李景瑞 姜思奇 信鸿巍 戴昭冰 吴晓杰

摘  要：目的：使用混合式教学方法进行临床医学五年制心内科课程的教学变革以及效果探究。方法：选取80名临床心内科五年制本科学生作为研究对象，进行混合式教学模式的心血管课程授课，课程共6个课时，分为两次进行。课后使用自拟问卷对研究对象进行问卷调查，问卷包括课堂评价、自我评价、重要性评价三个部分，了解学生的学习情况和心得体会。结果：问卷调查结果中“自我评价”得分最低，“重要性评价”得分最高，表明学生对于该模式的高度认可。结论：学生对于混合模式在心血管内科中的教学比较认可，今后需要根据学习具体情况，更加完善教学模式，提高教学效果。

关键词：教学模式  心血管内科  混合式教学  研究

Abstract： To explore the teaching reform and effect of five-year course of cardiology in clinical medicine by using mixed teaching method. 80 five-year undergraduate students of clinical cardiology were selected as the subjects of the study. The courses were divided into two periods and taught in a mixed teaching mode. After class， a self-designed questionnaire was used to conduct a questionnaire survey on the research objects， including classroom evaluation， self-evaluation and importance evaluation， so as to understand the students' learning situation and experience. In the questionnaire survey， the score of "self-evaluation" was the lowest， and the score of "importance evaluation" was the highest， indicating that the students highly recognized the model. The students are quite satisfied with the mixed mode in the teaching of cardiovascular medicine. In the future， we need to improve the teaching mode and improve the teaching effect according to the specific learning situation.

Key Words： Teaching mode; Cardiovascular medicine; Mixed teaching; Research

心血內科收治的患者病情一般比较危重，严重威胁患者的生命安全，很难在短时间对患者病情进行确诊，要求医生必须及时有效的进行疾病判断和救治，这对心血内科的医师的要求较高，因此必须在科学高效的医学手段下培养合格、优秀的心血内科专业医师[1]。心血内科的教学一般为主体导向教学模式，这样的教学模式结构比较严谨、完整，但是这样的教学模式一般以教师作为教学主导，学生的教学参与程度比较差，并且对于知识点只能死记硬背[2-3]。本研究旨在使用综合的教学手段来调动学生的主观能动性，培养学生的临床思维，以期弥补传统教学模式的不足之处。……