情景模拟教学法在临床医学本科应届毕业生技能操作教学中的应用

Application of scenario simulation teaching method in the skill operation teaching of fresh graduates of clinical medicine

目的探讨情景模拟教学法在临床医学本科应届毕业生临床技能操作教学中的应用效果。方法分别选择2018年7月—2019年7月于新疆医科大学7所教学附属医院实习的20名应届临床医学本科生为研究对象(140名),随机选择35名学生进行情景模拟教学。通过问卷调查和操作考核,情景模拟教学前后对本科5年制临床医学应届毕业生技能操作理论及操作水平进行考核,并进行比较研究。结果共发放问卷调查表140份,收回有效问卷137份,有效回收率为97.8%。7所医院总体良好率为62.0%(85/137)。各所医院良好率比较,差异无统计学意义(P>0.05)。35名学生进行情景模拟教学法授课后,成绩优秀、良好学生共14名。培训前后良好率比较,差异有统计学有意义(P<0.05)。结论目前本科实习生中不同程度地存在临床技能操作机会少、教学培训少等问题,严重影响临床教学质量。采用情景模拟教学法可较好提高本科实习生的临床技能操作能力,在制订科学的实习方案等方面具有较好的使用价值。

Objective To explore the effect of scenario simulation teaching method on the skills operation teaching of fresh graduates in clinical medicine.Methods Twenty fresh graduates of clinical medicine who were internships in seven teaching affiliated hospitals of Xinjiang Medical University from July 2018 to July 2019 were selected as the research objects(140 people),and 35 students were randomly selected for scenario simulation teaching.Through questionnaire survey and operation assessment,before and after scenario simulation teaching,the skills operation theory and operation level of fresh graduates of five-year clinical medicine were evaluated,and comparative research were conducted.Results A total of 140 questionnaires were distributed and 137 valid questionnaires were withdrawn,with an effective recovery rate of 97.8%.The overall good rate of seven hospitals was 62.0%(85/137).There were no statistically significant differences in the good rate among the hospitals(P>0.05).After 35 students conducted the scenario simulation teaching method,a total of 14 students with excellent and good results.Compared with the good rate before and after the training,and the difference was statistically significant(P<0.05).Conclusion At present,there are problems such as less opportunities for clinical skills operation and less teaching training among undergraduate interns,which seriously affect the quality of clinical teaching.The use of situational simulation teaching method can better improve the clinical skills operation ability of undergraduate interns,and has good use value in formulating scientific internship programs and other aspects.