探索内科住院医师培训中结构式的教学病例讨论方法  

Structured teaching case discussion in residency training of internal medicine

作　　者：王筝扬[1] 吴卓璇 慕心力 黎笑乐[1] 戴宁[1] Wang Zhengyang;Wu Zhuoxuan;Mu Xinli;Li Xiaole;Dai Ning(Department of Internal Medicine,Run Run Shaw Hospital,School of Medicine,Zhejiang University,Hangzhou 310016,Zhejiang,China)

机构地区：[1]浙江大学医学院附属邵逸夫医院内科,浙江杭州310016

出　　处：《中国毕业后医学教育》2021年第4期289-292,315,共5页Chinese Journal of Graduate Medical Education

基　　金：浙江省医药卫生科技一般基金资助项目(2019KY430);浙江省教育厅“十三五”第二批教学改革基金资助项目(jg20190005);浙江大学高水平教学成果培育基金资助项目(cgyb20192008)。

摘　　要：本文详细解读了教学病例讨论作为内科住院医师规范化培训中的一种重要教学方法,其定义与概念是什么,从选择合适的临床病例,设计、安排与准备,以及呈现教学病例并引导讨论等几个方面,详细分析了组织结构式教学病例讨论的具体方法与注意要点。最后探讨与总结了做好教学病例讨论在培养临床思维、循证决策、自主学习等行医能力中价值与意义。This paper interprets the definition and concept of teaching case discussion as a key teaching method in residency training of internal medicine.Specific methods and points for organizing teaching case discussion are analyzed in details from the following aspects:how to select the appropriate clinical cases for teaching discussion;how to design,arrange and prepare structured teaching case discussion;how to present teaching cases and guide discussion.Finally,this paper summarizes the value and significance of teaching case discussion in cultivating clinical reasoning,evidence-based decision-making,self-directed learning and other competencies of clinical practice.

关 键 词：住院医师 规范化培训 教学病例讨论 临床思维 

分 类 号：G424[文化科学—课程与教学论] R5[文化科学—教育学]