Background:In recent years,with the gradual expansion of the scale of medical education,the shortage of medical teaching resources and the reluctance of patients to cooperate with teaching have become increasingly pro...Background:In recent years,with the gradual expansion of the scale of medical education,the shortage of medical teaching resources and the reluctance of patients to cooperate with teaching have become increasingly prominent.Objective:To explore the application effect of student standardized patient(SSP)in the clinical teaching of acute abdomen.Methods:Fifty-four fifth-year general medical students from class 1826 of the general department of The First Affiliated Hospital of Xi’an Medical University were selected as the research subjects and randomly divided into two groups,with 27 students in the experimental teaching group,and the remaining 27 students in the conventional teaching group.The experimental teaching group adopted the SSP teaching approach.The SSPs were generated from the training students of the hospital through the recruitment and training process of SSP.In this study,seven qualified SSPs were selected for the clinical teaching of acute abdomen.At the end of the course,a periodic assessment was held.The rank sum test was used to compare the excellent and good rates between the two groups,while t-test was used to compare the difference between the two groups.Results:The results showed that the excellent and good rate of the experimental teaching group was significantly higher than that of the conventional group,in which the difference between the two groups was statistically significant(p<0.05).In terms of the assessment results,the theoretical scores and skills scores of the experimental teaching group were better than those of the conventional teaching group,in which the differences between the two groups were statistically significant(p<0.05).Conclusion:Through the training of SSP for acute abdomen and its application in surgical teaching and examination,the superiority of SSP is emphasized.Although there are still some shortcomings in the application of SSP in clinical teaching,it is a relatively new and effective teaching method,and it will play an increasingly critical role in clinical skills training pertaining to the medical specialty.展开更多
目的探讨将学生标准化病人应用于神经内科临床实践教学中的应用效果。方法将80名临床医学本科大四学生随机分成为传统临床带教对照组和学生标准化病人(student as standardized patients,SSP)组。对照组以传统临床带教的方式进行临床实...目的探讨将学生标准化病人应用于神经内科临床实践教学中的应用效果。方法将80名临床医学本科大四学生随机分成为传统临床带教对照组和学生标准化病人(student as standardized patients,SSP)组。对照组以传统临床带教的方式进行临床实践教学,SSP组采用学生标准化病人进行临床实践教学。临床实践结束后所有学生接受客观结构化临床考试(objective structured clinical examination,OSCE)及完成满意度问卷调查。结果SSP组在OSCE考试中病史采集、神经系统查体得分方面优于对照组,差异有统计学意义(P<0.05)。调查问卷结果显示,SSP组在临床思维提升、激发学习兴趣、沟通能力提升方面得分均高于对照组,差异有统计学意义(P<0.05)。结论学生标准化病人应用于神经内科的临床实践过程中有助于提高临床医学生的病史采集及神经系统体格检查技能,取得更好的教学效果。展开更多
目的探讨学生标准化病人(student as standardized patient,SSP)在麻醉专业住院医师规范化培训(简称“住培”)教学查房中应用的可行性。方法选择2020年8月—2022年8月安庆市立医院麻醉科住培医师60名,分为研究组和对照组各30名,研究组...目的探讨学生标准化病人(student as standardized patient,SSP)在麻醉专业住院医师规范化培训(简称“住培”)教学查房中应用的可行性。方法选择2020年8月—2022年8月安庆市立医院麻醉科住培医师60名,分为研究组和对照组各30名,研究组采用将SSP引入教学查房的教学模式;对照组采用传统示教模式,两组完成教学查房3个月后采用迷你临床演练评量(mini-clinical evaluation exercise,Mini-CEX)及住培医师满意度调查总结评价教学查房效果。结果研究组问诊能力、查体能力、临床诊断、人文关怀、组织效能、沟通能力以及整体表现评分均高于对照组,差异有统计学意义(P<0.001),研究组满意度高于对照组,差异有统计学意义(P<0.05)。结论麻醉科专业住培教学查房实施过程中引入SSP,调动了住培医师的学习积极性,全面提高了住培医师综合能力与职业素养,可提高麻醉专业住院医师规范化培训教学质量和内涵。展开更多
口腔医学专业本科生第五年进入实习阶段,牙周临床实习内容与实验课相比有差距,实习质量有待提高。以案例为基础,利用浙江大学医学院附属口腔医院医学影像管理系统(picture archiving and communication system,PACS)查看X线片和口内照...口腔医学专业本科生第五年进入实习阶段,牙周临床实习内容与实验课相比有差距,实习质量有待提高。以案例为基础,利用浙江大学医学院附属口腔医院医学影像管理系统(picture archiving and communication system,PACS)查看X线片和口内照及牙周系统检查表电子化,在学生标准化病人(student as standardized patient,SSP)培训过程中予以辅助,保障SSP的使用。在牙周实习"讲授-示范-操作-反馈"(tell-showdo-feedback,TSDF)椅旁教学过程中,利用数字化辅助SSP,循序渐进、从简到难教学,并结合口腔数字示教系统教学超声洁治,逐步提高实习生病史采集能力、诊疗能力、医患沟通能力和超声洁治技能,保障实习生对常见牙周疾病的掌握,提高临床实践能力,为将来住院医师规范化培训打好基础。展开更多
目的探究基于形成性评价的SBAR(situation,background,assessment and recommendation)标准化沟通教学模式对肝胆胰外科实习护生护患沟通能力的影响。方法纳入2020年4—9月在南华大学附属第一医院肝胆胰腺外科实习的78名护生为研究对象...目的探究基于形成性评价的SBAR(situation,background,assessment and recommendation)标准化沟通教学模式对肝胆胰外科实习护生护患沟通能力的影响。方法纳入2020年4—9月在南华大学附属第一医院肝胆胰腺外科实习的78名护生为研究对象,运用随机数表法将研究对象分为试验组及对照组,每组各39名,对照组采取传统的教学模式、试验组采取基于形成性评价的SBAR沟通教学模式分别进行带教,比较两组实习护生出科考核成绩(理论成绩及沟通实践成绩)、出科前后的护患沟通能力及患者满意度情况。结果试验组出科考核成绩均高于对照组,差异有统计学意义(P<0.05);两组出科时的护患沟通能力得分均高于入科时的护患沟通能力得分,且两组出科时的护患沟通能力得分比较,试验组高于对照组,差异有统计学意义(P<0.05);此外试验组患者满意度明显高于对照组(P<0.05)。结论采取基于形成性评价的SBAR沟通教学模式带教,可巩固肝胆胰外科实习护生所掌握的沟通相关知识,并有效提高其护患沟通能力及患者满意度。展开更多
基金Shaanxi Undergraduate and Higher Continuing Education Teaching Reform Research Project in 2021 by Shaanxi Education Department,“Construction and Practice of Faculty Construction and Quality Assurance System Based on Online Learning Platform for Clinical Faculty of Western Medical College”(Project Number:21BZ066)Education and Teaching Reform Research Project in 2020 by Xi’an Medical University,“Construction and Practice of‘Double-Qualified’Teaching Staff Construction and Quality Assurance System in Affiliated Hospitals Based on‘Clinical Teachers Online Learning Platform’”(Project Number:2020JG-02)。
文摘Background:In recent years,with the gradual expansion of the scale of medical education,the shortage of medical teaching resources and the reluctance of patients to cooperate with teaching have become increasingly prominent.Objective:To explore the application effect of student standardized patient(SSP)in the clinical teaching of acute abdomen.Methods:Fifty-four fifth-year general medical students from class 1826 of the general department of The First Affiliated Hospital of Xi’an Medical University were selected as the research subjects and randomly divided into two groups,with 27 students in the experimental teaching group,and the remaining 27 students in the conventional teaching group.The experimental teaching group adopted the SSP teaching approach.The SSPs were generated from the training students of the hospital through the recruitment and training process of SSP.In this study,seven qualified SSPs were selected for the clinical teaching of acute abdomen.At the end of the course,a periodic assessment was held.The rank sum test was used to compare the excellent and good rates between the two groups,while t-test was used to compare the difference between the two groups.Results:The results showed that the excellent and good rate of the experimental teaching group was significantly higher than that of the conventional group,in which the difference between the two groups was statistically significant(p<0.05).In terms of the assessment results,the theoretical scores and skills scores of the experimental teaching group were better than those of the conventional teaching group,in which the differences between the two groups were statistically significant(p<0.05).Conclusion:Through the training of SSP for acute abdomen and its application in surgical teaching and examination,the superiority of SSP is emphasized.Although there are still some shortcomings in the application of SSP in clinical teaching,it is a relatively new and effective teaching method,and it will play an increasingly critical role in clinical skills training pertaining to the medical specialty.
文摘口腔医学专业本科生第五年进入实习阶段,牙周临床实习内容与实验课相比有差距,实习质量有待提高。以案例为基础,利用浙江大学医学院附属口腔医院医学影像管理系统(picture archiving and communication system,PACS)查看X线片和口内照及牙周系统检查表电子化,在学生标准化病人(student as standardized patient,SSP)培训过程中予以辅助,保障SSP的使用。在牙周实习"讲授-示范-操作-反馈"(tell-showdo-feedback,TSDF)椅旁教学过程中,利用数字化辅助SSP,循序渐进、从简到难教学,并结合口腔数字示教系统教学超声洁治,逐步提高实习生病史采集能力、诊疗能力、医患沟通能力和超声洁治技能,保障实习生对常见牙周疾病的掌握,提高临床实践能力,为将来住院医师规范化培训打好基础。
文摘目的探究基于形成性评价的SBAR(situation,background,assessment and recommendation)标准化沟通教学模式对肝胆胰外科实习护生护患沟通能力的影响。方法纳入2020年4—9月在南华大学附属第一医院肝胆胰腺外科实习的78名护生为研究对象,运用随机数表法将研究对象分为试验组及对照组,每组各39名,对照组采取传统的教学模式、试验组采取基于形成性评价的SBAR沟通教学模式分别进行带教,比较两组实习护生出科考核成绩(理论成绩及沟通实践成绩)、出科前后的护患沟通能力及患者满意度情况。结果试验组出科考核成绩均高于对照组,差异有统计学意义(P<0.05);两组出科时的护患沟通能力得分均高于入科时的护患沟通能力得分,且两组出科时的护患沟通能力得分比较,试验组高于对照组,差异有统计学意义(P<0.05);此外试验组患者满意度明显高于对照组(P<0.05)。结论采取基于形成性评价的SBAR沟通教学模式带教,可巩固肝胆胰外科实习护生所掌握的沟通相关知识,并有效提高其护患沟通能力及患者满意度。
