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西安交通大学第一附属医院儿科,西安 710061
史瑞明,Email: srm1975@sohu.com
纸质出版日期:2023-08-20,
收稿日期:2021-07-01,
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高文娟, 曹晓琴, 张渊源, 等. 教师标准化病人问诊培训在儿科实习教学中的效果评价[J]. 中华医学教育探索杂志, 2023, 22(8): 1206-1210.
Gao Wenjuan, Cao Xiaoqin, Zhang Yuanyuan, et al. Evaluation on the effect of teacher simulate standardized patient consultation training in pediatric practical teaching[J]. Chinese Journal of Medical Education Research, 2023,22(8):1206-1210.
高文娟, 曹晓琴, 张渊源, 等. 教师标准化病人问诊培训在儿科实习教学中的效果评价[J]. 中华医学教育探索杂志, 2023, 22(8): 1206-1210. DOI: 10.3760/cma.j.cn116021-20210701-01386.
Gao Wenjuan, Cao Xiaoqin, Zhang Yuanyuan, et al. Evaluation on the effect of teacher simulate standardized patient consultation training in pediatric practical teaching[J]. Chinese Journal of Medical Education Research, 2023,22(8):1206-1210. DOI: 10.3760/cma.j.cn116021-20210701-01386.
目的
2
评价教师标准化病人(teacher simulate standardized patient,TSSP)问诊培训在儿科实习教学中的效果。
方法
2
以2015级五年制临床医学专业的120名实习生为研究对象,分为试验组和对照组。试验组60名实习生入科后采用TSSP进行问诊培训,培训后对临床的患儿家长进行问诊并在教师指导下对患儿进行体格检查。对照组60名实习生按照同样要求实习,但不包括TSSP问诊培训。实习结束时对实习生的平时成绩、操作技能、病历书写能力进行对比,并对试验组进行满意度调查。采用SPSS 25.0软件进行
t
检验和卡方检验。
结果
2
试验组的病历书写成绩为(96.15±3.00)分,高于对照组的(81.02±3.29)分,差异有统计学意义(
t
=26.38;
P
<
0.001)。迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)中病史采集、沟通技巧与人文关怀、体格检查得分均高于对照组,差异有统计学意义(
t
=15.41、17.67、15.39,均
P
<
0.001)。试验组实习生对TSSP问诊培训的教学方式满意度高。
结论
2
TSSP问诊培训提高了实习生病历书写能力、医患沟通能力、临床操作能力,激发了实习生的学习兴趣,培养了实习生的人文素养意识,融入了思政教育,有效地保证了儿科实习教学质量,得到了实习生的认同,值得推广。
Objective
2
To evaluate the effect of teacher simulate standardized patient (TSSP) consultation training in pediatric practical teaching.
Methods
2
A total of 120 interns from the five-year clinical medicine major of Batch 2015 were randomly divided into experimental group and control group. In the experimental group
60 interns were trained by TSSP for consultation after admission. After the training
the clinical parents of the children were consulted and the children were physically examined under the guidance of teachers. In the control group
60 interns were trained according to the same requirements
but TSSP consultation training was not included. At the end of the practice
the performance
operation skills and medical record writing ability of the interns were compared
and the satisfaction of the experimental group was investigated. SPSS 25.0 software was used for
t
test and chi-square test.
Results
2
The medical record writing results of the experimental group were (96.15±3.00) points
significantly higher than that of the control group [(81.02±3.29) points]
and the differences were statistically significant (
t
= 26.38;
P
<
0.001). In the mini-clinical evaluation exercise (Mini-CEX)
the scores of medical history collection
communication skills
humanistic care and physical examination were significantly higher than those of the control group (
t=
15.41
17.67
15.39 respectively; all
P
<
0.001). The experimental group had high satisfaction with the teaching method of TSSP consultation training.
Conclusion
2
TSSP consultation training improves the intern medical record writing ability
doctor-patient communication ability
clinical operation ability
stimulates the learning interest of interns
trains the trainee doctors humanistic consciousness
integrates into the ideological and political education
effectively ensures the quality of practical teaching of pediatrics
and obtains recognition from intern
which is worth promoting.
教师标准化病人问诊培训儿科学实习教学
Teacher simulate standardized patientConsultation trainingPediatricsPractical teaching
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