标准化病人在诊断学实训课中的应用初探

Study on the application of standardized patient in practice courses of diagnostics

目的探讨标准化病人(SP)在诊断学实训课中的应用。方法将我院临床医学系2015级临床医学专业本科1班与2班,共计135名学生作为研究对象。在问诊实训课后,采用问卷调查,比较传统教学和SP教学的效果,同时学生对SP工作进行评价和反馈。结果教学效果问卷显示,对于SP教学法,有127名(94.8%)学生认为能激发对问诊的兴趣,125名(93.3%)学生认为能增加对问诊内容的理解和记忆,127名(94.8%)学生认为能提高对问诊方法的应用能力,128名(95.5%)学生认为能提高问诊的技巧,129名(96.3%)学生认为能增强语言表达能力,89名(66.4%)学生认为能增强与同学的合作力,117名(87.3%)学生认为能增强沟通的自信度,115名(85.8%)学生认为能提高独立思考和自学能力,126名(94.0%)学生认为能提高学习效果,117名(87.3%)学生认为能提高临床思维能力,116名(86.6%)学生认为能提高对教学形式的满意度,111名(82.8%)学生认为能锻炼用通俗易懂的方式解答病人问题,126名(94.0%)学生认为能提高与病人的接触能力。相对传统教学,学生在各调查项目上的选择情况,差异均有统计学意义(P<0.05)。结论SP教学在诊断学实训课中有助于提高教学效果,培养学生的临床思维能力,值得进一步探讨和推广。

Objective To explore the application of standardized patients(SP)in practice course of diagnostics.Methods The two classes of 135 students majoring in clinical medicine were selected as research.After the practical course in inquiry,the questionnaires were used to compare the teaching effect between the traditional teaching and SP teaching.Meanwhile,the students evaluated and gave feedback on SP work.Results The questionnaires on teaching effect showed that 127(94.8%)students believed that the SP teaching method could stimulate interest in inquiry,125 students(93.3%)thought it could increase the understanding and memory of the inquiry content.127 students(94.8%)thought it could improve the application ability of the inquiry method,128 students(95.5%)thought it could improve inquiry techniques,129 students(96.3%)thought it could enhance expression ability,89 students(66.4%)thought it could enhance cooperation with their classmates,117 students(87.3%)thought it could enhance the confidence in communication,115 students(85.8%)thought it could improve their ability in independent thinking and self-study,126 students(94.0%)thought it could improve the learning effect,117(87.3%)students thought it could develop their clinical thinking ability,116 students(86.6%)thought it could improve the satisfaction to teaching form,111 students(82.8%)thought it could develop the ability to answer patients'problems in a manner which is easy for patients to understand,and 126(94.0%)students thought it could improve the ability to interact with patients.All issues were significantly better than the traditional teaching method Compared with the traditional teaching method,the students'choices on various items have statistically significant differences(P<0.05).Conclusion Applying SP teaching to the practice courses of diagnostics is helpful to improve the teaching effect and cultivate students'clinical thinking ability.Thus,it is a promising teaching method in medical undergraduate education and worthy of further discussion and popularization.