首页|常规临床实习联合标准化病人在血液病学病史采集教学中的应用效果分析

常规临床实习联合标准化病人在血液病学病史采集教学中的应用效果分析

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目的:探索常规临床实习联合标准化病人(standardized patients,SP)在临床医学本科学生血液病学病史采集教学中的应用效果。方法:选取我院2014 级五年制临床医学卓越医师本科专业五年级学生80 名为研究对象,随机分为两组,对照组(40人)采用常规临床实习教学;试验组(40 人)引入SP与常规实习相结合的教学形式。轮转结束后采用国家医师资格分阶段考试病史采集考核评分标准及学生自我评价形式,比较两组的教学效果。结果:试验组学生在病史采集内容、收集过程、问诊技巧、交流沟通能力及人文素养等各项中的得分均高于对照组(P<0。01);试验组在接诊自信心、问诊开始、病史采集过程、问诊结束、问诊全面性与问诊逻辑性等自我评价项目中评价为好或较好的比例明显高于对照组。结论:常规临床实习联合SP可有效提高临床医学本科学生血液病学病史采集水平。
Analysis of the Application Effect of Standardized Patients in Hematology History Taking Teaching during Routine Clinical Internship
Objective:To explore the application effect of standardized patients(SP)in hematology history taking teaching for undergraduate clinical medical students during routine clinical internship.Methods:Eighty fifth-year students majoring in clinical medicine at our university in 2014 were selected as the research subjects and randomly divided into two groups:control group(n=40)receiving routine clinical internship teaching,and experimental group(n=40)receiving a teaching format combining SP with routine internship.After the rotation,the teaching effects of the two groups were compared using the National Medical Licensing Examination scoring criteria for history taking assessment and student self-evaluation forms.Results:The scores of the experimental group students in various aspects such as history taking content,collection process,interviewing skills,communication ability,and humanities literacy were higher than those of the control group(P<0.01).The proportion of students in the experimental group who rated themselves as good or very good in self-assessment items such as confidence in reception,start of questioning,process of history taking,end of questioning,comprehensiveness of questioning,and logic of questioning was significantly higher than that of the control group.Conclusion:The combination of routine clinical internship and SP can effectively improve the level of hematology history taking among undergraduate clinical medical students.

Standardized patients(SP)History takingHematology

张彦芬、高大、乔建梁、赵荣伟

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内蒙古医科大学附属医院,内蒙古呼和浩特 010050

标准化病人(SP) 病史采集 血液病学

2024

中国高等医学教育
浙江大学,全国高等医学教育学会

中国高等医学教育

影响因子:0.963
ISSN:1002-1701
年,卷(期):2024.(5)