Objective

2

To explore the value of symptom-oriented clinical lateral thinking training in gynecology internship teaching.

Methods

2

We enrolled a total of 166 medical students of the five-year program of grades 2017 and 2018 who would participate in internships at the First Department of Gynecology of Renmin Hospital of Wuhan University. They were randomly divided into experimental group and control group

with 43 students of grade 2017 and 37 students of grade 2018 in the experimental group and 46 students of grade 2017 and 40 students of grade 2018 in the control group. The experimental group was taught using a symptom-oriented clinical lateral thinking training mode

and the control group was taught using a traditional teaching mode. At the end of the internship

the teaching quality was evaluated by means of an exam and satisfaction survey. The data were analyzed using the

t

test with the use of SPSS 24.0.

Results

2

For both grades 2017 and 2018

the two groups had similar scores of theoretical knowledge

but the experimental group had significantly higher scores of medical history taking

physical examination

and medical record analysis compared with the control group (

P

<

0.05); for example

among students of grade 2017

the score of medical record analysis was (37.34±1.08) in the experimental group and (32.18±1.32) in the control group. The experimental group had significantly higher degrees of satisfaction than the control group in terms of doctor-patient communication ability

effective information acquisition ability

clinical case analysis ability

self-learning ability

literature search and review ability

team cooperation ability

and learning interest motivation (all

P

<

0.05).

Conclusions

2

The symptom-oriented clinical lateral thinking training mode can help students master the diagnosis and treatment principles of gynecological diseases

improve their abilities of clinical analysis

doctor-patient communication

effective information acquisition

self-learning

and literature search and review

and motivate their interest in learning.