“以器官系统为基础，以疾病为中心”多学科融合教学模式在五年制临床医学系本科生脑血管病教学中的应用

doi:10.3969/j.issn.1673-5765.2024.10.018

中国卒中杂志 ›› 2024, Vol. 19 ›› Issue (10): 1233-1238.DOI: 10.3969/j.issn.1673-5765.2024.10.018

• 教学园地 • 上一篇

“以器官系统为基础，以疾病为中心”多学科融合教学模式在五年制临床医学系本科生脑血管病教学中的应用

车锋丽^1，2，童燕娜²，韩臻臻²，段洪连²，耿晓坤²，赵性泉¹

1 北京 100070 首都医科大学附属北京天坛医院神经内科

2 首都医科大学附属北京潞河医院神经内科

收稿日期:2024-04-11 出版日期:2024-10-20 发布日期:2024-10-20
通讯作者: 耿晓坤 xgeng@ccmu.edu.cn 赵性泉 zxq@vip.163.com
基金资助:
国家自然科学基金（82271332）

Application of the “Organ System-Based, Disease-Centric” Multidisciplinary Integrated Teaching Model in the Teaching of Cerebrovascular Diseases for Five-Year Clinical Medicine Undergraduate Students

CHE Fengli^1,2, TONG Yanna², HAN Zhenzhen², DUAN Honglian², GENG Xiaokun², ZHAO Xingquan¹

1Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China; 2Department of Neurology, Beijing Luhe Hospital, Capital Medical University, Beijing 101149, China

Received:2024-04-11 Online:2024-10-20 Published:2024-10-20
Contact: GENG Xiaokun, E-mail: xgeng@ccmu.edu.cn ZHAO Xingquan, E-mail: zxq@vip.163.com

摘要/Abstract

摘要： 目的探索“以器官系统为基础，以疾病为中心”多学科融合教学模式在五年制临床医学系本科生脑血管病教学中的应用效果。
方法选取2023年3—5月在首都医科大学附属北京潞河医院在读的2019级五年制临床医学系本科生2个班级学生作为研究对象，依据教学模式的不同随机分为试验组与对照组。两组教授课程均为脑血管病章节，对照组采用传统教学大纲进行授课，试验组采用“以器官系统为基础，以疾病为中心”的新型多学科融合课程体系及多学科融合教学模式进行教学。教学效果评价指标包括学生的考核成绩、学生对课堂教学质量的评价以及对自身能力提高的评价，教学结束后对教学效果进行评价。
结果试验组学生理论考核成绩[（43.90±2.36）分 vs.（41.83±3.36）分，P=0.008]、实践考核成绩[（43.67±2.16）分 vs.（41.70±3.01）分，P=0.005]及总成绩[（87.57±3.30）分 vs.（83.53±5.43）分，P=0.001]均高于对照组；试验组学生对课堂教学质量的评价得分（如质量要求、总分）以及对自身能力提高的评价各维度（如课堂参与度、培养学习兴趣、拓展临床思维、提高自学能力、提升沟通及团队能力方面）得分均高于对照组，差异有统计学意义（均P<0.05）。
结论 “以器官系统为基础，以疾病为中心”多学科融合教学模式应用于五年制临床医学系本科生脑血管病教学中，可提高学生的理论水平及临床实践能力。

关键词: 多学科融合；临床医学；教学模式

Abstract: Objective To explore the application effect of the “organ system-based, disease-centric” multidisciplinary integrated teaching model in the teaching of cerebrovascular diseases for five-year clinical medicine undergraduate students.
Methods Two classes of five-year clinical medicine undergraduate students of grade 2019 studying in Beijing Luhe Hospital, Capital Medical University from March to May 2023 were selected as the research objects. They were randomly divided into the experimental and control groups according to different teaching models. Both groups studied the chapter on cerebrovascular diseases. The control group was taught using the traditional teaching model, while the experimental group was taught using the “organ system-based, disease-centric” multidisciplinary integrated teaching model. The assessment indicators of teaching effect included students’ test scores, students’ evaluation of the classroom teaching quality, and the evaluation on the improvement of their ability. The teaching effect was evaluated after the completion of the teaching period.
Results The theoretical assessment scores [(43.90±2.36) scores vs. (41.83±3.36) scores, P=0.008], practical assessment scores [(43.67±2.16) scores vs. (41.70±3.01) scores, P=0.005], and overall scores [(87.57±3.30) scores vs. (83.53±5.43) scores, P=0.001] of the experimental group were all higher than those of the control group. Additionally, the evaluation scores of the experimental group on the classroom teaching quality (including quality requirements and overall scores) and various dimensions of the improvement of their ability (such as classroom participation, cultivation of learning interest, expansion of clinical thinking, improvement of self-learning ability, and improvement of communication and teamwork skills) were higher than those of the control group. The differences were statistically significant (all P<0.05).
Conclusions The application of the “organ system-based, disease-centric” multidisciplinary integrated teaching model in the teaching of cerebrovascular diseases for five-year clinical medicine undergraduate students can improve their theoretical knowledge and clinical practice skills.

Key words: Multidisciplinary integration; Clinical medicine; Teaching model

中图分类号:

车锋丽, 童燕娜, 韩臻臻, 段洪连, 耿晓坤, 赵性泉. “以器官系统为基础，以疾病为中心”多学科融合教学模式在五年制临床医学系本科生脑血管病教学中的应用[J]. 中国卒中杂志, 2024, 19(10): 1233-1238.

CHE Fengli, TONG Yanna, HAN Zhenzhen, DUAN Honglian, GENG Xiaokun, ZHAO Xingquan. Application of the “Organ System-Based, Disease-Centric” Multidisciplinary Integrated Teaching Model in the Teaching of Cerebrovascular Diseases for Five-Year Clinical Medicine Undergraduate Students[J]. Chinese Journal of Stroke, 2024, 19(10): 1233-1238.

参考文献

[1] 付斌，徐慧莉，赵丽莉.“以器官系统为基础，以疾病为中心”的临床医学专业人才培养方案改革初探[J]. 中国医药导刊，2023，25（6）：627-630.
FU B，XU H L，ZHAO L L. Discussion on the reform of clinical medical professionals training program under the“organ-system based，disease centered”training mode[J]. Chinese Journal of Medicinal Guide，2023，25（6）：627-630.
[2] 孙鹏，黄继东，柏杨，等. 整合课程教学在医学教育中的历程与展望[J/OL]. 中国高等医学教育，2012（5）：62-63[2024-03-11]. https://doi.org/10.3969/j.issn.1002-1701.2012.05.031.
SUN P，HUANG J D，BAI Y，et al. The process and prospect of integrating curriculum teaching in medical education[J/OL]. China Higher Medical Education，2012（5）：62-63[2024-03-11]. https://doi.org/10.3969/j.issn.1002-1701.2012.05.031.
[3] 朱淑娟，贺桂琼，徐进，等.“以器官系统为中心，基础与临床全线整合”教学模式解剖学知识点整合的实践与思考[J]. 解剖学杂志，2020，43（1）：70-71.
ZHU S J，HE G Q，XU J，et al. Practice and thinking on the integration of anatomical knowledge points in teaching mode with the combination of basic and clinical and organ system as the center[J]. Chinese Journal of Anatomy，2020，43（1）：70-71.
[4] 董洁，郭蕊，常文虎，等. 整合医学模式下器官系统学科改革模式探讨与实践[J]. 中国医院，2021，25（11）：61-63.
DONG J，GUO R，CHANG W H，et al. Exploration and practice：discipline reform based on organ system under the integrated medical model[J]. Chinese Hospitals，2021，25（11）：61-63.
[5] 王晓媛，崔英迪，张弘，等. 混合式教学模式在眼科临床教学中应用效果分析[J]. 中国医院管理，2023，43（3）：78-80.
WANG X Y，CUI Y D，ZHANG H，et al. Analysis of application effects on the blended teaching mode in ophthalmology clinical teaching[J]. Chinese Hospital Management，2023，43（3）：78-80.
[6] 李志宏，顾春娟，黄钢，等. 项目教学法在基础医学整合课程中的应用[J]. 解剖学杂志，2019，42（4）：413-415.
LI Z H，GU C J，HUANG G，et al. Application of project-based teaching method in integrated course of basic medicine[J]. Chinese Journal of Anatomy，2019，42（4）：413-415.
[7] 唐琳，归航. 由美国医学教育改革展望“目标驱动”的医学教育课程创新体系[J]. 中华医学教育杂志，2020，40（8）：649-653.
TANG L，GUI H. Target-driven curriculum innovation：exploring the medical education reform in the United States[J]. Chinese Journal of Medical Education，2020，40（8）：649-653.
[8] 陈志武，郭岩，沈玉先，等. 临床医学专业基础医学课程整合初探[J]. 基础医学教育，2015，17（12）：1054-1056.
CHEN Z W，GUO Y，SHEN Y X，et al. Preliminary exploration on the construction of course integration system of basic medicine for clinical medical specialty[J]. Basic Medical Education，2015，17（12）：1054-1056.
[9] 林桂淼，董鸣，应颖，等. 基础医学器官系统整合性实验改革实施初探[J]. 基础医学教育，2019，21（4）：304-307.
LIN G M，DONG M，YING Y，et al. Preliminary exploration and implementation of the integrated experiment reform of basic medical organ system[J]. Basic Medical Education，2019，21（4）：304-307.
[10] 教育部等六部门关于医教协同深化临床医学人才培养改革的意见[EB/OL].（2014-07-14）[2024-04-02]. www.moe.gov.cn/srcsite/A22/s7065/201407/t20140714_178832.html.
[11] 闫丹. 基于WFME认可标准的中国临床医学专业认证体系研究[D]. 大连：大连医科大学，2017.
YAN D. Research on China clinical medical accreditation system based on WFME recognition criteria for agencies accrediting medical schools[D]. Dalian：Dalian Medical University，2017.
[12] 程桂荣，刘丹，许浪，等. 医学教育整合课程改革现状及建立评价体系的思考[J]. 教育教学论坛，2019（8）：148-149.
CHENG G R，LIU D，XU L，et al. The situation of medical education integrated curriculum reform and the thinking of establishing evaluation system[J]. Education Teaching Forum，2019（8）：148-149.
[13] 世界医学教育联合会，中国教育部临床医学专业认证工作委员会秘书处. 本科医学教育质量改进全球标准（2020版）[J]. 中华医学教育杂志，2024，44（9）：641-649.
World Federation for Medical Education；Secretariat of the Clinical Medicine Accreditation Working Committee，Ministry of Education，China. Basic medical education WFME global standards for quality improvement（the 2020 revision）[J]. Chinese Journal of Medical Education，2024，44（9）：641-649.

“以器官系统为基础，以疾病为中心”多学科融合教学模式在五年制临床医学系本科生脑血管病教学中的应用

Application of the “Organ System-Based, Disease-Centric” Multidisciplinary Integrated Teaching Model in the Teaching of Cerebrovascular Diseases for Five-Year Clinical Medicine Undergraduate Students

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