教师标准化病人问诊培训在儿科实习教学中的效果评价

Evaluation on the effect of teacher simulate standardized patient consultation training in pediatric practical teaching

目的评价教师标准化病人(teacher simulate standardized patient,TSSP)问诊培训在儿科实习教学中的效果。方法以2015级五年制临床医学专业的120名实习生为研究对象,分为试验组和对照组。试验组60名实习生入科后采用TSSP进行问诊培训,培训后对临床的患儿家长进行问诊并在教师指导下对患儿进行体格检查。对照组60名实习生按照同样要求实习,但不包括TSSP问诊培训。实习结束时对实习生的平时成绩、操作技能、病历书写能力进行对比,并对试验组进行满意度调查。采用SPSS 25.0软件进行t检验和卡方检验。结果试验组的病历书写成绩为(96.15±3.00)分,高于对照组的(81.02±3.29)分,差异有统计学意义(t=26.38;P<0.001)。迷你临床演练评估(mini-clinical evaluation exercise,Mini-CEX)中病史采集、沟通技巧与人文关怀、体格检查得分均高于对照组,差异有统计学意义(t=15.41、17.67、15.39,均P<0.001)。试验组实习生对TSSP问诊培训的教学方式满意度高。结论TSSP问诊培训提高了实习生病历书写能力、医患沟通能力、临床操作能力,激发了实习生的学习兴趣,培养了实习生的人文素养意识,融入了思政教育,有效地保证了儿科实习教学质量,得到了实习生的认同,值得推广。

Objective To evaluate the effect of teacher simulate standardized patient(TSSP)consultation training in pediatric practical teaching.Methods A total of 120 interns from the five-year clinical medicine major of Batch 2015 were randomly divided into experimental group and control group.In the experimental group,60 interns were trained by TSSP for consultation after admission.After the training,the clinical parents of the children were consulted and the children were physically examined under the guidance of teachers.In the control group,60 interns were trained according to the same requirements,but TSSP consultation training was not included.At the end of the practice,the performance,operation skills and medical record writing ability of the interns were compared,and the satisfaction of the experimental group was investigated.SPSS 25.0 software was used for t test and chi-square test.Results The medical record writing results of the experimental group were(96.15±3.00)points,significantly higher than that of the control group[(81.02±3.29)points],and the differences were statistically significant(t=26.38;P<0.001).In the mini-clinical evaluation exercise(Mini-CEX),the scores of medical history collection,communication skills,humanistic care and physical examination were significantly higher than those of the control group(t=15.41,17.67,15.39 respectively;all P<0.001).The experimental group had high satisfaction with the teaching method of TSSP consultation training.Conclusion TSSP consultation training improves the intern medical record writing ability,doctor-patient communication ability,clinical operation ability,stimulates the learning interest of interns,trains the trainee doctors humanistic consciousness,integrates into the ideological and political education,effectively ensures the quality of practical teaching of pediatrics,and obtains recognition from intern,which is worth promoting.