2.1 Comparison of Student academic performance
The grades of 2015 and 2016 students who were conducted bedside teaching in the teaching base E both had higher scores in the senior year; the grades 2015 students in the teaching base C also showed a decline, while the grade 2016 students showed an increase; The junior grades all in the teaching base B showed an increase compared with the senior grades, but the value-added declined slightly, as shown in Table 1.
Table 1 Analysis of academic Performance points of clinical medical students of grade 2015 and 2016 in their junior and senior years
YEAR
|
Teaching base E
|
Teaching base C
|
Teaching base B
|
Class 1
|
Class 2
|
Class 3
|
Class 4
|
Class 5
|
Class 6
|
Grade 2015
|
Junior
|
82.94
|
81.58
|
81.33
|
81.44
|
82.83
|
82.76
|
Senior
|
82.87
|
81.57
|
81.18
|
81.33
|
82.50
|
83.70
|
Value-added
|
-0.07
|
-0.01
|
-0.15
|
-0.11
|
-0.33
|
0.94
|
YEAR
|
Class 3
|
Class 4
|
Class 1
|
Class 5
|
Grade 2016
|
Junior
|
81.04
|
81.91
|
81.16
|
80.72
|
Senior
|
80.19
|
81.19
|
81.33
|
80.90
|
Value-added
|
-0.85
|
-0.72
|
0.17
|
0.18
|
2.2 Correlation analysis of students' satisfaction with various indicators in the teaching clinical base
2.2.1 Professional theory level, professional operation skills, doctor-patient communication ability, self-professional identity
Compared with 2015 students, 2016 students' satisfaction with the four indicators of teaching base A, C and D all increased significantly, among which the increment of A and C was relatively obvious, while the increment of D was relatively small. However, the degree of satisfaction with teaching base B is in a declining state, with an obvious decreasing index and no increment.
2.2.2 Teaching facilities and sites, clinical diseases, learning opportunities, student management, and base accommodation environment
Compared with 2015 students, 2016 students' satisfaction with the 5 indicators of teaching base A, C and D has increased significantly, among which the increment of A and C is relatively obvious, while the increment of D is relatively small. However, the degree of satisfaction with teaching base B decreased, without increment. It can be seen that the teaching base A, C and D are constantly improving their teaching environment so as to better serve students. However, teaching base B shows a downward trend, which needs to be paid close attention to.
2.2.3 Teaching awareness, teaching methods, teaching attitude, teaching level of specialized courses, teacher feedback and assessment
Compared with 2015 students, 2016 students' satisfaction with the 5 indicators of teaching base A, C and D has increased significantly, among which teaching base A has a significant increase, followed by teaching base D and C. However, the satisfaction degree of teaching base B decreased, without increment. This indicates that teaching base A has adjusted its own teaching mode to make teaching closer to students' personal level and promote students' academic progress. On the contrary, the teaching mode of teaching base B needs to be adjusted urgently.
2.2.4 The help provided by college teachers, the contact and communication between college teachers and guidance teachers of bedside teaching units, the effect of the college's supervision on bedside teaching sites, the students' report on bedside teaching, and the degree of receiving college information unimpeded
Compared with 2015 students, 2016 students' satisfaction with the 5 indicators of teaching base A, C and D has increased significantly, among which the increment of A and C is relatively obvious, while the increment of D is relatively small. However, the satisfaction with five indicators of teaching base B decreased. It can be seen that teaching base A and C rebuilt their teacher-student feedback system, thus making students' satisfaction rise rapidly, while the teacher-student feedback system of teaching base B has been unable to meet the needs of students.
From the perspective of the overall satisfaction increment of each clinical teaching base, the increment of teaching base A and C is relatively obvious, followed by teaching base D, while the overall satisfaction with teaching base B has no increment. See Table 2, 3 and 4 for details.
Table 2 Satisfaction degree of 2015 clinical medical students with various indicators
Clinical teaching base
|
Teaching base A
|
Teaching base B
|
Teaching base C
|
Teaching base D
|
F
|
P
|
Professional theory level
|
3.70±1.33
|
4.40±0.74
|
3.78±0.82
|
4.09±0.81
|
2.36
|
0.075
|
Professional operation skills
|
3.65±1.34
|
4.40±0.74
|
3.71±0.84
|
4.00±0.87
|
2.47
|
0.66
|
Doctor-patient communication ability
|
3.70±1.33
|
4.47±0.74
|
3.78±0.82
|
4.00±0.82
|
2.54
|
0.06
|
Self-professional identity
|
3.74±1.36
|
4.40±0.74
|
3.86±0.82
|
4.14±0.71
|
2.02
|
0.116
|
Teaching facilities and sites
|
3.65±1.37
|
4.33±0.62
|
3.51±1.21
|
4.36±0.62
|
4.33
|
0.006
|
Clinical diseases
|
3.78±1.31
|
4.40±0.74
|
3.92±0.89
|
4.279±0.88
|
1.89
|
0.136
|
Learning opportunities
|
3.70±1.36
|
4.47±0.64
|
3.98±4.22
|
4.23±0.87
|
2.13
|
0.101
|
Student management
|
3.70±1.33
|
4.53±0.64
|
3.65±0.99
|
4.18±1.01
|
3.63
|
0.015
|
Base accommodation environment
|
3.52±1.34
|
4.60±0.51
|
2.78±1.33
|
4.32±0.95
|
13.99
|
0.000
|
Teaching awareness
|
3.78±1.31
|
4.67±0.62
|
4.22±0.82
|
4.00±0.98
|
2.88
|
0.04
|
Teaching methods
|
3.74±1.32
|
4.47±0.64
|
4.14±0.82
|
4.05±1.05
|
1.81
|
0.15
|
Teaching attitude
|
3.78±1.31
|
4.60±0.63
|
4.14±0.82
|
4.14±0.99
|
2.22
|
0.09
|
Teaching level of specialized courses
|
3.70±1.36
|
4.60±0.63
|
4.14±0.84
|
4.12±0.98
|
2.82
|
0.04
|
Teacher feedback and assessment
|
3.61±1.34
|
4.40±0.83
|
4.12±0.86
|
4.18±0.85
|
2.44
|
0.07
|
The help provided by college teachers
|
3.78±1.35
|
4.47±0.52
|
3.69±1.12
|
4.23±0.75
|
2.87
|
0.04
|
The contact and communication between college teachers and guidance teachers of bedside teaching units
|
3.74±1.36
|
4.40±0.51
|
3.65±1.11
|
4.23±0.75
|
2.95
|
0.04
|
The effect of the college's supervision on bedside teaching sites
|
3.78±1.35
|
4.47±0.52
|
3.71±1.08
|
4.27±0.70
|
3.07
|
0.03
|
The students' report on bedside teaching
|
3.74±1.39
|
4.33±0.62
|
3.76±0.99
|
3.94±1.02
|
2.45
|
0.07
|
The degree of receiving college information
|
3.57±1.34
|
4.47±0.52
|
3.69±1.06
|
4.27±0.70
|
4.05
|
0.01
|
Table 3 Satisfaction degree of 2016 clinical medical students with various indicators
Clinical teaching base
|
Teaching base A
|
Teaching base B
|
Teaching base C
|
Teaching base D
|
F
|
P
|
Professional theory level
|
4.69±0.62
|
3.68±0.89
|
4.58±0.87
|
4.20±0.89
|
6.62
|
0.000
|
Professional operation skills
|
4.69±0.62
|
3.82±0.91
|
4.47±1.06
|
4.35±0.88
|
3.97
|
0.005
|
Doctor-patient communication ability
|
4.65±0.75
|
3.91±0.87
|
4.53±1.03
|
4.30±0.86
|
3.03
|
0.021
|
Self-professional identity
|
4.77±0.52
|
3.45±1.01
|
4.64±0.83
|
4.35±0.86
|
10.54
|
0.000
|
Teaching facilities and sites
|
4.85±0.46
|
3.68±0.89
|
4.58±0.97
|
4.40±1.05
|
6.11
|
0.000
|
Clinical diseases
|
4.84±0.37
|
3.82±0.91
|
4.47±1.18
|
4.40±0.75
|
4.08
|
0.004
|
Learning opportunities
|
4.92±0.27
|
3.90±0.87
|
4.47±1.18
|
4.35±0.81
|
4.64
|
0.002
|
Student management
|
4.77±0.82
|
3.45±1.04
|
4.56±1.08
|
4.35±1.04
|
6.69
|
0.000
|
Base accommodation environment
|
4.58±0.90
|
4.14±0.89
|
4.39±0.99
|
4.45±1.05
|
3.70
|
0.007
|
Teaching awareness
|
4.77±0.82
|
3.86±0.77
|
4.47±1.11
|
4.50±0.76
|
3.11
|
0.018
|
Teaching methods
|
4.66±0.89
|
3.91±0.75
|
4.47±1.11
|
4.55±0.60
|
2.48
|
0.049
|
Teaching attitude
|
4.69±0.88
|
4.05±0.72
|
4.56±1.00
|
4.55±0.60
|
2.19
|
0.075
|
Teaching level of specialized courses
|
4.54±0.95
|
3.90±0.87
|
4.44±1.18
|
4.40±0.68
|
1.54
|
0.197
|
Teacher feedback and assessment
|
4.77±0.82
|
3.86±0.99
|
4.47±1.16
|
4.45±0.69
|
2.80
|
0.03
|
The help provided by college teachers
|
4.81±0.49
|
4.18±0.85
|
4.64±0.72
|
4.45±0.83
|
4.46
|
0.02
|
The contact and communication between college teachers and guidance teachers of bedside teaching units
|
4.85±0.46
|
4.09±0.87
|
4.67±0.68
|
4.45±0.76
|
4.87
|
0.01
|
The effect of the college's supervision on bedside teaching sites
|
4.85±0.46
|
4.14±0.89
|
4.72±0.61
|
4.40±0.82
|
6.93
|
0.000
|
The students' report on bedside teaching
|
4.85±0.46
|
4.09±0.92
|
4.69±0.62
|
4.40±0.82
|
4.98
|
0.001
|
The degree of receiving college information
|
4.77±0.82
|
4.09±0.92
|
4.69±0.62
|
4.40±0.82
|
4.03
|
0.004
|
Table 4 Incremental analysis of satisfaction of each clinical teaching base
Clinical teaching base
|
Teaching base A
|
Teaching base B
|
Teaching base C
|
Teaching base D
|
Professional theory level
|
0.99
|
-0.72
|
0.8
|
0.11
|
Professional operation skills
|
1.04
|
-0.58
|
0.76
|
0.35
|
Doctor-patient communication ability
|
0.95
|
-0.56
|
0.75
|
0.3
|
Self-professional identity
|
1.03
|
-0.95
|
0.78
|
0.21
|
Teaching facilities and sites
|
1.2
|
-0.65
|
1.07
|
0.04
|
Clinical diseases
|
1.06
|
-0.58
|
0.55
|
0.12
|
Learning opportunities
|
1.22
|
-0.57
|
0.49
|
0.12
|
Student management
|
1.07
|
-1.08
|
0.91
|
0.17
|
Base accommodation environment
|
1.06
|
-0.46
|
1.61
|
0.13
|
Teaching awareness
|
0.99
|
-0.81
|
0.25
|
0.5
|
Teaching methods
|
0.92
|
-0.56
|
0.33
|
0.5
|
Teaching attitude
|
0.91
|
-0.55
|
0.42
|
0.41
|
Teaching level of specialized courses
|
0.84
|
-0.7
|
0.3
|
0.28
|
Teacher feedback and assessment
|
1.16
|
-0.54
|
0.35
|
0.27
|
The help provided by college teachers
|
1.03
|
-0.29
|
0.95
|
0.22
|
The contact and communication between college teachers and guidance teachers of bedside teaching units
|
1.11
|
-0.31
|
1.02
|
0.22
|
The effect of the college's supervision on bedside teaching sites
|
1.07
|
-0.33
|
1.01
|
0.13
|
The students' report on bedside teaching
|
1.11
|
-0.24
|
0.93
|
0.46
|
The degree of receiving college information
|
1.2
|
-0.38
|
1
|
0.13
|
The Value-added of overall satisfaction
|
1.05
|
-0.57
|
0.75
|
0.24
|
Questionnaire :
First index
|
Second index
|
Tertiary Index
|
Evaluation of teaching base
|
Teaching environment of the base
|
Question 1. Satisfaction with teaching facilities and sites
|
Question 2. Satisfaction with clinical diseases
|
Question 3. Satisfaction with learning opportunities
|
Question 4. Satisfaction with student management
|
Question 5. Satisfaction with base accommodation environment
|
Teacher's teaching
|
Question 6. Satisfaction with teaching consciousness
|
Question 7. Satisfaction with teaching methods
|
Question 8. Satisfaction with teaching attitude
|
Question 9. Satisfaction with the teaching level of professional courses
|
Question 10. Satisfaction with teachers' feedback and assessment
|
Information feedback system for teachers and students
|
Question 11. Satisfaction with the help provided by college teachers
|
Question 12. Satisfaction with the contact and communication between college teachers and the instructor of bedside teaching unit
|
Question 13. Satisfaction with the effect of the college's supervision on bedside teaching sites
|
Question 14. Satisfaction with the students' report on bedside teaching
|
Question 15. Satisfaction with the patency of receiving college information
|
Student self-Evaluation
|
Student's own ability
|
Question 16. Satisfaction with professional theory level
|
Question 17. Satisfaction with professional operation skills
|
Question 18. Satisfaction with doctor-patient communication skills
|
Question 19. Satisfaction with self-professional identity
|
Student satisfaction survey of bedside teaching base of the second clinical medicine school of Zhejiang Chinese Medicine University