中医内科见习中TSP+SSP的应用对课程思政实践研究

Application of TSP+SSP for ideological and political education in clinical internship of traditional Chinese internal medicine

目的探究有效提高临床见习教学质量且能加入思政元素的教学模式。方法在传统见习模式基础上增加TSP+SSP教学模式,选取2017级卓越中西医结合班57名学生和2017级南洋理工班31名学生,通过学生的调查问卷结合学生见习的形成性评价成绩从教学模式到教学效果等多方面进行评估。结果共收回有效问卷88份,问卷结果提示88.6%的学生对TSP+SSP教学模式比较满意,90.9%的学生认为TSP+SSP教学模式大部分学生都能参与,92%的学生认为TSP+SSP教学模式优于传统见习模式,95.6%的学生认为TSP+SSP教学模式可以提高医患沟通能力,加强自己对患者的人文关怀。以上一届采用传统见习模式的同专业班级成绩做对照,卓越中西医结合班的病例书写成绩高于上一届班级(P<0.01),南洋理工班的随堂测验成绩高于上一届班级(P<0.01)。结论TSP+SSP教学模式能够很好地将人文关怀的思政元素融入教学中,且能提高学生的成绩,大多数学生都可以参与,可作为传统教学模式的良好补充。

Objective To explore a way of teaching that cannot only improve the instructional quality but integrate ideological and political education elements into the clinical internship.Methods The present research added teacher standardized patient(TSP)+student standardized patient(SSP)to the conventional ways of teaching in internship,and assessed the new practice through questionnaire responses as well as formative evaluation grades of student interns from various aspects such as the teaching effects.The subjects selected for the study included 57 students from the Excellent Integrated Traditional Chinese and Western Medicine Class of 2025 and 31 from Nanyang Technological University Class of 2022.Results From a total of 88 valid questionnaire responses collected,the results showed that 88.6%of the students were satisfied with the TSP+SSP teaching,90.9%thought that most of them could participate in relevant activities,92%believed that it was superior to the traditional mode of internship,and 95.6%stated that the new teaching method could improve their skills of doctor-patient communication and strengthen their humanistic care for patients.Compared with the previous classes of the same major who were trained with the traditional internship,the scores of case history writing of the Excellent Integrated Traditional Chinese and Western Medicine Class were higher than those of the previous class(P<0.01),and the in-class quiz scores of Nanyang Technological University Class were higher than those of the previous class(P<0.01).Conclusion TSP+SSP can well integrate the ideological and political elements of humanistic care into teaching,improve students′performance and involve most students,which could complement the traditional ways of teaching.