临床综合能力课程后的效果评估.pdfVIP

《中国病案》2016 年第 17 卷第 3 期 ·73· ·教育与教学· 临床综合能力课程后的效果评估 ① ① ①* 虞燕波 郑 玉 梁金锐 摘要 目的 探讨新增临床综合能力课程在长学制临床医学生授课中的效果。方法 选取在某三甲医院 学习的临床专业 2009 级七年制研究生 38 人和 2010 级七年制研究生 39 人，共 77 人为研究对象，2009 级 的学生未接受临床综合能力课程培训，2010 级的学生经过临床综合能力课程培训，在学生每实习完一个科 室即给带教老师进行问卷调查，出科时两组同学进行相同内容、形式的考核，并比较问卷及考核成绩结果。 结果 问卷调查显示两组学生在各专业的理论基础知识、专科查体和病历书写方面统计学无显著差异，在 临床思维和沟通方面，经过综合课程培训的学生要优于没有经过课程培训的学生。两组出科考试成绩进行 比较显示，两组学生在问诊和回答问题这两方面有统计学差异，经过培训的学生成绩要优于未经过培训的 学生，在病历书写、体格检查和辅助检查方面，两组同学无显著性差异。结论 临床综合能力课程能够有 效的帮助学生进行实习阶段的角色转换，特别是在医患沟通和临床思维方面。 关键词 综合能力；七年制研究生；临床技能；培训 Effect Evaluation of the Clinical Comprehensive Ability Course Yu Yanbo, Zheng Yu, Liang Jinrui*, Beijing Friendship Hospital, Capital Medicine University, Beijing 100050, China Abstract Objective To explore the effect of the new clinical comprehensive ability course in the teaching of clinical medical students in long term. Methods Totally 77 students, 38 seven-year graduates of 2009 grade and 39 graduates of 2010 grade majored in clinical department who were studying in a Class Three Comprehensive Hospital were taken as research objects. Students of 2009 grade did not receive the clinical comprehensive ability course training, while 2010 grade students after the clinical comprehensive ability course training. The students carried out a questionnaire survey to the teacher after each practice in a department, at the same time, the completion of the two groups of students were the same content, forms of assessment,and to compare the questionnaire and examination results. Results The questionnaire survey showed that there was no significant difference between the two groups of students in the basic knowledge of the theory, the physical examination and the medical record writing.