Hill D A
Royal Prince Alfred Hospital, University of Sydney, Australia.
Med Teach. 1993;15(2-3):179-86. doi: 10.3109/01421599309006712.
The following integrated trauma teaching model has been developed in response to perceived deficiencies of organized trauma content in many undergraduate surgical programmes. This method has combined structured teaching and clinical clerkship. First, a short lecture is given to the student body giving an overview of the subject. Small groups then rotate through a series of teaching stations, each structured to represent a different level in the hierarchy of management priorities involved in the care of a trauma patient. The educational value of a 150 minute teaching session was evaluated by comparing group performance in a pre-test given several days before with a post-test immediately after teaching. Forty one Year IV students increased their mark, out of a possible total of 30, from a pre-test mean 15 (SD3) to a post-test mean 21 (SD3). Thirty two year VI students increased their marks from a mean 18 (SD3) to a mean 24 (SD2). Both increases are highly significant (p < 0.001). The model has proved to be an effective way to teach students trauma skills in preparation for a subsequent clerkship or internship.
针对许多本科外科课程中创伤内容组织方面存在的明显不足,开发了以下综合创伤教学模式。该方法将结构化教学与临床实习相结合。首先,为全体学生进行一次简短的讲座,对该主题进行概述。然后,小组轮流通过一系列教学站,每个教学站的结构都代表创伤患者护理中管理优先级层次结构的不同级别。通过比较教学前几天进行的预测试和教学后立即进行的后测试中的小组表现,评估了150分钟教学课程的教育价值。41名四年级学生的成绩从预测试平均15分(标准差3分)(满分30分)提高到后测试平均21分(标准差3分)。32名六年级学生的成绩从平均18分(标准差3分)提高到平均24分(标准差2分)。这两个提高都非常显著(p<0.001)。事实证明,该模式是一种有效的方法,可以教授学生创伤技能,为随后的实习或见习做准备。