思维导图在住院医师规范化培训问诊临床思维能力培养中的应用研究  

Application of Mind Mapping in Clinical Thinking Ability of Inquiry for the Standardized Training of Residents

作　　者：涂柳丹 姚瑶[2] 刘玲玲[3] 赵敏菁[1] 赵云跃 王敏[4] 林倍思[5] 邵晓琼[6] 李瑭[7] 温景芸[8] TU Liu-dan;YAO Yao;LIU Ling-ling;ZHAO Min-jing;ZHAO Yun-yue;WANG Min;LIN Bei-si;SHAO Xiao-qiong;LI Tang;WEN Jing-yun(Department of Rheumatology and Immunology,The Third Affiliated Hospital of SUN YET-SEN University,Guangzhou 510630,China;Department of Continuing Education,The Third Affiliated Hospital of SUN YET-SEN University,Guangzhou 510630,China;Department of General Practice,The Third Affiliated Hospital of SUN YET-SEN University,Guangzhou 510630,China;Department of Cardiology,The Third Affiliated Hospital of SUN YET-SEN University,Guangzhou 510630,China;Department of Endocrinology&Metabolism,The Third Affiliated Hospital of SUN YET-SEN University,Guangzhou 510630,China;Department of Infectious Diseases,The Third Afiliated Hospital of SUN YET-SEN University,Guangzhou 510630,China;Clinical Skill Training Center,The Third Afiliated Hospital of SUN YET-SEN University,Guangzhou 510630,China;Department of Oncology,The Third Afiliated Hospital of SUN YET-SEN University,Guangzhou 510630,China)

机构地区：[1]中山大学附属第三医院风湿免疫科,广州510630 [2]中山大学附属第三医院继续教育科,广州510630 [3]中山大学附属第三医院全科医学,广州510630 [4]中山大学附属第三医院心血管内科,广州510630 [5]中山大学附属第三医院内分泌与代谢病学科,广州510630 [6]中山大学附属第三医院感染性疾病科,广州510630 [7]中山大学附属第三医院临床技能培训中心,广州510630 [8]中山大学附属第三医院肿瘤内科,广州510630

出　　处：《高校医学教学研究（电子版）》2023年第1期19-25,共7页Medicine Teaching in University (Electronic Edition)

基　　金：2021年中山大学本科教学改革研究项目(82000-31911131)。

摘　　要：目的 探讨在住院医师规范化培训问诊临床思维能力培养中开展思维导图教学的效果。方法 选取2020—2021年在中山大学附属第三医院内科基地参加住院医师规范化培训的75名规培住院医师作为研究对象,并随机分配到实验组和对照组,实验组采用思维导图的教学方法,对照组采用传统教学方法,通过结构化问诊考核由两名教师进行教学评价。结果 实验组结构化问诊考核成绩[(83.89±6.13)分]优于对照组[(71.86±7.21)分],差异有统计学意义(t=7.79,P<0.001)。结论 基于思维导图训练的问诊教学方式可提高住院医师的问诊考核成绩,在一定程度上提高规培医师的临床思维能力。Objective To explore the teaching effect of mind mapping in clinical thinking ability of inquiry for the standardized training of residents.Methods A total of 75 physicians who were in the standardized training of residents were included from 2020—2021 in The Third Affiliated Hospital of SUN YAT-SEN University.They were assigned to the experimental group or the control group randomly.Mind mapping method and traditional education in the teaching of inquiry were conducted in the experimental and the control group respectively.Teaching evaluation was carried out by two independent teachers using structured examination.Results The total score of inquiry examination in the experimental group[(83.89±6.13)points]was higher than that in the control group[(71.86±7.21)points],the difference was statistically significant(t=7.79,P<0.001).Conclusion The mind mapping teaching can improve the score of inquiry test and clinical thinking ability in a certain extent.

关 键 词：思维导图 住院医师 规范化培训 问诊 临床思维 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]