儿科见习教学中强化学生“见习医生”身份自我认同的实践

Practice of strengthening students＇ identity as a ＇ trainee doctor＇ in pediatric practice teaching

目的通过儿科学见习课教学的改进和实践．观察是否有助于强化学生对“见习医生”身份的自我认同。方法通过模拟问诊、营造仿真医疗环境、增加儿科相关操作项目等，强化学生“见习医生”的身份认同，提高实际操作能力。学期初及学期末分别填写问卷，以学生自身配对方式，对传统模式与新教学模式在教学特点、优势及“见习医生”身份认同度等方面进行比较．应用SPSS18．0软件进行数据分析，计数资料选用配对卡方检验，等级资料选用配对设计的秩和检验。结果新教学模式在一定程度上缓解学生相对较多、病源相对不足的现状，在提高学生学习的主动性、积极性、学习能力、实践能力、对问题的分析及综合能力等方面均优于传统教学，差异具有统计学意义（P均〈0．001）。还使学生掌握了医患沟通的技巧，对实现学生对“见习医生”身份自我认同方面作用显著（Z=-7．671，P〈0.001）。结论以模拟问诊及增加儿科相关操作项目为特点的新见习课教学，解决了临床教学中病源不足等突出问题。增加了学生临床学习的主动性、积极性，使学生从医生的角度思考、分析、处理问题，实现对“见习医生”身份的认同。

Objective Through the practice of new practice teaching methods, to observe whether it can help students to strengthen their self-identity as ＇trainee doctors＇. Methods By simulating interrogation, building simulation medical environment and increasing operation project, the practice operation abilities and sense of identity were improved, The questionnaire were required to fill in at the beginning and at the end of the term, and the differences between two teaching methods in advantages, characteristics and the identity of ＇trainee doctors＇ by their own pairing were compared. Data were analyzed by software SPSS 18.0. Results The new teaching model, to a certain extent, alleviated the present situation of having relatively more students and insufficient source, which was superior to traditional teaching mode in improving students＇ initiative, enthusiasm, learning ability, practical ability, analysis of the problems, comprehensive ability and so on. It also enabled students to master some of doctor-patient communication skills（P〈0.001 ）, to realize the identity of ＇trainee doctors＇ （Z=-7.671, P〈0.001）. Conclusion The new practice teaching mode has solved the problems such as insufficient source in clinical teaching. It has also increased the initiative and enthusiasm of students＇ clinical learning, so that students can think, analyze and deal with the problems from the point of view of doctors, and implement the identity of a ＇trainee doctor＇.