从临床医院感染学案例式教学看医学高等教育中该课程设置的必要性

摘要

Objective To explore the necessity of setting up the course on clinical healthcare-associated infection (HAI) and effectiveness of the case-based teaching method in medical higher education.Methods 198 students who underwent internship in a hospital between July 2015 and July 2016 were selected,according to whether they selected clinical HAI coures,they were divided into course selective group(n =107,adopted case-based teaching method) and unselective group(n =91),questionnaire survey on the knowledge and attitude of HAI was carried out.Results The average score on HAI in selective group was higher than that of unselective group([85.3 ± 1.6] vs [58.3 ± 1.8],t =111.72,P＜0.01).Before and after conducted case-based teaching method,21.49％ and 47.66％ of students actively studied respectively,difference was significant (x2 =16.195,P＜0.01).Conclusion It is necessary to carry out a systematic course on HAI,case-based teaching method can improve the learning enthusiasm of students.%目的 探讨医学高等教育临床医院感染学课程设置的必要性,以及案例式教学的效果.方法 选取2015年7月-2016年7月某附属医院见习的医学生198名,根据是否选修临床医院感染学分为选修组(107名,采用案例式教学法进行授课)、非选修组(91名),采用问卷的形式调查两组医学生医院感染相关知识和态度情况.结果 选修组学生医院感染知识得分为(85.3±1.6)分,高于未选修组的(58.3±1.8)分,差异有统计学意义(t=111.72,P＜0.01).开展案例式教学法前选修组学生主动学习占21.49％,开展案例式教学法后主动学习占47.66％,两者比较差异有统计学意义(x2=16.195,P＜0.01).结论 医学生有必要开展系统的医院感染课程学习,以案例式教学法为基础的授课形式,可以提高学生学习积极性.