中国中医药现代远程教育

Practice of Traditional Chinese Medicine Teaching Outpatient Clinic in Undergraduate Teaching

目的探讨本科毕业实习带教中中医教学门诊的实际效果。方法选取2020年6月—2022年9月于江西中医药大学附属医院实习的180名中医专业毕业实习生作为研究对象,随机等量分成试验组(中医教学门诊组)、对照组(传统门诊跟诊组)进行教学,每周2次。比较两组学生实习结束后理论知识和临床技能操作考核成绩及对教学效果的评价。结果试验组学生在病案书写、辨证分析、理法方药运用、方解诠释、医患沟通等方面的表现较对照组更优异,差异有统计学意义(P<0.05)。问卷调查显示,学生普遍认为中医教学门诊较传统教学门诊更能提高学习兴趣与积极性,增强与患者沟通的能力,强化中医四诊运用的熟练度,提升中医临证逻辑思维能力,差异有统计学意义(P<0.05)。结论中医教学门诊可以更好地提升学生中医临床诊疗能力,值得进一步推广。

Objective To discuss the practical application effect of TCM teaching outpatient clinic in undergraduate practice teaching.Methods A total of 180 TCM graduates who practiced in the Affiliated Hospital of Jiangxi University of Chinese Medicine from June 2020 to September 2022 were selected as the research objects and randomly divided into experimental group(TCM teaching outpatient group)and control group(traditional outpatient follow-up group)for teaching twice a week.The results of theoretical and clinical skills assessment and the evaluation of teaching effect were compared between the two groups.Results The students in the experimental group performed better than the control group in medical record writing,syndrome differentiation analysis,application of theory and prescription,interpretation of prescription,doctor-patient communication and other aspects,and the difference was statistically significant(P<0.05).The questionnaire showed that the students generally believed that compared with the traditional teaching outpatient teaching mode,the TCM teaching outpatient teaching mode can improve the students’interest and enthusiasm in learning,enhance the communication ability with patients,strengthen the proficiency in the application of the four diagnostic methods of TCM,and improve the logical thinking ability of TCM clinical syndrome,and the difference was statistically significant(P<0.05).Conclusion TCM teaching outpatient clinic can better improve students’TCM clinical diagnosis and treatment ability,which is worthy of further promotion.