刘英莲 周夏芝 岳雯 齐晓琳 孙曌

〔摘要〕 目的 探讨“双主教学模式”的多元整合教学法在中西结合妇产科学中的应用教学效果。方法 将海南医学院中医学院中西医结合专业2015级本科班设为对照组，采用传统教学模式;2016级本科班设为研究组，采用“双主教学模式”的多元整合教学法，最终通过期末成绩、综合成绩和学生满意度调查进行教学评价。结果 研究组的期末成绩和综合成绩均高于对照组（P<0.05），调查问卷显示绝大部分学生对该教学法的满意度较高，研究组在提高课程学习效果、加强师生交流、提高分析归纳与总结问题能力、提高团队合作能力、增强对理论知识的掌握、培养临床思维能力、提高中西医妇产科知识的结合能力7个方面的调查满意度均高于对照组（P<0.05）。结论 “双主教学模式”的多元整合教学法通过多种教学法之间整合优劣、互相渗透和叠加优势，显著优化了教学过程，提高了教学质量，从而增强了学生解决问题的能力。

〔关键词〕 双主教学模式;多元整合;中西医结合妇产科学;教学法

〔中图分类号〕R2;G642       〔文献标志码〕A       〔文章编号〕doi：10.3969/j.issn.1674-070X.2021.04.030

〔Abstract〕 Objective To explore the application effect of multiple integration teaching method in the "double main teaching mode" in integrated Chinese and western obstetrics and gynecology. Methods The 2015 undergraduate class of integrated traditional Chinese and western medicine in Hainan Medical College was set as the control group and the traditional teaching mode was adopted; the 2016 undergraduate class was set as research group， and multiple integrated teaching method in the "double main teaching mode" was adopted. The final scores， comprehensive scores and questionnaire of the two groups were evaluated. Results The final and comprehensive scores of the research group were better than those of the control group （P<0.05）. The questionnaire showed that most of the students were highly satisfied with the teaching method. The satisfaction in seven aspects of the research group was higher than that of the control group in improving the learning effect of the course， strengthening the communication between teachers and students， improving the ability of analyzing and summarizing problems， improving the ability of team cooperation， enhancing the mastery of theoretical knowledge， cultivating the ability of clinical thinking， and improving the ability of combining traditional Chinese and western obstetrics and gynecology knowledge （P<0.05）. Conclusion The multiple integrated teaching method in the "double main teaching mode" significantly optimizes the teaching process， improves the teaching quality， and enhances the students' ability to solve problems by integrating the advantages and disadvantages， interpenetrating and superimposing advantages among various teaching methods.

〔Keywords〕 double main teaching mode; multiple integration; gynecology and obstetrics with integrated traditional Chinese and western medicine; teaching methodology

中西醫结合妇产科学是综合运用中、西医学基础理论与方法，研究女性特有的生理病理、诊断规律以及防治妇女特有疾病的一门新兴的临床学科[1]。由于本课程涵盖中医和西医妇产科学的知识，信息量大，课时少，教学难度高，传统教学法（lecture based learning， LBL）无法充分调动学生学习的积极性，学生也不能足够灵活地掌握课堂上传授的理论基础知识和临床实践技能。另外，妇产科学的临床见习和实习受医疗伦理等因素制约，导致学生学习质量大打折扣，从而导致医学生到医生角色转换障碍[2]。任何一种单一的教学方法，如近年来国内外各个医学院校尝试用的以问题为基础的教学（problem-based learning， PBL）、以团队为基础的教学（team-based learning， TBL）、以案例为主的教学（cased-based learning， CBL）、微课等，都不能很好地解决本课程所面临的问题[3]。

“双主教学模式”突出了“主导-主体”的特点，在教学中强调“以教师为主导，以学生为主体”（简称“双主”）的教学方式，充分发挥学生的主观能动性，从而解决教学过程中所面临的问题[4]。……