【摘要】 目的 探讨案例整合情景模拟教学模式应用于急性上消化道出血见习教学的教学成效。方法 选取广州医科大学临床医学(南山班)2021级40名医学生为研究对象，随机分为两组，其中22名为实验组，采用案例整合情景模教学模式；另18名同学为对照组，采用传统床旁见习教学模式。教学内容为急性非静脉曲张性上消化道出血。结果 实验组和对照组消化内科学总得分无统计学差异(P>0.05),涉及消化道出血相关内容的得分情况实验组得分明显优于对照组，两组间有统计学意义(P<0.05)。在课后满意度调查中，大部分实验组同学对新教学模式满意度较高并积极参与。结论 案例整合情景模拟教学模式在激发学习兴趣、培养医学职业素养、活跃课堂气氛等方面明显优于传统床边教学模式，适于消化内科的实践教学，可作为医学本科见习的常规教学方法进行推广及使用。更多还原

【Abstract】 Objective To explore the teaching effect of case-integrated scenario simulation instruction model on probationary instruction of acute upper gastrointestinal bleeding. Methods A total of 40 medical students of grade 2021 majoring in clinical medicine, namely, Nanshan Class, from Guangzhou Medical University were selected as participants. The students were randomly divided into two groups, with 22 as an experimental group and 18 as a control group. The former group received the case-integrated based scenario simulation teaching model, while the latter adopted the traditional bedside teaching model. The teaching content was on acute non-variceal upper gastrointestinal bleeding. Results There was no statistically significant difference in the total score of gastroenterology between the experimental group and the control group(P>0.05). The experimental group scored significantly higher in the gastrointestinal bleeding-related contents compared to the control group(P<0.05). The post-class survey revealed that the majority of the students in the research group expressed their high-level satisfaction with the new instruction model and demonstrated their greater interests in participation in the new instruction model. Conclusion The case-integrated scenario simulation instruction model demonstrates significant superiority to the traditional bedside teaching model in terms of stimulating learning interests, cultivating medical professionalism, and enlivening classroom atmosphere. It is suitable for practical teaching in gastroenterology and can be widely adopted as routine probationary teaching for undergraduate students.更多还原