微信结合多元化教学法在八年制临床医学专业妇产科学教学中的应用评价

李佳 刘淑娟 陈必良

[摘要] 目的 探讨应用以微信平台为基础结合多元化教学法在八年制临床医学专业妇产科学教学中的应用及效果。 方法 选择第四军医大学2016年5～7月2012级及2017年5～7月2013级八年制临床医学专业学生作为研究对象，2013级为实验组（20名），采用以微信平台为基础结合多元化教学方法；2012级为对照组（21名），采用传统教学方法。教学结束后对学生采用问卷调查及考试进行综合评估。 结果 实验组理论知识成绩、病例分析题及综合成绩均高于对照组，差异有统计学意义（P < 0.05）。实验组的学生普遍认为以微信平台为基础结合多元化教学模式能够激发学习兴趣，提高学习效率，促进教学内容的掌握，并增加师生间的沟通互动，能接受该教学模式。 结论 以微信平台为基础结合多元化教学法引入八年制妇产科学教学实践中，能够充分激发学生学习兴趣，突破传统课堂限制，加深知识理解，强化自学能力，有效提升教学效果。

[关键词] 多元化教学法；妇产科学；医学教育

[中图分类号] G624.4 [文献标识码] A [文章编号] 1673-7210（2018）09（a）-0036-04

[Abstract] Objective To evaluate the application and effect of multimethod combined with WeChat teaching in gynecology and obstetrics eight-year-program teaching. Methods In the Fourth Military Medical University， from May to July 2017， 20 eight-year-program medical students were selected as the experimental group， and from May to July 2016， 21 eight-year-program medical students were selected as the control group. The experimental group was given multimethod combined with WeChat teaching method， while the control group was given traditional teaching method. After teaching， examination and questionnaire investigation were used to evaluate the application and effect of the teaching methods. Results The theoretical knowledge results， case analysis scores and comprehensive performance results in the experimental group were higher than the control group， the differences were statistically significant （P < 0.05）. Students in the experimental group generally believed that on the basis of WeChat combined with multimethod teaching model could effectively improve the learning interest and learning efficiency， promote mastery of the teaching content， and increase the communication between teachers and students and they could accept this teaching mode. Conclusion Multimethod combined with WeChat teaching method can fully promote the learning interest of students， break through traditional classroom restriction， deepen knowledge understanding， strengthen self-study ability， and effectively improve teaching effect.

[Key words] Multimethod teaching； Obstetrics and gynecology； Medical education

随着医学和科技的发展变化，妇产科的诊治技术和理念都在不断创新，而教科书仅仅讲授疾病相关的基础知识及诊治基本原則，这些远不能满足八年制精英人才的学习培养需求。其次，传统的妇产科学教学模式落后、乏味、缺少沟通，学生学习热情和主动性低。

改进教学方法，优化教学模式将有效提高八年制妇产科学的教学质量和效果。可以采用基于问题的教学法（problem-based learning，PBL）[1-2]、情景教学法[3-4]、循证医学（evidence based medicine，EBM）[5]、Seminar教学法[6]、基于案例的教学法（case-based learning，CBL）[7]、迷你临床演练评估（mini-clinical evaluation exercise，Mini-CEX）[8-9]等多种教学法相结合的多元化教学法。

微信（WeChat）是近年来新兴的社交媒体，通过“一对一”“一对多”及“多对多”的网状模式传播信息，使得沟通“无障碍”且互动性强。本研究构建以微信平台为基础结合多元化教学的八年制临床医学专业妇产科学教学模式，使其在教师与学生之间实现教学资源的交互，突破时空限制，并对该模式的可行性与应用效果进行验证，取得了较好的教学效果，为完善和优化八年制妇产科学教学提供参考。……