“模拟病人”在神经病学临床实践教学中效果评价.docVIP

“模拟病人”在神经病学临床实践教学中效果评价 　 作者：李东芳，连霞，李光来，薛国芳，孙支唐，马联胜，裴宇恒，韩彦青 【摘要】 目的 探讨模拟病人教学法在神经病学临床实践教学和考核中的应用价值。方法 分别对两组学生采用模拟病人教学法和传统病例讨论法进行实验教学, 并采用模拟病人法对两组学生进行临床能力考核。结果 实验组学生在与病人沟通能力、临床思维能力、团结协作能力、解决问题能力和学习兴趣的满意率均高于对照组, 差异有显著性（Plt;0.05）,临床能力测试中, 实验组的病史采集正确性、体检正确性和辅助检查正确性、诊断及处理正确性的平均得分显著高于对照组（Plt;0.05）, 实验室检查实验组与对照组得分差异无显著性（Pgt;0.05）。结论 模拟病人教学法能有效提高学生的临床技能, 并可作为评价学生临床能力的一种方法。 【关键词】 模拟病人教学法; 神经病学; 实践教学; 考核 The application of human patient simulator teaching in neurology practice teaching and assessment 【Abstract】 Objective To study the application of simulated patient teaching in practice teaching and assessment of neurology. Methods The two groups of students were taught by simulated patient teaching and discussed cases teaching respectively, and then they were assessed by using simulated patients for clinical skills. Results The ability of communication with patients, clinical thinking, collaboration, problem-solving, interest in learning and satisfaction rate of experimental group students were significantly higher than those of control group (Plt;0.05). Clinical test of history collection, physical examination, assistant examination, diagnosis, treatment and the average scores of the experimental group were significantly higher than those of control group (Plt;0.05). However, there was no significant difference in the average scores of the experimental group as compared with those of control group in laboratory test (Pgt;0.05). Conclusion The result shows that simulated patient teaching is effective in improving students? clinical skills and it can act as a worthy tool of clinical teaching and assessment. 【Key words】 human patient simulator teaching; neurology; practice teaching; assessment 神经病学的专业性、抽象性、复杂性较强，更加需要临床教学的协助。本课题通过建立“模拟病人”模式以改善医学生常常面对的理论多、实践少的难题。通过模拟常见病、多发病、疑难重症及少见疾病的症状和体征，尤其在疑难重症和少见疾病方面，有效地弥补临床资源逐渐匮乏的缺陷，便于学生更好地理论实践相结合，改变学生对所学知识仅限于感性化理解的局面。 1 对象与方法 1.1 研究对象 我校2004级五年制临床医学专业进入神经内科临床见习四年级1～4班的学生。见习 共安排 1周时间, 包括授课、操作训练和技能考核。操作侧重于在模型上进行神经系统查体模拟训练。随机选取两小班为实验组共 20