神经病学规范化教学查房联合PBL教学及SP在留学生临床实习中的应用

Standardized neurology teaching ward-round combined with PBL teaching method and standardized patients in the clinical practice of international students

目的探讨神经病学规范化教学查房联合以问题为基础的教学(problem-based learning,PBL)及标准化病人(standardized patients,SP)在留学生临床实习中的应用效果。方法选取2019年6月20日至2019年12月20日在哈尔滨医科大学附属二院神经内科临床实习的60名留学生作为研究对象,按照实习时间分为实验组和对照组,各30例。对照组应用传统教学查房方法问诊真实患者,实验组应用规范化教学查房联合PBL教学及SP进行学习。培训结束进行首次病程记录书写考核及问卷调查。采用SPSS 20.0统计软件进行t检验和卡方检验。结果实验组的病历书写成绩明显突出,差异有统计学意义(P<0.05)。实验组80%以上的留学生认同规范化教学查房联合PBL教学及SP模式,教学查房效果显著。结论针对留学生在神经内科临床实习中的教育,以规范化教学查房联合PBL教学及SP的教学查房方法效果显著。

Objective To explore the application effect of standardized neurology teaching ward-round combined with problem-based learning(PBL)teaching method and standardized patients(SP)in the production practice of international students.Methods A total of 60 foreign students who participated in the neurology department of The 2nd Affiliated Hospital of Harbin Medical University from June 20,2019 to December 20,2019 were selected as the study subjects,and were divided into experimental group and control group,with 30 ones in each group.The control group used traditional teaching ward-round methods,the experimental group used the standardized teaching ward-round combined with PBL teaching method and standardized patients for learning.And at the end of the training,the assessment of the first course of disease record writing and questionnaire survey were conducted.SPSS 20.0 was used for t test and chi-square test.Results The results of writing medical records in the experimental group were significantly outstanding,with statistical difference(P<0.05).More than 80%of foreign students in the experimental group agreed that standardized teaching ward-round and standardized patient teaching model had significant effectiveness.Conclusion In the production practice education of international students in department of neurology,the standardized teaching ward-round combined with PBL teaching method and standardized patient have achieved remarkable results.