“卓越医生”导向的教评法在皮肤性病学临床带教中的应用  

Application of the excellent doctor-oriented teaching evaluation method in the clinical teaching of dermatology and venereology

作　　者：刘婷[1] 姜锐敏 王玉娟 段茜[1] 何佳 陈杰 刘亮 Liu Ting;Jiang Ruimin;Wang Yujuan;Duan Xi;He Jia;Chen Jie;Liu Liang(Department of Dermatology,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,China)

机构地区：[1]川北医学院附属医院皮肤科,南充637000

出　　处：《中华医学教育探索杂志》2024年第3期391-396,共6页Chinese Journal of Medical Education Research

基　　金：四川省2021—2023年高等教育人才培养质量和教学改革项目(JG2021-1121)。

摘　　要：目的分析以培养"卓越医生"为导向的教评法在皮肤性病学临床带教中的应用价值。方法使用非同期对照研究的方法,选择2020年3月至2022年2月在川北医学院附属医院皮肤性病科进行理论学习和临床见习的实习医学生作为研究对象。根据入科顺序将2020年3月至2021年2月入科的32人归为对照组,2021年3月至2022年2月入科的31人归为试验组。对照组以讲授式教学法进行临床带教,试验组以培养"卓越医生"为导向的教学和评价法进行临床带教。课程结束后,比较两组实习生在理论知识成绩和操作成绩、临床思维能力(采用临床推理与反思自评量表评定)、核心能力(采用迷你临床演练量表评定)、教学满意度方面的不同。应用SPSS 25.0软件进行独立样本t检验、Mann-WhitneyU检验、卡方检验和秩和检验。结果对照组1人主动退出研究,试验组1人未完成实习内容,最终对照组31人、试验组30人进入本次研究。实习4周时,试验组理论知识成绩(88.00±4.30)分和操作成绩(91.87±3.99)分均高于对照组(85.71±4.12)分、(88.23±3.84)分,两组比较差异有统计学意义(t=2.12、3.63,P=0.040、<0.05)。实习4周时,试验组信息系统化评分(47.23±3.11)、分析问题评分(34.87±2.30)、寻找真相评分(16.30±1.49)、反思能力评分[3.50(3.00,4.00)]及临床推理与反思自评量表(self-assessment of clinical reflection and reasoning,SACRR)总分(101.87±4.47)均高于对照组(45.16±3.00)、(31.29±2.30)、(14.45±1.52)、3.00(3.00,3.00)、(93.90±4.47),两组比较差异有统计学意义(t/Z=2.65、6.17、4.79、3.15、6.96,均P<0.05)。实习4周时,试验组核心能力整体优于对照组(Z=2.12,P=0.030);试验组课堂教学评分(20.17±1.98)、临床实践评分(19.83±2.10)、学习计划评分(18.63±2.24)、教学资源评分(20.07±1.82)及总分(78.70±3.67)均高于对照组(18.45±2.23)、(17.65±2.17)、(17.03±2.15)、(18.58±2.00)、(71.71±4.13),两组比较�Objective To investigate the application value of the teaching evaluation method guided by cultivating"excellent doctors"in the clinical teaching of dermatology and venereology.Methods A non-simultaneous control study was conducted,and the medical students who received theoretical learning and clinical internship in Department of Dermatology and Venereology,Affiliated Hospital of North Sichuan Medical College,from March 2020 to February 2022,were enrolled as subjects.According to the order of enrollment,32 students who were enrolled from March 2020 to February 2021 were set up as control group,and 31 students who were enrolled from March 2021 to February 2022 were set up as experimental group.The students in the control group received lecture-based learning,and those in the experimental group received clinical teaching using a teaching and evaluation method guided by cultivating"excellent doctors".After the course ended,the two groups were compared in terms of the scores of theoretical knowledge and operation skills,clinical thinking ability[Self-Assessment of Clinical Reasoning and Reflection(SACRR)],core competence[Mini-Clinical Evaluation Exercise(Mini CEX)],and degree of satisfaction with teaching.SPSS 25.0 software was used to perform the independent samples t-test,the Mann-Whitney U test,the chi-square test,and the rank sum test.Results One student in the control group voluntarily withdrew from the study,and one student in the experimental group did not complete the contents of internship.Finally,31 students in the control group and 30 in the experimental group were included in the study.After 4 weeks of internship,compared with the control group,the experimental group had significantly higher scores of theoretical knowledge(88.00±4.30 vs.85.71±4.12,t=2.12,P=0.040)and operation skills(91.87±3.99 vs.88.23±3.84,t=3.63,P<0.05).After 4 weeks of internship,compared with the control group,the experimental group had significantly higher information systematization score(47.23±3.11 vs.45.16±3.00),analysis pro

关 键 词：皮肤性病学 卓越医生 临床带教 思维能力 核心能力 

分 类 号：R75[医药卫生—皮肤病学与性病学]