摘要
目的 观察分析在心血管内科实习小讲课中实施以临床思维能力培养为导向的BOPPPS有效教学法的应用效果和应用价值。方法 采用回顾性研究方法，选择2023-2024学年第二学期2019级临床医学专业的30位实习学生（样本纳入位数：30位；样本纳入时间：2023-2024学年），以随机摸球为基础分组方式，分为对照、实验两个小组，观察位数高度一致。分别实施常规教学，以临床思维能力培养为导向的BOPPPS有效教学法。收集分析教学效果。结果 与对照组（常规教学）相比，实验组（以临床思维能力培养为导向的BOPPPS有效教学法）教学后的考核成绩（理论知识考核成绩/病例分析考核成绩/实践操作考核成绩）更高，思维能力评分（分析能力/认知成熟度/系统化能力/开放思想）更高，教学满意度（带教过程规范/知识技能传授/激发学习兴趣/学习效率）更高，（P<0.05）。结论 以临床思维能力培养为导向的BOPPPS有效教学法可以有效促进心血管内科实习学生思维能力提升。促进对专业知识技能的掌握，提高考核成绩，提升教学满意度，有较高应用价值。
关键词： BOPPPS教学法；临床思维；心血管内科；实习带教；小讲座
Abstract
Objective Observation and analysis of the application effect and value of implementing the BOPPPS effective teaching method guided by clinical thinking ability cultivation in the small lecture of cardiovascular internal medicine internship. Methods A retrospective study was conducted to select 30 internship students majoring in clinical medicine from the second semester of the 2023-2024 academic year (sample inclusion number: 30; sample inclusion time: 2023-2024 academic year). The students were randomly divided into control and experimental groups based on ball touching, with highly consistent observation numbers. Implement the BOPPPS effective teaching method guided by the cultivation of clinical thinking ability through routine teaching. Collect and analyze teaching effectiveness. Results Compared with the control group (conventional teaching), the experimental group (BOPPPS effective teaching method guided by clinical thinking ability cultivation) had higher assessment scores (theoretical knowledge assessment score/case analysis assessment score/practical operation assessment score) after teaching, higher thinking ability scores (analytical ability/cognitive maturity/systematic ability/open thinking), and higher teaching satisfaction (standardized teaching process/knowledge and skill imparting/stimulating learning interest/learning efficiency) (P<0.05). Conclusion The BOPPPS effective teaching method guided by the cultivation of clinical thinking ability can effectively promote the improvement of thinking ability of cardiovascular medicine internship students. Promoting the mastery of professional knowledge and skills, improving assessment scores, and enhancing teaching satisfaction have high practical value.
Key words： BOPPPS teaching method; Clinical thinking; Internal Medicine-Cardiovascular Department; Internship mentoring; Small lecture
参考文献 References
[1] 李俊庭,董慧,姜小娟,等.案例教学法在心血管内科临床教学中的应用[J].中国卫生产业,2022,19(6):185-188.
[2] 魏亚东,苏川,曹挺,等.基于提高医学生临床思维能力的内科学教学方法改革研究[J].山西卫生健康职业学院学报,2022,32(1):132-133.
[3] 葛晨亮,何燕.案例教学法联合客观结构化临床考试在心血管内科临床实习中的应用[J].继续医学教育,2024,38(5): 37-40.
[4] 董天崴,杨光远,杨宇,等.“金课”背景下PBL联合CBL线上线下融合式教学在心血管内科教学中的应用[J].黑龙江医药科学,2024,47(1):197-198.
[5] 杨璐璐,杨琳琳,罗娜.线上线下混合教学模式在心血管内科护理教学中的临床应用效果[J].医药前沿,2024,14(15): 132-134.
[6] 赵颖芳,郭彩铃,雷华冰.情景互动联合阶段性目标教学应用于心血管内科护理实习带教的效果观察[J].循证护理, 2023, 9(3):545-548.
[7] 刘巧云,朱炜,郭彩铃,等.新模式下的临床护理教学体系对心血管内科实习护生教学质量的影响[J].循证护理, 2023, 9(5):939-941.
[8] 李宇琛,龚玲英,应家玮.评价案例教学法在心血管内科临床实习带教中的应用价值[J].中国卫生产业,2023,20(17): 162-165.
[9] 施庆花,赵敏.桑代克学习理论指导的情景教学法在心血管内科护理实习带教中的应用[J].山西医药杂志,2023, 52(7): 540-543.
[10] 杜婧,张悦,刘岩,等.以培养临床胜任力为导向的BOPPPS教学法在内分泌教改中的应用[J].中国继续医学教育, 2023, 15(1):60-65.
[11] 孙胜花,陈小盼,韩倩菲,等.临床路径教学法结合问题导向教学法、基于临床案例的教学法在医学硕士培养中的应用[J].中国医药科学,2024,14(8):74-77.
[12] 王月,王秀清,李丽丽,等.床边教学结合虚拟诊疗平台教学法对医学生临床思维能力培养的效果研究[J].中国高等医学教育,2023(4):116-117.