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目的 将“启发式”教学查房应用于心血管内科疾病,观察其应用效果,探索适合培养住院医师规范化培训学员(以下简称“住培医师”)的最佳教学方法。方法 ①应用访谈法对指导老师、住培医师、上级医生、护理人员针对教学查房的准备、实施过程、预期达到的目标及效果分别进行访谈。②应用自制调查问卷1份,对56名参加教学查房的住培医师进行调查,统计各选项例数,并计算其所占比例。结果 试验组住培医师对指导老师对病情的熟悉程度、指导培训对象人文关怀、查体、分析辅助检查、书写病历、总结病例特点、诊断、鉴别诊断、做出诊疗计划、提问方式、讲解疑难问题和新进展、小结学习内容的满意度明显高于对照组;试验组住培医师认为教学查房对沟通、病史采集技巧、检查手法、临床思维、学习兴趣和效率、知识的理解和记忆力、分析解决问题的能力、团队协作能力的提高的满意度明显高于对照组,P<0.05。结论 “启发式”教学查房重视课前准备、课后小结,注重住培医师主动参与,融入人文关怀与沟通技巧,重视团队协作,充分发挥住培医师能动性,保证高效学习
Object The heuristic teaching ward was applied to cardiovascular diseases
we observed the application effect
in order to explore the best teaching methods suitable for training residents in standardized training.Method ①Interview method was used to interview the instructors
resident physicians
doctors and nurses in preparation for teaching ward rounds
the implementation process
the expected goals and effects.②One self-made questionnaire was used to investigate 56 resident doctors who participated in teaching ward rounds and counted the number of each option and calculated their proportion.Result The familiarity of the instructor on the condition
guiding the training of humanistic care
physical examination
analysis of auxiliary examination
writing medical records
summarizing the characteristics of cases
diagnosis
differential diagnosis
diagnosis and treatment plan to make
questions
explain difficult problems and new progress
summary content satisfaction of the experimental group were significantly higher than the control group;In the experimental group
the teaching ward rounds of communication
history acquisition techniques
examination techniques
clinical thinking
learning interests and efficiency
knowledge of understanding and memory
analysis of the ability to solve problems
improvement of team collaboration were significantly higher than the satisfaction Control group
P<0.05.Conclusion The heuristic teaching ward attached great importance to preparation before and after class
paid attention to resident physicians take the initiative to participate
integrated humanistic care and communication skills
valued teamwork
gave full play to the resident physicians motivation
and ensured efficient learning.
启发式教学查房住培医师
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