Abstract:

Objective　To explore the application effect of an integrated Chinese-western medicine teaching mode in colorectal surgery training. Methods　A total of 100 clinical medicine students undergoing internship in Guangdong Provincial Hospital of Traditional Chinese Medicine from July 2024 to February 2025 were selected for the randomized controlled trial, and divided into a study group and a control group by the random number table method, with 50 cases in each group. There were 33 males and 17 females in the study group; they were 21.00 (20.00, 24.00) years old. There were 32 males and 18 females in the control group; they were 20.00 (19.00, 22.00) years old. The study group were intervened with the integrated Chinese-western medicine teaching mode, while the control group the conventional western medicine teaching mode. Both groups were trained for 2 months. After the training, the cognitive levels of colorectal diseases, teaching acceptance, teaching satisfaction, and command of disease knowledge and skills were compared between the two groups by t test. Results　After the training, the cognitive level of colorectal diseases in the study group was better than that in the control group; the total teaching satisfaction in the study group was higher than that in the control group (4.24±0.39 vs. 3.84±0.51; P<0.05); the scores of disease knowledge command and skill command in the study group were higher than those in the control group (all P<0.05). After the training, the study group thought that they were improved a lot, but pointed out some issues, such as insufficient integration, teachers' lack of guidance by disease-syndrome combination, uneven knowledge levels among the faculty, insufficient systematic teaching materials, and simplistic teaching methods. Conclusions　The integrated Chinese-western medicine teaching mode can effectively improve the clinical training of colorectal surgery and teaching outcomes. The improvements in integrated Chinese-western medicine teaching should focus on integrating clinical thinking with holistic concepts, multidisciplinary case discussions, and real-case learning.

Key words:

Integrated Chinese-western medicine, Teaching mode, Colorectal surgery

摘要：

目的　探讨中西医结合的结直肠外科教学模式在临床培训中的应用效果。方法　选取2024年7月至2025年2月于广东省中医院实习的100名临床医学专业的学生进行随机对照试验。采用随机数字表法将其分为研究组和对照组，各50名。研究组男33人，女17人，年龄21.00（20.00，24.00）岁。对照组男32人，女18人，年龄20.00（19.00，22.00）岁。研究组采用中西医结合的结直肠外科教学模式，对照组采用传统的西医教学模式。两组均培训2个月。比较两组培训后疾病认知水平、教学接受度、教学满意度、疾病知识掌握程度和技能掌握程度。采用t检验进行统计分析。结果　培训后，研究组对结直肠疾病认知水平优于对照组；研究组教学总满意度评分高于对照组［（4.24±0.39）分比（3.84±0.51）分，P<0.05］。研究组疾病知识掌握程度和技能掌握程度评分均高于对照组，差异均有统计学意义（均P<0.05）。研究组在参与中西医结合临床培训后，自我感受显著提升，但同时也指出中西医结合的结直肠外科教学模式中两者的融合效果不佳，教师缺乏病证结合的引导思路，师资队伍知识水平参差不齐，教材内容系统性不足，以及教学方法简单拼接等问题。结论　中西医结合的结直肠外科教学模式能有效促进结直肠外科临床培训发展，提升教学效果。当前中西医教学的改进方向应聚焦于临床思维与整体观念的融合、多学科视角的病例讨论以及实际案例学习。

关键词:

中西医结合, 教学模式, 结直肠外科