虚拟病例与标准化病人相结合在神经病学见习教学中的应用  

Application of combining virtual case with standardized patient in neurological clerkship teaching

作　　者：郭岩[1] 林亚楠[1] 张炳蔚[1] 季晓飞[1] 孙晓培[1] Guo Yah;Lin Yanan;Zhang Bingwei;Ji Xiaofei;Sun Xiaopei(Department of Neurology,The First Affiliated Hospital,Dalian Medical University,Dalian 116011,China)

机构地区：[1]大连医科大学附属第一医院神经内科,116011

出　　处：《中华医学教育杂志》2018年第6期889-892,共4页Chinese Journal of Medical Education

基　　金：2016年辽宁省普通高等教育本科教学改革项目(UPRP20160377).

摘　　要：目的评价虚拟病例与标准化病人相结合教学方式在神经病学见习教学中的应用效果。方法选择大连医科大学第一临床学院2014级临床医学专业127名本科学生为研究对象。将其随机分为实验组和对照组,实验组63名学生,采用虚拟病例与标准化病人相结合教学方式;对照组64名学生,采用传统教学方式。两组学生分别开展相应的神经病学见习教学。采用统一的客观结构化临床考试方式对两组学生进行考核,同时就临床见习效果对两组学生进行问卷调查。结果实验组学生考核成绩(85.52±3.78)分明显高于对照组学生(80.56±4.52)分,其差异具有统计学意义(t=一6.704,P=0.000)。实验组教学方式在提高学生学习兴趣、自学能力、临床思维、理论知识理解以及未来进入临床实习的自信心方面均优于对照组教学方式,其差异具有统计学意义(P<O.05),获得了较高的满意度。结论与传统教学方式相比,虚拟病例与标准化病人相结合教学方式在神经病学见习教学中取得了更好的效果,值得推广应用。Objective To evaluate the effect of combine virtual case with standardized patient in neurological clerkship teaching. Methods 127 undergraduates majoring in clinical medicine of grade 2014 in the First Clinical College of Dalian Medical University were divided into two groups randomly, combining virtual cases with standardized patients group (n=63) and traditional teaching group (n=64), respectively carrying out the neurological clerkship teaching. Test and questionnaire results are collected and the results are compared. Results Total scores of combining virtual cases with standardized patients group was significantly higher than the traditional teaching group (85. 52±3. 78 vs 80. 56±4. 52,t=-6. 704,P=0. 000). This method acquired great popularity among the students and is helping in increasing the interest of study, self-learning ability, clinical reasoning, basic theories comprehension and the confidence in future clinical work( P<0. 05) . Conclusions This study has achieved better practical effect by using virtual cases and standardized patients in neurological clerkship, and got higher evaluation by students than the traditional method.

关 键 词：虚拟病例 标准化病人 神经病学 临床见习 

分 类 号：R-4[医药卫生] G642[文化科学—高等教育学]