Establishment of a clinical laboratory diagnostic pathway for hepatitis C for the teaching of laboratory diagnostics
Objective To establish a clinical laboratory diagnostic pathway for hepatitis C covering diagnosis,differential diagnosis,drug toxicity monitoring,and therapeutic and prognostic evaluation,and to explore a new teaching model for laboratory diagnostics based on the clinical laboratory diagnostic pathway.Methods According to the clinical diagnosis and treatment guidelines for hepatitis C,laboratory testing strategies for different stages of diagnosis and treatment of the disease were formulated to establish a clinical laboratory diagnostic pathway for hepatitis C.The pathway was applied in the teaching for undergraduate medical students of the seven-year program of grade 2019 of The First Clinical College of Wuhan University,with those of grade 2018 as the control to receive traditional teaching.The teaching effect was compared through questionnaires and quizzes in class.The data were analyzed through the t test with the use of SPSS 19.0.Results A clinical laboratory diagnostic pathway for hepatitis C recognized by clinicians was established,covering the entire process of clinical diagnosis,differential diagnosis,monitoring of drug side effects,and therapeutic and prognostic evaluation.The students of grade 2019 receiving the pathway-based teaching model had significant improvements in teaching quality evaluation indicators(P<0.05),with the most marked improvement in"having mastered the key and difficult points of this lesson",with a score of(60.90±2.15)points for grade 2018 and(84.80±3.44)points for grade 2019.The total score for teaching evaluation was significantly higher in students of grade 2019 than in those of grade 2018[(94.02±4.29)vs.(79.21±3.68)]points,P<0.05).Grade 2019 also had a significantly higher classroom quiz score than grade 2018(94.60±5.63)vs.(78.10±4.92),P<0.01].Conclusions We established and applied a clinical laboratory diagnostic pathway of hepatitis C in the teaching model of laboratory diagnostics,which organically integrates laboratory diagnostics and clinical medicine,and significantly improves the quality of teaching.
Hepatitis CClinical laboratory diagnostic pathwayTeaching model
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