诊断学体格检查实践教学的研究进展

Research Progress in practical teaching of diagnostic physical examination

诊断学的体格检查操作手法是医学生最早接触的临床基本技能,也是临床医师获取临床诊断最快速便捷的方式。基于上述的重要性以及其内容繁杂、实践性强、难度大等原因,各大院校积极对其进行了教学改革创新。根据其实践性的特点,增加实践教学比例,注重理论与实践的结合。随着“互联网+教育”的大发展,突破传统的课堂教学,以学生的发展为中心重构教学模式,突破课堂教学的局限性,串联课前-课中-课后,培养学生自主学习能力与习惯。考核评价中,充分发挥同伴督导作用,实施团队考核,改变一考定终身的终结性评价,构建形成性评价体系。本文主要聚焦于上述体格检查实践教学中的改革措施,探寻其改革成效,以期能为广大医学教育者在体格检查实践教学中提供一定的改革思路。

The operation of physical examination in diagnostics is the first basic clinical skill for medical students,and also the fastest and most convenient way for clinicians to obtain clinical diagnosis.Due to its importance and difficulty,various colleges and universities have actively carried out teaching reform.According to its practical characteristics,increase the proportion of practical teaching,pay attention to the combination of theory and practice.Combined with the development of information,it breaks through the traditional classroom teaching,constructs the student-centered teaching mode,expands the limitations of classroom teaching,connects pre-class-during-after-class,and cultivates students'independent learning ability and habits.Give full play to the role of peer supervision,implement team assessment,change the final evaluation of one test,and build a formative evaluation system.This article focuses on the above reform measures of the physical examination practice teaching,and explores the reform results,in order to provide some reform ideas for the general medical educators in the physical examination practice teaching.