Evaluation of the effectiveness of simulation-based teaching using standardized patient cases in obstetrics and gynecology internship training

Wei Pu; Wang Tingting; Zhu Libo; Zhang Wei

doi:10.3760/cma.j.cn116021-20250119-02102

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Evaluation of the effectiveness of simulation-based teaching using standardized patient cases in obstetrics and gynecology internship training

Medical Simulation Education | 更新时间：2025-09-22

- Evaluation of the effectiveness of simulation-based teaching using standardized patient cases in obstetrics and gynecology internship training
- Chinese Journal of Medical Education Research Vol. 24, Issue 9, Pages: 1177-1180(2025)
- 作者机构：
  
  西湖大学医学院附属杭州市第一人民医院产科，杭州 310000
- 作者简介：
  
  Zhang Wei, Email: zhangwei_hz1983@163.com
- 基金信息：
  
  The 2023 Teaching Construction and Reform Registration Project of the Affiliated Hospitals (Clinical Medical College and Dental Medical College) of Hangzhou Normal University Division of Health Sciences(FSYYJG202314)
- DOI：10.3760/cma.j.cn116021-20250119-02102
  CLC： R71/G712
- Received：19 January 2025，
  
  Published：20 September 2025
- 稿件说明：
移动端阅览
魏璞, 王婷婷, 朱立波, 等. 基于标准化病人案例的模拟教学应用于妇产科实习教学的效果评价[J]. 中华医学教育探索杂志, 2025, 24(9): 1177-1180.

Wei Pu, Wang Tingting, Zhu Libo, et al. Evaluation of the effectiveness of simulation-based teaching using standardized patient cases in obstetrics and gynecology internship training[J]. Chinese journal of medical education research, 2025, 24(9): 1177-1180.
魏璞, 王婷婷, 朱立波, 等. 基于标准化病人案例的模拟教学应用于妇产科实习教学的效果评价[J]. 中华医学教育探索杂志, 2025, 24(9): 1177-1180. DOI： 10.3760/cma.j.cn116021-20250119-02102.

Wei Pu, Wang Tingting, Zhu Libo, et al. Evaluation of the effectiveness of simulation-based teaching using standardized patient cases in obstetrics and gynecology internship training[J]. Chinese journal of medical education research, 2025, 24(9): 1177-1180. DOI： 10.3760/cma.j.cn116021-20250119-02102.

摘要

目的

探索将标准化病人案例与模拟教学相结合应用于妇产科实习教学中的效果，并对其进行评价。

方法

本研究以2022年1月至2023年12月在杭州市第一人民医院妇产科实习的60名实习生作为研究对象，通过随机数字表法分为对照组（单纯模拟器训练）和试验组（标准化病人模拟接诊联合模拟训练），进行7个技能项目的模拟教学。课程结束后进行考核与问卷调研。对2组的技能考核评分、职业素养及学习自评进行比较。

结果

在接生[（90.50±5.51） vs. （84.90±5.30）

]

、Ⅰ° 会阴裂伤缝合[（91.98±6.87） vs. （84.18±10.24）

]

、人流术[（90.43±6.79） vs. （84.10±5.36）

]

、诊断性刮宫[（92.57±8.19） vs. （85.80±8.61）

]

的技能考核中，试验组的均分高于对照组（

0.05）。试验组在表现同理心[53.33%（16/30） vs. 23.33%（7/30），

0.05

]

和注重医患沟通[96.67%（29/30） vs. 46.67%（14/30），

0.01

]

方面的评分也更高。此外，试验组在课程满意度[（9.48±0.50） vs. （9.02±0.45）

]

、训练表现自评[（9.17±0.35） vs. （8.65±0.27）

]

、投入感评价[（9.62±0.43） vs. （8.43±1.21）

]

及学习收获感[（9.53±0.87） vs. （8.88±1.02）

]

上的评分同样高于对照组。

结论

基于标准化病人案例的模拟教学相较于单纯的模拟教学，有助于提升复杂度高、综合性强的技能项目的学习效果，并有助于职业素养的提升。

Abstract

Objective

To explore and evaluate the effectiveness of integrating standardized patient cases with simulation-based teaching in internship teaching in the department of obstetrics and gynecology.

Methods

This study enrolled 60 interns from the Department of Obstetrics and Gynecology at Hangzhou First People's Hospital between January 2022 and December 2023. Participants were randomly assigned using a random number table into a control group (simulator training) and an experimental group (simulated standardized patient consultation integrated with simulation training). Simulation-based teaching was performed for seven skill modules. After training

participants underwent both skill assessments and questionnaire surveys. Skill assessment scores

professional competencies

and self-evaluation outcomes were compared between the two groups.

Results

In skill assessments for delivery [(90.50±5.51) vs. (84.90±5.30)

]

I° perineal laceration repair [(91.98±6.87) vs. (84.18±10.24)

]

abortion[(90.43±6.79) vs. (84.10±5.36)

]

and diagnostic curettage [(92.57±8.19) vs. (85.80±8.61)

]

the experimental group scored significantly higher than the control group (

0.05). The experimental group showed higher

scores in demonstrating empathy [53.33% (16/30) vs. 23.33% (7/30)

0.05

]

and prioritizing doctor-patient communication [96.67% (29/30) vs. 46.67% (14/30)

0.01

]

. Additionally

the experimental group reported higher scores in course satisfaction [(9.48±0.50) vs. (9.02±0.45)

]

performance self-assessment [(9.17±0.35) vs. (8.65±0.27)

]

engagement during simulation-based training [(9.62±0.43) vs. (8.43±1.21)

]

and learning gains [(9.53±0.87) vs. (8.88±1.02)

]

Conclusions

Compared to simulation-based teaching alone

the integration of standardized patient cases can improve learning outcomes for complex and comprehensive skill modules and contribute to the development of professional competencies.

关键词

Keywords

references

王佳，张文文，孙聪聪，等 . 妇产科专业学位研究生培养模式现状及思考 [J ] . 中华医学教育探索杂志， 2021 ， 20 （ 7 ）： 757 - 759 . DOI: 10.3760/cma.j.cn116021-20191203-00537 http://dx.doi.org/10.3760/cma.j.cn116021-20191203-00537 .

Sheen JJ , Goffman D , Deering S . Simulation in obstetric emergencies [J ] . Obstet Gynecol Clin North Am , 2022 , 49 ( 3 ): 637 - 646 . DOI: 10.1016/j.ogc.2022.04.005 http://dx.doi.org/10.1016/j.ogc.2022.04.005 .

Dillon S . Simulation in obstetrics and gynecology: a review of the past, present, and future [J ] . Obstet Gynecol Clin North Am , 2021 , 48 ( 4 ): 689 - 703 . DOI: 10.1016/j.ogc.2021.07.003 http://dx.doi.org/10.1016/j.ogc.2021.07.003 .

Flanagan OL , Cummings KM . Standardized patients in medical education: a review of the literature [J ] . Cureus , 2023 , 15 ( 7 ): e42027 . DOI: 10.7759/cureus.42027 http://dx.doi.org/10.7759/cureus.42027 .

龚琳，李波，代莉，等 . 探究式小班化结合教师模拟标准化病人在妇产科教学中的应用研究 [J ] . 中国高等医学教育， 2025 （ 1 ）： 95 - 97 . DOI: 10.3969/j.issn.1002-1701.2025.01.033 http://dx.doi.org/10.3969/j.issn.1002-1701.2025.01.033 .

Greer JA , Lutgendorf MA , Ennen CS , et al . Obstetric simulation training and teamwork: immediate impact on knowledge, teamwork, and adherence to hemorrhage protocols [J ] . Simul Healthc , 2023 , 18 ( 1 ): 32 - 41 . DOI: 10.1097/SIH.0000000000000641 http://dx.doi.org/10.1097/SIH.0000000000000641 .

Frenken MWE , de Wit-Zuurendonk LD , Easter SR , et al . Simulation-based training of vaginal twin delivery for experienced gynaecologists: Useful or not? [J ] . Eur J Obstet Gynecol Reprod Biol , 2020 , 251 : 89 - 97 . DOI: 10.1016/j.ejogrb.2020.05.020 http://dx.doi.org/10.1016/j.ejogrb.2020.05.020 .

Xia Y , Chen Q , Zeng L , et al . Factors associated with the patient privacy protection behaviours of nursing interns in China: a cross-sectional study [J ] . Nurse Educ Pract , 2022 , 65 : 103479 . DOI: 10.1016/j.nepr.2022.103479 http://dx.doi.org/10.1016/j.nepr.2022.103479 .

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