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基于ChatGPT的混合式医学教学在肝胆外科临床教育中的应用

Application of ChatGPT-based blended medical teaching in clinical education of hepatobiliary surgery.

作者信息

Wu Changhao, Chen Liwen, Han Min, Li Zhu, Yang Nenghong, Yu Chao

机构信息

Department of Hepatobiliary Surgery, The Affiliated Hospital of Guizhou Medical University, Guizhou Medical University, Guiyang, China.

Department of Surgery, Guizhou Medical University, Guiyang, China.

出版信息

Med Teach. 2025 Mar;47(3):445-449. doi: 10.1080/0142159X.2024.2339412. Epub 2024 Apr 13.

Abstract

OBJECTIVE

This study evaluates the effectiveness of incorporating the Chat Generative Pre-trained Transformer (ChatGPT) into the clinical teaching of hepatobiliary surgery for undergraduate medical students.

MATERIALS AND METHODS

A group of 61 medical undergraduates from the Affiliated Hospital of Guizhou Medical University, undergoing hepatobiliary surgery training, were randomly assigned to either an experimental group (31 students) using ChatGPT-based blended teaching or a control group (30 students) with traditional teaching methods. The evaluation metrics included final exam scores, teaching satisfaction, and teaching effectiveness ratings, analyzed using SPSS 26.0 (SPSS Inc., Chicago, IL) with -tests and tests.

RESULTS

The experimental group significantly outperformed the control group in final exam theoretical scores (86.44 ± 5.59 vs. 77.86 ± 4.16,  < .001) and clinical skills scores (83.84 ± 6.13 vs. 79.12 ± 4.27,  = .001). Additionally, the experimental group reported higher teaching satisfaction (17.23 ± 1.33) and self-evaluation of teaching effectiveness (9.14 ± 0.54) compared to the control group (15.38 ± 1.5 and 8.46 ± 0.70, respectively,  < .001).

CONCLUSIONS

The integration of ChatGPT into hepatobiliary surgery education significantly enhances theoretical knowledge, clinical skills, and overall satisfaction among medical undergraduates, suggesting a beneficial impact on their educational development.

摘要

目的

本研究评估将聊天生成预训练变换器(ChatGPT)纳入本科医学生肝胆外科临床教学的有效性。

材料与方法

选取贵州医科大学附属医院61名接受肝胆外科培训的医学本科生,随机分为实验组(31名学生),采用基于ChatGPT的混合式教学,对照组(30名学生)采用传统教学方法。评估指标包括期末考试成绩、教学满意度和教学效果评分,使用SPSS 26.0(SPSS公司,伊利诺伊州芝加哥)进行t检验和检验分析。

结果

实验组在期末考试理论成绩(86.44±5.59 vs. 77.86±4.16,P<0.001)和临床技能成绩(83.84±6.13 vs. 79.12±4.27,P = 0.001)方面显著优于对照组。此外,与对照组相比,实验组报告的教学满意度(17.23±1.33)和教学效果自我评价(9.14±0.54)更高(对照组分别为15.38±1.5和8.46±0.70,P<0.001)。

结论

将ChatGPT整合到肝胆外科教育中可显著提高医学本科生的理论知识、临床技能和总体满意度,表明对他们的教育发展有有益影响。

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