三段序贯式医学教学模式的实践与思考

Practice and Thinking on Three-Segment-Sequential Teaching Mode in Medical Education

摘要: 目的：总结三段序贯式医学教学模式和二段传统式医学教学模式各自的优缺点。方法：以本学院280名学生为研究对象，以2022~2023学年第2学期呼吸病学本科教学为研究课程，将研究课程分为三段序贯式课程和二段传统式课程进行研究，总结学生获取前沿医学知识的途径和偏好，比较学生对两种教学模式的接受度、主动性、满意度、学生学习负担、师生交流和关系情况、培养临床思维及有效分析能力、文献检索和阅读理解能力、学习效率、教学效果和其它等各方面的差异。结果：网络搜索是所有学生首选的获取前沿医学知识的方式。相对于二段传统式教学模式，三段序贯式教学模式在主动性、满意度、师生交流和关系情况、培养临床思维及有效分析能力、文献检索和阅读理解能力和学习效果等方面具有显著优势，但也存在显著增加了学习量，导致学生应接不暇等劣势。学生对二段式教学模式接受度为88.21% (247人)，但70.4%的学生(197人)希望增加三段序贯式授课比例。结论：医学教育是一个顺应历史潮流、不断精进的过程，各种医学教育模式互有长短，需要师生多方协调、交流，不断总结，促改优化，方能培养高素质、高水平医学人才。

Abstract: Summarizing the advantages and disadvantages of three-segment-sequential medical teaching mode and two-segment-traditional medical teaching mode, through investigation of 280 medical students in the second college of Chongqing Medical University on their new approach of learning, adaptability and dissatisfaction of the different medical teaching mode, and compared to the two-segment-traditional teaching mode, three-segment-sequential teaching mode has been found that their learning load is relatively at a disadvantage, but it has a significant advantage over the overall adaptability, satisfaction level, teacher-student relationship, literature search, clinical prac-tice and subjective initiative. Additionally, the implementations of diverse medical teaching mode can effectively cultivate high-quality medical students and further doctor.