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标准化患者模拟联合OSCE模式用于临床本科生带教的价值

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目的 研究标准化患者模拟联合客观结构化临床考试(objective structured clinical examination,OSCE)模式用于临床本科生带教的价值。方法 选择2018年1月至2020年1月在本医院实习的114名医学类本科生作为研究对象,采用随机数字表法将所有学生分为观察组(n=57)和对照组(n=57)。招募其他本科生作为标准化患者并进行培训;观察组学生进行标准化患者模拟教学,对照组患者采取传统教学方式;经验丰富的教师编写试题并制定统一评分标准,采取OSCE模式对两组进行考核。记录两组患者理论成绩、接诊病史成绩、人文沟通成绩、康复思维成绩、实践技能成绩、总成绩、观察组57名本科生对标准化患者模拟的评价和114名本科生对OSCE模式的评价。选用SPSS 22。0统计学软件对数据进行t检验。结果 两组教学后,与对照组相比,观察组接诊病史成绩、人文沟通成绩、康复思维成绩、实践技能成绩均比较高,差异均有统计学意义(P<0。05);两组理论成绩无明显差异(P>0。05)。教学前,两组总成绩差异无统计学意义(P>0。05);教学后两组总成绩均有所提升,差异有统计学意义(P<0。05);与对照组相比,观察组总成绩提升较高,差异有统计学意义(P<0。05)。观察组所有本科生都认为标准化患者模拟教学使自身有所提升,并且89。47%的本科生认为标准化患者模拟值得在康复治疗专业的教学中推广;大部分本科生都认为OSCE模式比传统书面考试更能反映出学生的综合能力,并且能提升本科生的沟通能力和实践操作能力、培养本科生优质的康复思维、能改变学生偏重与理论学习的倾向;并有91。23%的本科生认为OSCE模式值得在康复治疗专业的课程中推广。结论 标准化患者模拟联合OSCE模式有利于提升本科生的综合成绩,有利于提升本科生的沟通能力和实践操作能力,培养本科生优质的康复思维,可以在临床本科生带教中推广。
The value of standardized patient simulation combined with OSCE model in clinical undergraduate teaching
Objective To study the value of standardized patient simulation combined with objective structured clinical examination(OSCE)in clinical undergraduate teaching.Methods A total of 114 medical undergraduates who were interned in our hospital from January 2018 to January 2020 were selected as the research objects.All the students were randomly divided into observation group(n=57)and control group(n=57).Other undergraduate students were recruited as standardized patients and trained;students in the observation group were given standardized patient simulation teaching,while patients in the control group were given traditional teaching methods;experienced teachers prepared test questions and developed unified scoring standards,and OSCE model was adopted to assess the two groups.The scores of theory,medical history,humanistic communication,rehabilitation thinking,practical skills and total scores of the two groups were recorded.The evaluation of standardized patient simulation by 57 undergraduates and the evaluation of OSCE model by 114 undergraduates in the observation group were recorded.SPSS 22.0 statistical software was used for t test.Results After teaching,the scores of medical history,humanistic communication,rehabilitation thinking and practical skills in the observation group were significantly higher than those in the control group(P<0.05),but there was no significant difference in theoretical scores between the two groups(P>0.05).Before teaching,there was no significant difference in the total scores between the two groups(P>0.05);after teaching,the total scores of the two groups were both improved,with significant differences(P<0.05);compared with the control group,the total score of the observation group was improved higher,with significant differences(P<0.05).All the undergraduates in the observation group thought that the standardized patient simulation teaching improved themselves,and 89.47%of the undergraduates thought that the standardized patient simulation was worth promoting in the teaching of rehabilitation and therapy.Most of the undergraduates believed that OSCE model could reflect the students'comprehensive ability better than the traditional written examination,and could improve their communication ability and practical operation ability,cultivate their high-quality rehabilitation thinking,and change their tendency to lay stress on theoretical study.And 91.23%of the undergraduates thought that OSCE model was worth promoting in the courses of rehabilitation therapy.Conclusions Standardized patient simulation combined with OSCE model is conducive to improving the comprehensive performance of undergraduates,improving their communication ability and practical operation ability,and cultivating their high-quality rehabilitation thinking,which can be promoted in clinical undergraduate teaching.

Standardized patientObjective structured clinical examinationRehabilitation therapyClinical practiceTeaching reform

王琦、章婧、郑玲玲、刘骙

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陆军军医大学新桥医院医务处,重庆 400037

陆军军医大学新桥医院预防保健科,重庆 400037

标准化患者 客观结构化临床考试 康复治疗专业 临床实习 教学改革

2024

中华医学教育探索杂志
中华医学会

中华医学教育探索杂志

CSTPCD
影响因子:0.641
ISSN:2095-1485
年,卷(期):2024.23(2)
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