Application of S-PAL model-based autonomous practice in experimental teaching of physical diagnostics
Objective To investigate the effectiveness of the S-PAL model(combining a student standardized patient with peer assisted learning)in experimental teaching of physical diagnostics.Methods Eighty-four undergraduate students of grade 2022 in clinical medicine of Chongqing Medical University were divided into experimental group(n=44,experimental class teaching combined with S-PAL model-based autonomous practice)and control group(n=40,experimental class teaching combined with traditional autonomous practice).Performance evaluation and teaching feedback and satisfaction survey were conducted.SPSS 27.0 was used to perform the t-test,chi-square test,and Fisher's exact test.Results There were no significant differences between the two groups in terms of age,sex,the grade point average,and pre-training theoretical scores.The academic assessment score of the experimental group(66.34±15.45)was significantly higher than that of the control group(55.12±15.02).The experimental group was superior to the control group in clinical skills assessed with the mini-clinical evaluation exercise.The experimental group had a higher degree of satisfaction with teaching than the control group.The experimental group highly accepted autonomous practice based on the S-PAL model.Conclusions The S-PAL model can improve medical undergraduates'academic performance and satisfaction with teaching in physical diagnostics,and also promote their doctor-patient communication skills,which is a good self-learning model as a complement to physical diagnostics teaching.