原位模拟结合标准化病人教学方法在全科住院医师规范化培训中的应用效果  

Application of in situ simulation and standardized patient in residency training of general practice

作　　者：厉蓓 高越[1] 王晓楠 周叶 高虹霞 朱立[1] 于晓红[1] Li Bei;Gao Yue;Wang Xiaonan;Zhou Ye;Gao Hongxia;Zhu Li;Yu Xiaohong(Department of General Practice,Affiliated Hangzhou First People′s Hospital,Zhejiang University School of Medicine,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属杭州市第一人民医院全科医学科,310006

出　　处：《中华全科医师杂志》2020年第10期947-949,共3页Chinese Journal of General Practitioners

摘　　要：为探索原位模拟联合标准化病人(SP)教学法在全科住院医师规范化培训(全科住培)中应用的效果,2017年9月1日至2019年12月31日,根据教学目标收集典型病例,建立原位模拟教案,设置模拟情景,招募护工/社区退休人员进行SP系统培训;将40名全科住培学员采用抽签方法随机分为联合教学组与传统教学组进行教学,对传统教学组采用理论授课,对联合教学组采用原位模拟结合SP教学,比较2组学员的满意度、理论与技能考核成绩。结果显示,与传统教学组比较,联合教学组学员对教学方法(t=-2.11,P<0.05)、教学效果(t=-4.25,P<0.01)的满意度评分更高,差异有统计学意义,联合教学组学员的病史采集技能考核成绩(t=-3.21,P<0.01)更高。提示原位模拟结合SP教学方法有利于提高全科住培学员的满意度和教学效果。The effects and practicability of in situ simulation and standardized patient(SP)in residency training of general practice was evaluated in Hangzhou First People′s Hospital.From September 2017 to December 2019,typical cases were collected in accordance with the teaching objectives,the teaching plans of in situ simulation were established and simulation scenarios were set up;the SPs were recruited from nursing staff and retirees in the community.Forty general practice residents were randomly divided into two groups with 20 in each group.The traditional teaching group was given theoretical teaching,while the combined teaching group was taught by in-situ simulation combined with SP teaching.The satisfaction of residents,the scores of theory and skill were observed and compared between two groups.Results showed that the satisfaction of teaching method(t=-2.11,P<0.05),teaching effect(t=-4.25,P<0.01)and scores of history collection(t=-3.21,P<0.01)in the combination teaching group were significantly higher than those in the traditional teaching group.It is suggested that in situ simulation combined with SP teaching method can improve the satisfaction and teaching effect of the general practice residents.

关 键 词：医院 教学 患者模拟 全科医学 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]