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标准化病人在儿童呼吸科教学中的应用价值

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目的 探讨标准化病人在儿童呼吸科教学中的应用价值.方法 选取 2021 年 1 月至 2022 年 6 月在重庆医科大学附属儿童医院呼吸科二病房参加住院医师规范化培训的住院医师,共计 60 名,分为对照组与观察组,每组 30名.对照组采用传统教学方法,观察组采用标准化病人(standardized patients,SP)教学模式.示范教学内容为"儿童呼吸常见疾病的病史采集、肺部查体及病例分析".教学结束后,比较 2 组住院医师的理论考试及实践操作考试成绩,通过调查问卷的形式调查住院医师对SP教学模式的满意度.结果 对照组与观察组住院医师理论考试的成绩基本相近,2 组比较差异无统计学意义(P>0.05).观察组住院医师实践操作考试成绩(92.80±1.24)分高于对照组(85.40±3.69)分,差异有统计学意义(P<0.001).住院医师满意度结果显示:观察组中大多数住院医师认为SP的应用可以提高病史采集逻辑性、提高体格检查能力、提高临床思维能力、提高诊治能力、提高医患沟通能力、提高学习兴趣.结论 SP教学模式的应用可以提高住院医师病史采集、体格检查及临床思维能力,提高住院医师的诊治能力及医患沟通能力,在儿童呼吸科临床教学中引入SP教学模式可以提高教学效果,住院医师接受度高,具有明确的必要性及应用价值,可为呼吸科临床教学提供新的手段与思路,提高了儿科医学生的专业素质及人文素质,为国家培养更多优秀的儿科医生添砖加瓦.
Application Value of Standardized Patients in the Teaching of Department of Respiratory Medicine for Children
Objective To discuss and explore the application value of standardized patients in the department of respiratory medicine for children during the process of the clinical teaching.Methods A total of 60 resident doctors who participated in the standardized resident training in the second ward of the department of respiratory medicine of Children's Hospital of Chongqing Medical University from January 2021 to June 2022 were selected and divided into control group and observation group,with 30 in each group.The traditional teaching method was used in the control group,and the standardized patients(SP)model was used in the observation group.The demonstration teaching content was"History collection of common respiratory diseases in children,lung physical examination and case analysis".In the end of the teaching,the results of the theoretical examination and practical operation examination of the two groups of residents were compared,and the residents'satisfaction with the SP teaching model was investigated by questionnaire.Results The results of the theory test between the control group and the observation group were basically similar,there was no statistical significance between the two groups(P>0.05).The practical operation test scores of residents in observation group[(92.80±1.24)points]were significantly higher than that in control group[(85.40±3.69)points],the difference was statistically significant(P<0.001).The results of residents'satisfaction showed that most of the residents in the observation group believed that the application of SP could improve the logic of history collection,improve the ability of physical examination,improve the ability of clinical thinking,improve the ability of diagnosis and treatment,improve the ability of doctor-patient communication,and improve the interest in learning.Conclusion The application of SP teaching model can improve the medical history collection,physical examination and clinical thinking ability of residents,and improve the diagnosis and treatment ability of residents and the doctor-patient communication ability.The introduction of SP teaching model in the clinical teaching of children's respiratory department can improve the teaching effect,and it is highly accepted by residents,which has clear necessity and application value.It can provide new means and ideas for the clinical teaching of respiratory department,improve the professional quality and humanistic quality of pediatric medical students,and contribute to the training of more excellent pediatricians in the country.

standardized patientsstandardized trainingdepartment of respiratory medicinechildrenteaching modelresident doctor

姜小丽、邓昱、李渠北、叶泽慧

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重庆医科大学附属儿童医院呼吸科,重庆 400014

国家级住院医师规范化培训示范基地,重庆 400014

标准化病人 规范化培训 呼吸科 儿童 教学模式 住院医师

2024

继续医学教育
天津医学高等专科学校

继续医学教育

影响因子:0.637
ISSN:1004-6763
年,卷(期):2024.38(2)
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