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目的:探讨小规模限制性在线课程(small private online course,SPOC)教学模式在胸外科临床实习教学中的应用效果。方法:选取2018年5至7月在本科室实习的56名本科生为研究对象;随机分为实验组和对照组,在实习教学中分别采用SPOC教学模式与传统教学模式;通过调查问卷和笔试考核对教学效果进行评价。用SPSS 22.0统计软件进行统计分析,组间比较采用独立样本n t检验,计数资料采用卡方检验。n 结果:调查问卷显示,实验组的6项教学效果评价指标均高于对照组(n P<0.01);笔试考核方面,实验组的平均成绩明显高于对照组,差异均有统计学意义(n P<0.05)。n 结论:SPOC教学模式能够提高胸外科临床实习的教学效果,较好地提升学生的自主学习能力。“,”Objective:To explore the application effect of small private online course (SPOC) teaching mode in clinical practice teaching of thoracic surgery.Methods:A total of 56 undergraduate students who were internships from May to July 2018 were selected as subjects. They were randomly divided into experimental group and control group. SPOC teaching mode and traditional teaching mode were respectively adopted in the practice teaching, and the teaching effect was evaluated by questionnaires and written examinations. SPSS 22.0 was used for statistical analysis, n ttest for independent-sample test, and chi-square test for counting data. There were significant differences when n P<0.05.n Results:The questionnaire showed that the six teaching effect evaluation indicators of the experimental group were higher than those of the control group (n P<0.01). In terms of written test assessment, the average score of the experimental group was significantly higher than that of the control group, with significant differences (n P<0.05).n Conclusion:The SPOC teaching mode can improve the teaching effect of clinical practice in thoracic surgery and improve students' self-learning ability.