offline course to offer the new course. Conclusions Most clinical medical students in different learning stage in PUMC approve to introduce physical examination into anatomy course. Related educational reform of anatomy course is necessary. The new combined course should be offered mainly in traditional offline way, combined with online content.

Key words: anatomy, medical students, 8-year program

中图分类号:

R322

李明夏, 钱军, 鲁昕, 马超, 王乃利, 张迪. 人体解剖学和临床查体相结合的课程改革调查[J]. 基础医学与临床, 2021, 41(9): 1396-1402.

LI Ming-xia, QIAN Jun, LU Xin, MA Chao, WANG Nai-li, ZHANG Di. Human anatomy combined with physical examination: a survey on the course reform[J]. Basic & Clinical Medicine, 2021, 41(9): 1396-1402.

参考文献

[1]McMenamin PG, Eizenberg N, Buzzard A, et al. A broad perspective on anatomy education: celebrating teaching diversity and innovations[J]. Med J Aust, 2016, 204: 57.doi:10.5694/mja15.00796.
[2]Klima S, Hepp P, Löffler S, et al. A novel phased-concept course for the delivery of anatomy and orthopedics training in medical education[J]. Anat Sci Educ, 2017, 10: 372-382.
[3]Feigin DS, Magid D, Smirniotopoulos JG, et al. Learning and retaining normal radiographic chest anatomy: does preclinical exposure improve student performance?[J]. Acad Radiol, 2007, 14: 1137-1142.
[4]Adibi I, Hasani N, Ashoorioun V, et al. Integrating physical examination and trunk anatomy; a new course for second year medical students[J]. Med Teach, 2007, 29: 975-977.
[5]Davis CR, Bates AS, Ellis H, et al. Human anatomy: let the students tell us how to teach[J]. Anat Sci Educ, 2014, 7: 262-272.
[6]Eppler E, Serowy S, Link K, et al. Experience from an optional dissection course in a clinically-orientated concept to complement system-based anatomy in a reformed curriculum[J]. Anat Sci Educ, 2018, 11: 32-43.
[7]Meyer JJ, Obmann MM, Gieβler M, et al. Interprofes-sional approach for teaching functional knee joint anatomy[J]. Ann Anat, 2017, 210: 155-159.
[8]Wish-Baratz S, Crofton AR, Gutierrez J, et al. Assess-ment of mixed-reality technology use in remote online anatomy education[J]. JAMA Netw Open, 2020, 3: e2016271. doi: 10.1001/jamanetworkopen.2020.16271.
[9]Green RA, Whitburn LY, Zacharias A, et al. The relationship between student engagement with online content and achievement in a blended learning anatomy course[J]. Anat Sci Educ, 2018, 11: 471-477.
[10]Jaffar AA. YouTube: An emerging tool in anatomy education[J]. Anat Sci Educ, 2012, 5: 158-164.
[11]Liyanagunawardena TR, Williams SA. Massive open online courses on health and medicine: review[J]. J Med Internet Res, 2014, 16: e191. doi: 10.2196/jmir.3439.
[12]何红云, 李佳鸿, 邓仪昊. 慕课对人体解剖学教学改革的启示[J]. 基础医学与临床, 2019, 39: 289-292.

[1]	张英, 方红娟. 在药学专业教学工作中对医学生科学普及能力的培养[J]. 基础医学与临床, 2023, 43(7): 1175-1178.
[2]	杨惊, 李明夏, 姜忆南, 许岭翎, 柳涛, 张晓彤. 心理干预对八年制医学生心理健康状况改善效果调查[J]. 基础医学与临床, 2023, 43(5): 861-866.
[3]	任淼, 刘芃昊, 俞亦奇, 黄警, 孙宇宁, 东洁, 纪志刚. 改良三步法在八年制医学生腹腔镜技能培训中的应用[J]. 基础医学与临床, 2023, 43(2): 356-359.
[4]	宋桉, 李冉, 刘艺文, 周翔, 段炼, 王鸥, 李玉秀. 多元化教学在八年制医学生内分泌科临床教学中的应用[J]. 基础医学与临床, 2023, 43(10): 1620-1624.
[5]	胡博, 阎敬, 冯晨, 王华芹. 国际学生生物化学实验中的云端混合教学模式[J]. 基础医学与临床, 2022, 42(9): 1464-1469.
[6]	张茜, 李梅, 夏维波. 重点实验室开放机制提升医学生科研创新能力[J]. 基础医学与临床, 2022, 42(9): 1470-1473.
[7]	董海涛, 赵继志, 郭春岚, 吴宣, 张晓巍, 杨文东. 口腔内科临床教学实践中医患沟通能力的培养[J]. 基础医学与临床, 2022, 42(9): 1478-1480.
[8]	申新华, 刘伟, 李文婷, 曹承刚, 马超. 医学生第二课堂参与骨关节标本制作的探索[J]. 基础医学与临床, 2022, 42(8): 1318-1321.
[9]	唐晓艳, 全美盈, 李冀, 赵峻, 李正红, 宋红梅. 情景模拟教学在八年制医学生儿科见习中的应用[J]. 基础医学与临床, 2022, 42(12): 1965-1967.
[10]	张翰林, 王乃利, 张迪, 刘润竹, 崔欢, 唐珂韵, 曹承刚, 马超. 中国遗体捐献的过去、现在与未来[J]. 基础医学与临床, 2021, 41(9): 1356-1359.
[11]	杨诗婕, 徐协群. 新型冠状病毒肺炎疫情下医学生的参与及其启示[J]. 基础医学与临床, 2021, 41(8): 1234-1237.
[12]	贾英华, 白皙, 何丰宇, 潘慧. 医学领导力培养及其课程建设的调查[J]. 基础医学与临床, 2021, 41(6): 923-926.
[13]	胡卓瑶, 席君, 黄雄峰, 侯吉华, 李青, 陈乔. SPOC背景下Kahoot！在人体解剖学形成性评价中的应用[J]. 基础医学与临床, 2021, 41(1): 135-138.
[14]	张翰林, 唐珂韵, 胡心至, 张清, 王乃利, 张迪, 马超. 风雨兼程20载:北京志愿遗体捐献总结与展望[J]. 基础医学与临床, 2021, 41(1): 125-129.
[15]	申新华, 贾梓淇, 郑华, 曹逸涵, 潘慧, 刘伟, 马超. 第二课堂开展临床导向解剖学讨论课的实践[J]. 基础医学与临床, 2020, 40(9): 1295-1298.

人体解剖学和临床查体相结合的课程改革调查

Human anatomy combined with physical examination: a survey on the course reform

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价