多学科联合产科教学查房的病例库建设  

Construction of case database for a multi-disciplinary teaching ward round of perinatal medicine

作　　者：张丛 孙茜 陈素华 邓东锐 曾万江 刘海意 姚飞[2] 冯玲 Zhang Cong;Sun Qian;Chen Suhua;Deng Dongrui;Zeng Wanjiang;Liu Haiyi;Yao Fei;Feng Ling(Department of Obstetrics and Gynecology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China;Undergraduate Education Office,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10期912-915,共4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(2021SZJX018);2022年华中科技大学同济医学院附属同济医院教学研究课题(2022SZJX002)。

摘　　要：多学科联合的门诊诊疗模式已经在中国公立医院重点推广,探索与之相衔接的多学科联合的本科实践教学形式为培养新时代医学生的综合素养奠定基础。本文选取2020年9月至2022年1月在华中科技大学同济医学院附属同济医院产科多学科联合门诊完成就诊的病例155例,统计主要诊断病种及参与学科分布,建立以产科疾病为中心、应用于本科医学生临床实践教学的多学科联合教学查房病例库。在病例库中选取1例胎儿泌尿系统异常的典型病例进行初步教学查房实践探索。教学反馈数据显示,90.9%(20/22)的学生认为临床思维能力有所提升,81.8%(18/22)的学生认为病史采集和临床技能操作能力有所提升,68.2%(15/22)的学生认为沟通能力有所提升。多学科联合产科教学查房的病例库在本科生实践教学中具有一定的推广价值。A multi-disciplinary model of diagnosis and treatment has been promoted in Chinese public hospitals.The exploration of the similar multi-disciplinary teaching methodology lays the foundation for cultivating the comprehensive quality of medical students in the new era.A total of 155 medicine multidisciplinary outpatient cases between September 2020 and January 2022 in Tongji Hospital were selected and analyzed for disease diagnoses and the distribution of relevant disciplines.A case database for multi-disciplinary teaching ward rounds for obstetrics was constructed for the clinical teaching of undergraduate medical students.A typical case of abnormal fetal urinary system was selected from the database to explore the clinical teaching.The feedback from students showed that 90.9%(20/22)students thought clinical thinking ability had been improved,81.8%(18/22)students thought medical history collection and clinical skill operation ability had been improved,and 68.2%(15/22)students thought communication ability had been improved.The construction and application of case database for multi-disciplinary teaching ward rounds has certain generalizable value in undergraduate education.

关 键 词：医学生 多学科联合教学查房 产科 本科教学 病例库 

分 类 号：R-4[医药卫生]