教师标准化患者结合病例导引教学模式在短暂性脑缺血发作教学中应用.docVIP

教师标准化患者结合病例导引教学模式在短暂性脑缺血发作教学中应用 　　[摘要] 目的 探索教师标准化患者（TSP）+病例导引教学（CBL）模式解决短暂性脑缺血发作（TIA）课临床教学“老大难”问题的可行性。 方法 分别对八年制临床医学系2012级（38人）和2011级（38人）的TIA课采用TSP+CBL教学法和单纯TSP教学法。学习结束时，比较分析两组教学课堂考核成绩和教学效果调查问卷自评分。用t检验评价2种方法的教学效果。 结果 TSP+CBL组学生课堂考核平均分达（88.76±3.48）分，显著高于TSP 组的（85.27±3.01）分（P 0.05）。TSP+CBL组尤在临床思维、与人合作和解决问题能力方面成绩明显高于TSP组（P 0.01）。TSP+CBL组对教学效果调查问卷的平均自评分为（92.29±1.56）分，显著高于TSP组的（85.27±3.01）分（P 0.01）。TSP+CBL组在“对教材内容理解掌握程度”、“对新教学法满意程度”、“有利理论与临床实践结合”3个方面显著高于TSP组（均P 0.01）。 结论 以TSP+CBL的教学模式值得推广，对此类发作-间歇型疾病的临床教学具有普遍性意义。 　　[关键词] 教师标准化患者；病例导引教学；短暂性脑缺血发作 　　[中图分类号] R193 [文献标识码] A [文章编号] 1673-7210（2016）03（a）-0165-04 　　Application of teacher as standardized patient combined with case-based learning mode in transient ischemic attack teaching 　　FU Yu FAN Dongsheng▲ LU Ming SONG Hongsong 　　Department of Neurology， Peking University Third Hospital， Beijing 100191， China 　　[Abstract] Objective To evaluate the feasibility of teacher as standardized patient （TSP） combined with case based learning （CBL） teaching mode to solve clinical teaching persistent problem of the transient ischemic attack （TIA）. Methods TSP combined with CBL was used in 38 eight-year medical students of grade 2012， while TSP was used in 38 eight-year medical students of grade 2011. At the end of the study， teaching effect was assessed by the final examination and questionnaires. The data were processed by t test. Results The average test score in the TSP combined with CBL group was （88.76±3.48） scores， which was significantly higher than that in the TSP group （85.27±3.01） scores （P 0.05）. Scores of clinical thinking， cooperating with others and solving problems in TSP combined with CBL group were significantly higher than those in TSP group （P 0.01）. The score of the questionnaire in the TSP combined with CBL group was （92.29±1.56） scores， which was significantly higher than （85.27±3.01） scores in TSP group （P 0.01）. Scores of “understanding of teaching materials”， “satisfaction with new teaching method