As the main course of clinical medicine, obstetrics and gynecology is an inseparable part of clinical medical education. However, due to its professional content and some abstract content, students are prone to boredom in the learning process. Moreover, obstetrics and gynecology involves female reproductive organs and faces all female patients. Compared with other disciplines, it is obvious that boys are often in a passive position in the study of obstetrics and gynecology, and it is difficult to achieve satisfactory teaching results. How to make boys learn obstetrics and gynecology well is a problem worth discussing. Related research is introduced as follows.
1 Problems in the teaching of obstetrics and gynecology for boys
1. 1 Boys are not enthusiastic about learning.
Due to the particularity of obstetrics and gynecology, the number of male doctors engaged in obstetrics and gynecology in clinical work is small, and most boys have no plans to engage in obstetrics and gynecology after graduation. Therefore, it is meaningless to learn obstetrics and gynecology well. It is better to spend more time studying other subjects. Some boys think that male doctors in obstetrics and gynecology will have a lot of inconvenience in their work, which may be rejected by patients and not accepted by patients, which is not conducive to their future development, thus causing rejection of studying obstetrics and gynecology. When boys and girls study obstetrics and gynecology together, due to gender differences, some boys worry that their positive attitude in obstetrics and gynecology study will be teased by their classmates, which will lead to resistance.
1.2 Teachers don't pay enough attention to it.
In the teaching process of obstetrics and gynecology, girls' learning interest, initiative and enthusiasm are obviously stronger than boys'. Teachers generally think that boys are unlikely to engage in obstetrics and gynecology, so they pay more attention to the guidance of girls and their learning effect. Affected by the increasingly tense doctor-patient relationship, some clinical teaching teachers consciously reduce the opportunities for boys to operate in order to reduce the contradiction between doctors and patients, avoid medical disputes, and even some teachers are afraid that boys will affect the number of outpatient visits and are unwilling to teach, which has dampened the learning enthusiasm of boys.
1.3 The patient's cooperation degree is low.
Gynecological examination and operation involve female reproductive organs. Affected by traditional ideas, patients are generally unwilling to see male obstetricians, and even more unwilling to cooperate with male interns for clinical diagnosis and treatment. In addition, because students lack the ability and skills of doctor-patient communication, they often can't get the trust of patients, and patients will feel that they are "mice", so they are very resistant to interns, especially boys, and even refuse to observe teaching.
2 Countermeasures to improve the teaching quality of boys in obstetrics and gynecology
2. 1 Change the concept and clarify the importance of learning obstetrics and gynecology well.
2. 1. 1 It is the basis for boys to learn obstetrics and gynecology well to let students establish correct learning concepts. Although obstetrics and gynecology mainly involves the female reproductive system, it is inseparable from the whole human body. The human body is a complex whole, and organs and systems are interrelated and influence each other. There are close business contacts between clinical departments. No matter which department you become a doctor after graduation, you may face female patients. Therefore, male doctors are required to have comprehensive knowledge, including solid knowledge of obstetrics and gynecology, in order to correctly diagnose, identify and treat diseases, otherwise it will easily lead to misdiagnosis, mistreatment and even medical accidents, and the main employment direction of medical students at the specialist level is primary health care. In addition, obstetrics and gynecology is surgery. As far as physical conditions are concerned, male doctors are superior to female doctors in psychology, physical strength and practical ability, so male doctors in obstetrics and gynecology have better development prospects than female doctors. In the United States, 94% of obstetricians and gynecologists are men. At present, the top obstetricians and gynecologists in China are basically men, such as Cao Zeyi and Lang Jing. Although he is male, he has made remarkable achievements in the field of obstetrics and gynecology. Learning obstetrics and gynecology well is not only to cope with exams, but to better serve clinical work in the future. With the correct learning concept, boys will eliminate negative and conflicting emotions when studying obstetrics and gynecology, and will not be afraid of rejection, and change passive learning into active learning.
2. 1.2 Improving teachers' attention to the teaching of obstetrics and gynecology for boys is the guarantee for boys to learn obstetrics and gynecology well. According to the needs of future medical development in China, the society needs more general practitioners than specialists, and each doctor's specialty may cross other disciplines. Teachers should establish the concept of general practice, attach importance to the teaching quality of obstetrics and gynecology for boys, and correctly guide boys to learn obstetrics and gynecology knowledge. In the process of clinical teaching, it is necessary to improve teaching consciousness, actively communicate with patients and obtain their cooperation. For patients who do not cooperate with students' examination, it is necessary to explain to patients that the doctor's duty is to save lives, let patients eliminate unnecessary worries, cooperate with the examination, provide students with opportunities for clinical operation, improve students' interest and enthusiasm in learning, and exercise their practical ability.
2.2 Stimulate interest and fully mobilize boys' interest in learning.
Interest is the best teacher. Psychology points out that interest, as an active psychological factor in the internal driving system, promotes learning. Stimulating and maintaining boys' intrinsic learning motivation is the most important link to arouse boys' interest in learning. Different teaching methods are adopted according to different teaching contents to cultivate students' interest in learning and fully mobilize boys' enthusiasm for learning.
2.2. 1 Multimedia teaching Multimedia teaching is the main teaching method of obstetrics and gynecology theory teaching at present. Multimedia can integrate words, pictures, animations, sounds and videos, making abstract knowledge vivid, intuitive, vivid and easy to understand. For example, a simple description of normal delivery will make students feel abstract, boring and difficult to understand. Through multimedia teaching, after the corresponding words appear, students are shown pictures of the parturient holding their breath, holding the crown and rotating the fetal head in turn, and then the pictures of the fetus delivered are played with the teacher's explanation. From static to dynamic, the abstract teaching content is vividly presented to students, which greatly stimulates boys' enthusiasm for learning and fully mobilizes boys' classroom participation and interest in learning.
2.2.2 Model demonstration method uses models to demonstrate processes that cannot be directly observed in the body, which helps students understand knowledge. The delivery mechanism has always been a difficult point in obstetrics teaching, because the movements such as descent, flexion and pronation all occur in the pelvic cavity, which is difficult for students to see and understand. Teachers can use the full-term fetal model and female pelvic model to demonstrate the mechanism of occipital left anterior delivery in class, so that students can clearly see the movement of the fetus in the pelvic cavity. After class, they can use the model to repeatedly operate by themselves, so as to learn about other common ones. Hu Lingyu and other studies also show that the use of simulation model has played a very positive role in improving the teaching quality of obstetrics and gynecology for boys.
2.2.3 Simulation teaching method uses the characteristics that the shape, size and texture of the simulation model are similar to those of a real person to teach the basic clinical skills of obstetrics and gynecology, such as palpation of the four parts of the abdomen, pelvic measurement, pelvic examination, induced abortion, and ring removal. Before the students enter the clinical obstetrics and gynecology training room, then the students practice repeatedly on the model, and the teacher corrects the mistakes in time during the practice until the students master the operation steps and skills skillfully. With the accumulation of model operation experience, students will be full of confidence when facing pregnant women and patients.
2.2.4 Case teaching method puts the case into the preset situation, so that students have the feeling of being there, and make use of boys' strong curiosity, so that they can participate in the teaching with curiosity and questions, taking the case as the main line. For example, early pregnancy bleeding, the diseases considered are abortion, ectopic pregnancy, hydatidiform mole and so on. Combining with the medical history data provided, we can draw our own conclusions and put forward the treatment plan, which not only mobilizes students' learning enthusiasm, but also consolidates theoretical knowledge, improves the ability of analyzing and solving problems, and then improves the teaching quality.
2.3 improve their own quality and make good use of communication skills.
Teachers should establish a good image of doctors in the teaching process, be calm and confident in front of patients, communicate well with patients, and show good medical ethics in their own diagnosis and treatment process, so that students are subtly influenced. In the clinical teaching of obstetrics and gynecology, the patient's uncooperative is often the main difficulty for boys. Only when the patient is willing to accept the operation of the boy's diagnosis and treatment, the boy has the opportunity to have the operation. This requires boys to contact and understand patients more, eliminate shyness in front of patients, apply some communication skills, improve their communication skills with patients, actively strive for patients' understanding and cooperation, and refuse to give up learning opportunities easily after being rejected by patients for a period of time, treat patients with friendly understanding, be considerate of patients, and be familiar with patients.
To sum up, there are many problems and difficulties in the teaching of obstetrics and gynecology for male students. We should change our ideas from teaching practice and fully realize the importance of boys studying obstetrics and gynecology. Teachers should correctly guide boys, adopt flexible and diverse teaching methods, improve boys' interest and enthusiasm in learning knowledge and skills of obstetrics and gynecology, strive to improve the quality of obstetrics and gynecology teaching, and cultivate more male medical talents with high comprehensive quality and strong practical ability for the country and society.
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