情景模拟医疗纠纷在临床技能教学中的运用

The Exploring and Practicing of Scene Simulation of Medical Disputes in Clinical Skills Teaching

目的探讨将情景模拟医疗纠纷教学法融入临床技能教学中的教学效果。方法于2012年9月-2013年6月将2010级临床医学专业八年制学生93人随机分为传统教学组(46人)和情景模拟医疗纠纷组(47人),分别对两组学生进行传统教学和情景模拟法教学。采用临床技能操作考核的方法进行教学效果评估。结果情景模拟医疗纠纷组在运用情景模拟医疗纠纷教学后临床处置能力、操作技巧、沟通技能、人文知识和法律知识等维度技能的掌握能力和理论成绩均明显优于传统组,差异有统计学意义(P<0.05)。结论将情景模拟医疗纠纷有机融入临床技能教学中能够发挥其优势,有助于提高教学质量。

Objective To explore the teaching effects of scene simulation of medical disputes in clinical skills training. Methods Between September 2012 and June 2013, 93 clinical medicine undergraduates in Grade 2010（8-year study） were randomly divided into the scene simulation teaching of medical disputes group（n=47） and the control group with traditional training（n=46） for clinical skills training. Teaching effects were assessed by clinical skills operation tests. Results Through scene simulation teaching of medical disputes, the trainees’ clinical disposal ability, operating skills, communication skills, cultural knowledge, and legal knowledge dimension scores were all significantly better than previous tests（P 〈 0.05）. Conclusion Scene simulation of medical disputes has an obvious advantage in clinical skills training.