症状—疾病为导向的临床思维模式在神经内科并轨医学临床研究生教学中的应用  

Application of Symptom-Oriented Clinical Thinking in Neurology Convergent Medical Graduate Education

作　　者：李计成 李香玲[2] 杨华 时宏娟 王炎强[2] Li Jicheng;Li Xiangling;Yang Hua;Shi Hongjuan;Wang Yanqiang(The Second ffilited Hospital of Xuzhou Medical Universiy,Xuzhou 2210063,Jiangsu,China;Affiliated Hospital of Weifang Medical Universiry,Weifang 261031,Shandong,China;The ffiliated Hospital of Xuzhou Medical University,Xuzhou 2210063,Jiangsu,China)

机构地区：[1]徐州医科大学第二附属医院,江苏徐州2210063 [2]潍坊医学院附属医院,山东潍坊261031 [3]徐州医科大学附属医院,江苏徐州2210063

出　　处：《中国高等医学教育》2024年第1期144-145,F0003,共3页China Higher Medical Education

基　　金：山东省研究生优质教育教学资源项目(SDYAL2022150);潍坊医学院教育教学改革与研究课题(2022YB046)。

摘　　要：目的:探讨症状—疾病为导向的临床思维模式在并轨医学临床研究生教学中的应用效果。方法:选取神经内科并轨医学临床研究生64名为研究对象,随机分为试验组和对照组。试验组应用症状—疾病为导向临床思维教学;对照组应用传统理论授课教学,通过比较两组临床知识掌握、教学效果与授课满意状况进行教学效果评价。结果:试验组理论知识掌握、临床技能操作、病历书写、病例汇报分析及自学能力、文献查阅能力、临床思维能力、授课参与程度、医护患沟通能力、医护团队协作能力与授课满意度、个人综合能力提高满意度均明显优于对照组(P<0.05)。结论:基于症状—疾病为导向的教学模式可明显提高并轨医学研究生的临床思维,显著提高教学效果与学习满意度。Objective:To explore the application effect of symptom-oriented clinical thinking mode in convergent medical graduate education in neurology.Methods:A total of 64 graduate students in neurology and convergent medicine were randomly divided into an experimental group and a control group.The experimental group used the symptom-oriented clinical thinking teaching method and the control group used traditional lecture-based teaching.The teaching effects were evaluated by comparing the mastery of clinical knowledge,teaching outcomes,and satisfaction between the two groups.Results:The experimental group showed significantly better results in theoretical knowledge mastery,clinical skills operation,case writing,case presentation and analysis,self-learning ability,literature retrieval ability,clinical thinking ability,degree of participation in teaching,communication ability between medical staff and patients,teamwork collaboration ability,and teaching satisfaction,as well as overall performance,compared to the control group(P<0.05).Conclusion:The teaching model based on symptom-oriented clinical thinking can significantly improve the clinical thinking of convergent medical graduate students,enhance teaching effectiveness,and increase satisfaction with the learning experience.

关 键 词：症状—疾病为导向 临床思维模式 神经内科 并轨培养 医学临床研究生 

分 类 号：G643[文化科学—高等教育学]