妇产科教学门诊在本科医学生实习阶段的恢复建设与实践探索  

Reconstruction and implementation of teaching clinic in obstetrics and gynecology for internship trainees

作　　者：张丛 孙茜 冯玲 张媛媛 姚飞[2] Zhang Cong;Sun Qian;Feng Ling;Zhang Yuanyuan;Yao Fei(Department of Obstetrics and Gynecology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Undergraduate Education Office,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院妇产科,武汉430030 [2]华中科技大学同济医学院附属同济医院教学办公室,武汉430030

出　　处：《中华医学教育杂志》2022年第5期453-457,共5页Chinese Journal of Medical Education

基　　金：2021年华中科技大学同济医学院附属同济医院教学研究课题(2021SZJX012, 2021SZJX018, 2021SZJX024)。

摘　　要：为了探讨妇产科教学门诊在本科医学生实习阶段的恢复建设与实践探索。本文选取2021年9月在华中科技大学同济医学院附属同济医院妇产科实习的2017级五年制和2015级八年制临床医学专业29名本科医学生为研究对象, 开展以本科医学生为主体的妇产科门诊教学。教学门诊实习过程中, 通过迷你临床演练评估实施形成性评价和反馈, 实习教学结束后采用客观结构化临床考试标准化病人问诊评分表实施终结性评价, 并向学生发放调查问卷了解教学反馈。结果显示, 形成性评价评分偏低的项目内容为体格检查[(5.48±1.33)分]、医疗面谈[(5.90±0.80)分]和沟通技能[(5.93±0.69)分]。标准化病人考站得分率为(79.4±22.0)%, 得分率为0的项目为按照项目的顺序系统地问诊和问诊过程中有小结。问卷调查结果显示, 在提高病历书写、体格检查、沟通技能和组织能力4项内容中, 100.0%(29/29)的学生评分均为5分;在临床思维方面, 93.1%(27/29)的学生评分为5分, 6.9%(2/29)的学生评分为4分;总体满意度评分100.0%(29/29)的学生表示非常满意。妇产科教学门诊的实施对临床思维和沟通能力培养提供了教学平台, 但仍然需要反复实践才能从根本上提升学生临床实践能力。To explore the reconstruction and practice of obstetrics and gynecology teaching clinic in undergraduate medical students'practice stage.Twenty-nine undergraduates(enrolled in 20175-year program and 20158-year program students)who joined internship in the Department of Obstetrics and Gynecology in September 2021 were selected as the research subjects.Obstetrics and gynecology teaching clinic mostly for training of undergraduates was carried out.Formative evaluation and feedback were implemented with mini-clinical evaluation exercise during the training process.At the end of the training,summative evaluation was performed by the standardized patient consultation evaluation table covered by objective structured clinical examination.A questionnaire was distributed to students to understand the teaching feedback.The items that scored low in formative assessment were physical examination(5.48±1.33),medical interview(5.90±0.80)and communication skills(5.93±0.69).The score rate of standardized test stations was(79.4±22.0)%.The items with a score of 0 were systematic consultation according to item sequence and summary in consultation process.The results of the questionnaire survey showed that in the improvement of medical record writing,physical examination,communication skills and organizational ability,100.0%(29/29)students scored 5 points.In terms of clinical thinking improvement,93.1%(27/29)students scored 5 points,and 6.9%(2/29)students scored 4 points.Students with an overall satisfaction score of 100.0%(29/29)were very satisfied.The implementation of obstetrics and gynecology teaching clinic provides a teaching platform for the training of clinical reasoning and communication skill.However,the repeated practice is necessary to fundamentally improve the clinical capacity of undergraduates during internship.

关 键 词：妇产科 临床实习 教学门诊 本科教学 

分 类 号：R-4[医药卫生]