“对分课堂”联合标准化病人教学模式在心血管内科实习中的应用

Application of “presentation-assimilation-discussion class” combined with standardized patients in practice of cardiovascular medicine

目的探讨"对分课堂"联合标准化病人教学模式在心血管内科实习中的应用效果。方法将2018年6~9月于西南医科大学附属医院心内科实习的临床本科生60名,按照随机数字表法分为试验组和对照组,每组30名。试验组采用"对分课堂"联合标准化病人教学模式,对照组采用传统教学模式。心内科实习结束时,比较两组实习生的心血管内科理论知识、病历书写、相关技能操作成绩及教学效果评价。结果试验组的心血管内科理论知识、病历书写和相关技能操作成绩均显著高于对照组,差异有统计学意义(P <0.05)。试验组的激发学习兴趣、巩固医学知识、提高自学能力、分析解决问题能力、医患沟通能力、临床思维能力、团队协作能力及文献检索能力评价满意度均高于对照组,差异有统计学意义(P <0.05)。结论 "对分课堂"联合标准化病人教学模式能明显改善心血管内科实习带教效果,提高实习生理论知识、病历书写能力和相关操作技能,从而达到提高临床本科实习生质量的目的。

Objective To investigate the application effect of "presentation-assimilation-discussion(PAD) class" model combined with standardized patients in practice of cardiovascular medicine. Methods From June to September 2018,60 cases of clinical interns were selected from Department of Cardiology, Affiliated Hospital of Southwest Medical University and divided into experimental group and control group in accordance with the random number table. There were 30 interns in each group. The experimental group accepted the model of PAD class combined with standardized patients. The control group accepted traditional teaching method. At the end of the internship in cardiovascular medicine,the theoretical examination, medical record writing, operation skills and teaching effect between two groups were evaluated. Results The scores of theoretical knowledge, medical record writing and related skill operation in experimental group were significantly higher than those in control group, the differences were statistically significant(P < 0.05). The evaluation satisfaction of stimulating learning interest, consolidating medical knowledge, improving self-study ability,analyzing problem-solving ability, doctor-patient communication ability, clinical thinking ability, team cooperation ability and literature retrieval ability of experimental group were higher than those of control group, the differences were statistically significant(P < 0.05). Conclusion The teaching model of PAD class combined with standardized patients can significantly improve the teaching effect of practice in cardiovascular medicine, enhance the theoretical knowledge,medical record writing ability as well as operation skills, finally improve the quality of clinical interns.