模拟诊疗在留学生心血管内科实习带教中的应用研究  

The effect of simulation-based diagnosis and treatment on the improvement of international students'cardiovascular clinical practice

作　　者：张磊[1] 袁斌斌[1] 蔡伟[1] 李新[1] Zhang Lei;Yuan Binbin;Cai Wei;Li Xin(Department of Cardiology,BenQ Medical Center,Affiliated Hospital of Nanjing Medical University,Nanjing 210019,China)

机构地区：[1]南京医科大学附属明基医院心内科,南京210019

出　　处：《中华医学教育探索杂志》2022年第9期1195-1198,共4页Chinese Journal of Medical Education Research

基　　金：南京医科大学“十三五”教育研究课题(FZS-YB-201757)

摘　　要：目的探讨模拟诊疗在留学生心血管内科实习带教中的应用效果。方法将35名留学生随机编号,分成试验组和对照组。试验组18名学生分成3组(每组6名)进行模拟诊疗教学,对照组17名学生进行常规实习。通过填写评价单和相关的临床能力测试对两组教学效果进行评价。选用SPSS 19.0软件进行t检验。结果参与模拟诊疗教学的留学生均希望在各科实习中多采用此方法。在临床能力测试方面,试验组学生在病史采集[(22.16±2.17)vs.(20.33±2.03)]、体格检查[(23.05±1.79)vs.(19.78±2.05)]及回答问题[(23.50±1.47)vs.(19.56±1.92)]方面均优于对照组,差异有统计学意义(P<0.05)。但是在病历书写方面,两组差异无统计学意义(P>0.05)。结论利用高仿真的模拟诊疗教学手段,弥补了留学生在实习期间不能充分接触患者的缺陷,有助于提高其临床操作技能、增强医患沟通能力等医学职业素养。Objective To explore the effect of simulation-based diagnosis and treatment on the teaching of international students in cardiovascular clinical practice.Methods In the study,35 international students were randomized into experimental group and control group.Eighteen students in experimental group were divided into 3 groups with 6 students in each group,receiving simulation-based diagnosis and treatment teaching,and 17 students in control group took routine clinical practice.The teaching effect of the two groups was evaluated by filling in the evaluation form and doing relevant clinical ability test.SPSS 19.0 software was used to perform t test.Results According to the statistical results of the evaluation form,the international students participating in the teaching of simulation-based diagnosis and treatment all hoped to adopt this method more often in their practice in every department.In terms of clinical ability test,the experimental group was better than the control group in history collection[(22.16±2.17)vs.(20.33±2.03)],physical examination[(23.05±1.79)vs.(19.78±2.05)]and question answering[(23.50±1.47)vs.(19.56±1.92)],and the difference was statistically significant(P<0.05).However,there was no significant difference in medical record writing between the two groups(P>0.05).Conclusion The application of highly simulation-based diagnosis and treatment teaching can make up for the defect that international students can not fully contact with patients during the internship,which is helpful to improve their clinical skills and enhance the doctor-patient communication ability and other medical professional quality.

关 键 词：模拟诊疗 留学生 心血管内科 实习 

分 类 号：R4[医药卫生—临床医学]