临床核医学课程中科研创新与伦理教育的教学设计与实践研究

Research on teaching design and practice of scientific research innovation and ethical education in clinical nuclear medicine course

  • 摘要:
    目的 构建科研创新与伦理教育融合的教学方案,培养兼具双核心能力的核医学人才。
    方法 采用“课例渗透-案例实践-综合评估”的三阶教学路径,构建科研创新与伦理教育融合的教学方案。采用单组前后对照的干预性研究设计,通过自制量表开展问卷调查,分别于2024年和2025年5月(课前1周)、2024年和2025年6月(结课后1周),借助问卷星平台对北京大学国际医院2021级和2022级39名本科生(男性17名、女性22名,年龄范围20~22岁)进行线上问卷调研。对教学方案实施前后的调研数据,采用配对卡方检验和配对样本Wilcoxon符号秩和检验进行统计分析。
    结果 教学后,学生对受试者保护核心文件的知晓率从46.2%(18/39)升至84.6%(33/39)(χ2=2.000,P=0.001);临床研究风险认知评分由1.0(0.0, 2.0)分升至2.0(1.0, 2.0)分;受试者知情同意保障评分由1.0(1.0, 2.0)分升至2.0(2.0, 3.0)分,2项指标的差异均有统计学意义(Z=2.041、2.508,均P<0.05)。医学伦理认知评分由1.0(1.0, 2.0)分升至1.5(1.0, 2.0)分,受试者伤害处置评分由1.0(1.0, 2.0)分升至2.0(1.0, 2.0)分,但差异均无统计学意义(Z=1.732、1.823,均P>0.05)。教学后,学生对医学人文与原则文件关联认知为了解和(或)熟悉的比例从28.2%(11/39)升至71.8%(28/39),差异有统计学意义(χ2=16.667,P=0.011);对医学人文与科研设计结合认知为了解和(或)熟悉的比例从23.1%(9/39)升至53.8%(21/39),但差异无统计学意义(χ2=10.345,P=0.056)。
    结论 该教学方案能有效提升学生科研创新与伦理素养,可为核医学及同类学科融合教学和人才培养提供新思路。

     

    Abstract:
    Objective  To establish a teaching framework integrating scientific research innovation and ethical education, and develop nuclear medicine talents possessing dual-core competencies.
    Methods  A three-stage teaching pathway of "lesson case infiltration-case practice-comprehensive evaluation" was adopted to provide a teaching framework integrating scientific research innovation and ethical education. A one-group pre-post controlled interventional study design was used. Self-designed questionnaires were administered online using the Wenjuanxing platform to 39 undergraduate students (17 males and 22 females, aged 20–22 years) from the 2021 and 2022 cohorts at Peking University International Hospital, one week before the course (May 2024 and May 2025) and one week after the course (June 2024 and June 2025). Paired chi-square test and paired-sample Wilcoxon signed-rank test were used for the statistical analysis of data collected before and after the teaching intervention.
    Results  After the teaching intervention, the awareness rate of subject protection core documents increased from 46.2% (18/39) to 84.6% (33/39) (χ2=2.000, P=0.001). The median score for clinical research risk perception increased from 1.0 (0.0, 2.0) point to 2.0 (1.0, 2.0) points, and the median score for protection of subject informed consent increased from 1.0 (1.0, 2.0) point to 2.0 (2.0, 3.0) points; the differences for both indicators were statistically significant (Z=2.041, 2.508; both P<0.05). The median score for medical ethical cognition increased from 1.0 (1.0, 2.0) point to 1.5 (1.0, 2.0) points, and the median score for management of subject injury increased from 1.0 (1.0, 2.0) points to 2.0 (1.0, 2.0) points; however, these differences were not statistically significant (Z=1.732, 1.823; both P>0.05). After the teaching intervention, the proportion of students who reported "understanding and/or familiarity" with the association between medical humanities and principle documents increased from 28.2% (11/39) to 71.8% (28/39), exhibiting a statistically significant difference (χ2=16.667, P=0.011). The proportion of students who reported "understanding and/or familiarity" with the integration of medical humanities and research design increased from 23.1% (9/39) to 53.8% (21/39), but the difference was not statistically significant (χ2=10.345, P=0.056).
    Conclusion  This teaching framework can effectively improve students′ scientific research innovation and ethical literacy, potentially offering novel ideas for integrated teaching and talent cultivation in nuclear medicine and similar disciplines.

     

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