The teaching effect of "organ-system-based curriculum" integrated model on clinical graduation field work

Abstract

Objective To explore the teaching effect of Organ-system-based curriculum integrated model on clinical graduation field work. Method 150 clinical medical undergraduates of Grade 2009 from Shenyang Medical College selected, were randomly divided into the experimental group (75 persons) and the control group (75 persons). The experimental group adopted the means of theOrgan-system-based curriculum integrated model, namely practicing according to human organ-system and the control group accepted the traditional pattern of discipline centered practice during the clinical graduation internship. The two groups of students carried out questionnaire survey and comprehend examinations when the practice ended, and then statistics analysis (the chi square test, t test) was done by the SPSS 19.0 software between the two groups in order to explore the teaching effect. Result The students' satisfaction degree from six aspects of the questionnaire survey showed in the experimental group was significantly higher than that in the control group (the degree of recognition of practicing pattern: χ2=11.437, P=0.003; the architectonic integrality: χ2=9.881, P=0.007; the improvement of the autonomic learning ability χ2=9.643, P=0.008; the teaching method and means: χ2=11.006, P= 0.004; motivating learning interest: χ2=13.550, P=0.001; increasing the ability of clinical thinking: χ2= 13.309, P=0.001), and the average test scores of students from three parts of examination results showed by comprehend examinations (speculative knowledge examination: t=2.768, P=0.006; technical skill examination: t=2.212, P=0.029; clinical capability examination: t=5.015, P=0.000) in the experimental group was obviously higher than that in the control group and the difference was significant. Conclusion Organ-system-based curriculum integrated model on clinical graduation internship is generally approved by the students, which has significantly improved the students' clinical thinking ability, and the quality of graduation internship teaching. Key words: Organ-system-based curriculum; Clinical medicine; Graduation internship; Curriculum integration; Practical effect