生殖医学教学中加强医学伦理实践的教学体会

    Experience of Strengthening Medical Ethics Practice in Reproductive Medicine Teaching

    • 摘要:
      目的 目前医学研究生及住院医生培训生(住培生)对于医学伦理的认识及实践容易被忽视。生殖医学临床工作中涉及多元伦理问题。本文旨在评估生殖医学临床教学中加强伦理实践对于住院医生规范化培训的教学效果。
      方法 选取2021年9月至2023年9月期间于广东省人民医院生殖医学科培训的25名临床住院医生作为观察组,在规范化培训的基础上加强伦理实践课程,前期(2019年9月到2021年9月)25名常规培训医生为对照组,对比分析两组教学效果及教学满意度。
      结果 老师对学生的医学人文素养和临床成绩考核中,观察组学员出科考核成绩在总分、行医规范、医患沟通、临床思维、团队协作、基础理论成绩方面显著高于对照组,差异有统计学意义(P<0.05);学生对老师教学满意度和帮助度评价中(教学内容、教学方法、教学讲解、教学氛围、教学是否有利于提高对医学人文理解、提高法制法规意识、提高临床胜任力、提高科研能力),观察组学员的各项评分均显著高于对照组,差异有统计学意义(P<0.05)。
      结论 生殖医学住培带教中加强临床教学结合伦理实践课程,取得较好的带教效果,提高了学生的人文素养,有利于培养更全面的医学人才。

       

      Abstract:
      Objective At present, the understanding and practice of medical ethics among medical graduate students and residential trainees were easy to be ignored. The clinical work of reproductive medicine involves multiple ethical issues. This article aims was to evaluate the teaching effect of strengthening ethical practice in the clinical teaching of reproductive medicine on the standardized training of residents.
      Methods 25 clinical residents trained in the Department of Reproductive Medicine of Guangdong Provincial People's Hospital from September 2021 to September 2023 were selected as observation group to strengthen ethical practice courses based on standardized training. The control group was 25 clinical residents trained from September 2019 to September 2021, which was taught by traditional teaching method. The teaching effects of the two groups were analyzed.
      Results The evaluation results of the observation group (medical norms, doctor-patient communication, clinical thinking, team collaboration, reproductive theory exam scores) were higher than those of the control group. The difference was statistically significant (P < 0.05);The two groups of students were compared to the evaluation of teaching satisfaction and helpfulness (teaching content, teaching methods, teaching explanation and teaching atmosphere, enhancing medical humanities, improving clinical competence, increasing legal and regulatory awareness, boosting research skills). The scores in the observation group were higher than those in the control group, the difference was statistically significant (P < 0.05).
      Conclusions The strengthening of clinical teaching combined with ethical practice courses in the residential training of reproductive medicine has achieved a better teaching effect and improved the humanistic literacy of students, which was conducive to the cultivation of more comprehensive medical talents.

       

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