基于虞山医派“术德合一”思想的床边教学及考核模式  

Bedside teaching and assessment mode based on the thought of“integration of medical skills and medical ethics”of Yushan medical school

作　　者：马俊杰[1] Ma Junjie(College of Traditional Chinese Medicine&College of Integrated Chinese and Western Medicine,Nanjing University of Traditional Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京中医药大学中医学院·中西医结合学院,南京210023

出　　处：《医学教育管理》2022年第5期563-568,共6页Medical Education Management

基　　金：江苏省教育科学“十四五”规划2021年度重点课题:“基于虞山医派‘术德合一’思想的中医学生床边教学及考核模式研究”阶段性成果(B/2021/01/59)。

摘　　要：目的阐明虞山医派“术德合一”思想在中医实习生临床课程中的教学效果。方法在2021-2022年选择常熟市中医院中医相关专业实习生60名,分成A、B两班,每班30人。A班选择传统教学,而B班以此为基础,压缩一半时间以进行虞山医派“术德合一”思想课程教育。在课程前后,两班分别进行临床标准化病人(standardized patient,SP)考核及统一试卷考试,最后成绩由临床医德表现、中医临床诊疗操作水平、SP主观感受及试卷考试四部分组成,分别占总成绩20%、20%、20%及40%。同时课程结束后对教师及学生分别进行反馈调查。结果课程后,两班各自与本班课程前比较,成绩皆有显著提高,同时B班成绩优于A班,而两班教师及学生对课程的反馈评分无差异。结论将虞山医派“术德合一”思想课程融入中医实习生临床教学实践中,并不影响教师及学生的教、学体验,且对学生的卷面成绩、医德修养、临床诊疗水平等皆有促进作用。Objective To clarify the teaching effectiveness of the thought of“integration of medical skills and medical ethics”of Yushan medical school in the clinical course of traditional Chinese medicine(TCM)interns.Methods From 2021 to 2022,60 interns majoring in traditional Chinese medicine in Changshu Hospital of Traditional Chinese Medicine were divided into classes A and B,with 30 people in each.Class A adopted traditional teaching,while Class B,on this basis,compressed half the time to carry out the course education of“integration of medical skills and medical ethics”of Yushan medical school.Before and after the course,two classes conducted clinical standardized patients(SP)assessment and unified test paper examination respectively.The final score consists of clinical medical ethics performance,TCM clinical diagnosis and treatment operation level,SP subjective feeling and test paper examination,accounting for 20%,20%,20%and 40%of the total score respectively.At the same time,after the course,teachers and students were investigated respectively.Results After the course,the scores of the two classes were significantly improved compared with those before the course.At the same time,the scores of class B were better than those of class A,but there was no difference in the feedback scores of the two classes.Conclusion The integration of the thought of“integration of medical skills and medical ethics”of Yushan medical school into the clinical teaching practice of traditional Chinese medicine interns does not affect the teaching and learning experience of teachers and students,and can promote the students􀆳performance,medical ethics cultivation and clinical diagnosis and treatment level.

关 键 词：虞山医派 术德合一 中医床边教学 标准化病人考核 

分 类 号：G642.0[文化科学—高等教育学]