教师标准化病人在妇产科教学实践中的应用  

Application of teachers standardized patients in the teaching of gynecology and obstetrics

作　　者：张媛媛[1] 朱明玥[1] 高冬梅[1] 古扎丽努尔.阿不力孜 

机构地区：[1]新疆医科大学附属肿瘤医院妇科,新疆乌鲁木齐830000

出　　处：《中国医药导报》2018年第1期145-149,共5页China Medical Herald

基　　金：新疆医科大学教育改革项目(YG2013094);新疆医科大学教育改革项目(YG2017033)

摘　　要：目的探讨教师标准化病人(TSP)在妇产科学临床教学实践中的应用价值。方法选择在新疆医科大学第三临床学院见习的2013级五年制临床医学专业115名学生为研究对象,将其随机分为两组,实验组60名,对照组55名,分别进行TSP教学和常规教学。教学结束后对两组学生进行理论及临床技能考核;同时,就教学情况对两组学生进行教学满意度调查。结果实验组学生对教学的满意度高于对照组,实验组学生的理论成绩明显高于对照组,差异有统计学意义(P<0.05);两组学生的书写完整病历成绩差异无统计学意义(P>0.05);实验组学生病史采集、妇科检查、诊断依据、鉴别诊断、医患沟通的成绩高于对照组(P<0.05);在制订诊疗计划及接诊态度方面,两组学生成绩差异无统计学意义(P>0.05)。结论在妇产科学临床教学中,应用TSP可以提高医学生的临床实践技能。Objective To explore the application value of teachers standardized patients （TSP） in clinical teaching prac rice of obstetrics and gynecology. Methods A total of 115 students from the five-year clinical medicine specialty of 2013 in the Third Clinical Medical College of Xinjiang Medical University were selected as research objects and randomly divided into two groups： experimental group （60 students） and control group （55 students）. They were taken TSP teaching and regular teaching respectively. At the end of the teaching, the theoretical and clinical skills in the two groups were assessed; at the same time, the teaching satisfaction of the two groups for the teaching situation was surveyed. Results The satisfactory rate of the students in the experimental group was significantly higher than that in the control group, the theoretical scores of the students in the experimental group were significantly higher than those in the control group, the differences were all statistically significant （P 〈 0.05）. There was no statistically significant difference of the scores of writing complete medical records between the two groups （P 〉 0.05）. The scores of history-taking, gynecologic examination, diagnostic basis, differential diagnosis, doctor-patient communication in the students of exper imental group were higher than those of the control group （P 〈 0.05）. While there was no statistically significant difference of the scores of making plans of diagnosis and treatment and the accept attitude between the two groups （P 〉 0.05）. Conclusion In the clinical teaching of obstetrics and gynecology, the application of TSP can improve the clinical practice skills of medical students.

关 键 词：妇产科学 临床教学 教师标准化病人 

分 类 号：G650[文化科学—教育学]