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中医迷你临床演练评估在中医内科学两段式见习教学中的应用

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目的 探讨中医迷你临床演练评估在中医内科学两段式见习教学中的应用价值.方法 选取2022 年9-12 月在山东中医药大学附属医院消化内一科试点两段式教学的 116 名中医学五年制医学生,按照随机数字表法分为试验组和对照组,每组58 名.对照组采用传统见习带教模式教学,试验组采用中医迷你临床演练评估对学生进行临床教学,并使用中医迷你临床演练评估测评量表对2 组学生进行考核评价,比较2 组学生的临床综合能力考核成绩及满意率.结果 见习前,2 组见习学生临床综合能力各项目考核成绩比较,差异均无统计学意义(P>0.05).见习后,2 组学生临床综合能力各项目考核成绩高于见习前,差异有统计学意义(P<0.01).见习后试验组学生临床综合能力各项目考核成绩高于对照组,差异有统计学意义(P<0.01).试验组学生对临床教学的总满意率高于对照组(P<0.05).结论 在两段式教学改革过程中,应用中医迷你临床演练评估教学法进行教学,可提高见习学生的临床综合能力,有利于其更好地掌握中医临床技术.
Application of TCM-Mini-CEX in"two-stage"clinical internship and teaching of traditional Chinese internal medicine
Objective To explore the application of Mini-Clinical Evaluation Exercise(Mini-CEX)in the clinical internship and teaching stages of the"two-stage"education of traditional Chinese internal medicine.Methods A total of 116 students who were doing their intership from September to December 2022 in a five-year traditional Chinese medicine(TCM)program were selected from the First Department of Gastroenterology in the Affiliated Hospital of Shandong University of Traditional Chinese Medicine.By means of a table of random numbers,they were divided into the experimental group and the control group,with 58 students in each group.While the control group was taught in the traditional way,the experimental group received TCM-Mini-CEX.Relevant assessment scales were used to evaluate and compare the two groups of students in terms of their clinical competence and satisfaction with different ways of clinical teaching.Results Before the clinical internship,there was no statistically significant difference in the scores of clinical competence between the two groups(P>0.05).After the internship,however,the scores of the experimental group were higher than those of the control group with statistically significant differences(P<0.01)although the scores of both groups were higher than those before the internship with statistically significant differences(P<0.01).Furthermore,the total satisfaction scores of students in experimental group were higher than those in control group(P<0.05).Conclusion In the teaching reform incorporating the two stages of theoretical study and clinical internship,the application of TCM-Mini-CEX can obviously improve the clinical competence of the students,equipping them with better TCM clinical skills.

traditional Chinese internal medicine"two-stage"educational reformTCM-Mini-Clinical Evaluation Exercise

李玲玲、吕玉婷、王永森、曹志群、赵玉洁

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山东中医药大学第一临床医学院 济南 250014

山东中医药大学附属医院消化内一科 济南 250014

中医内科学 两段式 教学改革 中医迷你临床演练评估

2024

中医教育
北京中医药大学

中医教育

影响因子:0.544
ISSN:1003-305X
年,卷(期):2024.43(2)
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