通讯作者: 宗礼, 1251681296@qq.com

DOI：10.12201/bmr.202507.00037

Discussion on the Value of Action Learning Method in Improving the Practical Ability of Clinical Medical Interns

• 摘要：目的：探讨行动学习法在提升临床医学实习生实践能力中的价值。方法：选取2022年8月至2023年12月在遵义医科大学附属医院小儿外科和遵义医科大学第三附属医院新生儿科、妇科参加实习的本科实习医生为教学对象，共200人（每家医院100人），根据入学时学号的最后一位数字分成2组，即奇数的为试验组，偶数的为对照组，每组100人。试验组采用行动学习法教学模式，对照组采用传统教学模式。对比分析两组学生入科与出科时成绩、临床诊疗水平、团队协作能力以及对“行动学习法”实习带教方式的接受度情况。结果：出科时考试成绩：试验组为（92.45±8.06）分而对照组为（87.13±7.79）分；临床诊疗水平评分：试验组为（46.34±1.12）分而对照组为（40.78±1.98）分；团队协作能力评分：试验组为（92.26±6.24）分而对照组为（82.06±5.00）分；试验组在出科时成绩、临床诊疗水平、团队协作能力优于对照组，差异具有统计学意义（P<0.05）。对“行动学习法”实习带教方式的接受度方面，试验组（65.73±5.23）与对照组（64.54±5.17）相当，差异无统计学意义（P>0.05）。结论：一是行动学习法有助于提升临床医学实习生实践能力，培养主动学习与团队协作的能力，以提高临床医生的培养效率与质量。二是学生对“行动学习法”实习带教方式的接受度不高，在国内的运用仍需探索，今后应制定与国内学生特点相适应的行动学习法教学模式。

  关键词： 行动学习法；临床医学，实习医生；临床实践能力；教学模式；改革

   

  Abstract: Objective: To explore the value of action learning in improving the practical ability of clinical medical interns. Methods: Undergraduate interns who participated in pediatric surgery in the Affiliated Hospital of Zunyi Medical University and neonatology and gynecology in the Third Affiliated Hospital of Zunyi Medical University from August 2022 to December 2023 were selected as teaching objects. 200 Students are divided into two groups according to the last digit of their student IDs upon enrollment. Specifically, those with an odd - numbered last digit are assigned to the experimental group, and those with an even - numbered last digit are assigned to the control group. There are 100 students in each group. The experimental group adopted the action learning teaching mode, while the control group adopted the traditional teaching mode. Results:Carry out a comparison and analysis of the scores of the two groups of students upon their entry and exit from the course, clinical diagnosis and treatment level,teamwork ability, and acceptance of action learning practice teaching method were compared and analyzed between the two groups. Results: The examination scores at the end of the rotation: The experimental group was (92.45 ± 8.06), while the control group was (87.13 ± 7.79); The scores of clinical diagnosis and treatment level: The experimental group was (46.34 ± 1.12), while the control group was (40.78 ± 1.98); The scores of teamwork ability: The experimental group was (92.26 ± 6.24), while the control group was (82.06 ± 5.00).The scores, clinical diagnosis and treatment level and teamwork ability of the experimental group were better than those of the control group., and the differences were statistically significant (P< 0.05). There was no significant difference between the experimental group（65.73±5.23）and the control group（64.54±5.17）in the acceptance of action learning practice teaching method (P>0.05). Conclusion: First, action learning is helpful to improve the practical ability of clinical medical interns, cultivate the ability of active learning and team cooperation, and improve the training efficiency and quality of clinicians. Second, students acceptance of action learning method is not high, and it is still exploring to go for its application in China. In the future, action learning method teaching mode should be developed in accordance with the characteristics of domestic students.

  Key words:

  提交时间：2025-07-11

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• 序号	提交日期	编号	操作
  1	2025-06-20	bmr.202507.00037V1	下载

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