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虚拟标准化病人在医学生急诊实习中的应用

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目的 探讨虚拟化标准病人在急诊实习中的应用效果.方法 选取 2021 年 7-12 月安徽医科大学第四附属医院急诊医学科实习的本科学生 60 名,随机分成对照和观察组,各 30 名.观察组应用虚拟标准化病人进行实习带教,对照组采用传统查房模式.实习结束后对2 组学生的临床技能、人文关怀方面进行考核,并进行问卷调查.结果 观察组病史采集成绩[(92.70±0.41)分]高于对照组[(87.00±0.53)分];观察组体格检查成绩[(92.87±0.39)分]高于对照组[(88.13±0.54)分];观察组首次病程录书写成绩[(92.73±0.43)分]高于对照组[(87.77±0.52)分];观察组实习生人文关怀表现评分[(92.93±0.40)分]高于对照组[(86.80±0.57)分],差异有统计学意义(P<0.05).调查问卷显示,观察组和对照组在提高学习兴趣[100%(30/30)vs.73.33%(21/30)]、提高沟通能力[93.33%(28/30)vs.76.67%(22/30)]、提高临床技能水平[96.67%(29/30)vs.73.33%(21/30)]、提高临床思维能力[90%(27/30)vs.66.67%(20/30)]等方面差异有统计学意义(P<0.05).结论 在急诊实习中应用虚拟化标准病人可以提高实习生的学习兴趣和临床技能,培养临床思维.
Application of Virtual Standardized Patients in Emergency Practice of Medical Students
Objective To explore the application effect of virtual standard patient teaching method in medical students'practice.Methods A total of 60 undergraduate students in the emergency medicine department of the First Affiliated Hospital of Anhui Medical University North District from July to December 2021 were randomly divided into control group and observation group.The observation group used virtual standardized patients for practice teaching.The control group used the traditional ward round mode.After the internship,the clinical skills and humanistic care of the two groups of students were assessed,and a questionnaire survey was conducted.Results The medical history score of observation group[(92.70±0.41)points]was higher than that of control group[(87.00±0.53)points].The physical examination score of observation group[(92.87±0.39)points]was higher than that of control group[(88.13±0.54)points].The score of the first course record in the observation group[(92.73±0.43)points]was higher than that in the control group[(87.77±0.52)points].The humanistic care performance score of interns in the observation group[(92.93±0.40)points]was higher than that in the control group[(86.80±0.57)points],and the difference was statistically significant(P<0.05).According to the questionnaire,students in observation group and control group learning interest improvement[100%(30/30)vs.73.33%(21/30)],communication ability[93.33%(28/30)vs.76.67%(22/30)],clinical skill level[96.67%(29/30)vs.73.33%(21/30)]and clinical thinking ability improvement[90%(27/30)vs.66.67%(20/30)]were statistically significant(P<0.05).Conclusion The application of virtualization standard in medical students'emergency practice can improve their learning interest and situational awareness,and cultivate their clinical thinking.

virtual standardized patientsemergency department practicepractice teachingclinical thinking abilityemergency medicinevirtual reality technology

葛魏巍、郭涛、戚金威

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南方医科大学深圳医院胃肠外科,广东 深圳 518100

安徽医科大学第一附属医院(北区)/安徽省公共卫生临床中心急诊医学科,安徽 合肥 230000

虚拟化标准病人 急诊实习 实习带教 临床思维能力 急诊医学 虚拟现实技术

安徽省教育厅2022年度高等学校省级质量工程项目安徽省教育厅2021年度安徽高校自然科学研究项目安徽省教育厅2021年度高等学校省级质量工程项目

2022jyxm753KJ2021A03342021xsxxkc130

2024

中国继续医学教育

中国继续医学教育

影响因子:2.564
ISSN:1674-9308
年,卷(期):2024.16(1)
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