目的：探讨在医学生临床见习前开展情境讨论式教学的效果。方法采用标准化病人（standardized patients，SP）模拟临床中常见棘手情境，对某医学高校即将进入临床见习的2008级全部八年制临床医学专业学生（共84名）进行临床沟通教育辅导。通过五分类变量问卷调查与回访评估教学效果。采用Epidata 3.0录入数据，并采用SPSS 15.0对问卷进行描述性分析和构成比比较。结果35.4%（29名）和63.4%（52名）学生分别喜欢和认可本次培训；90.2%（74名）学生认为本次培训案例难度适中；77.3%（65名）学生认为有必要在见习前开展情境教学课程。结论临床见习前开展情境讨论式教学是一种很有效的医患沟通教学模式，能启迪学生深入思考临床工作中的沟通注意事项和应对方式。%Objective To investigate the learning outcome of clinical scenarios discussion im-plemented in teaching medical students before clinical probation. Methods Using standardized pa-tients (SP) to simulate the clinical common difficult situation, all eight year program clinical medicine students (84) of Grade 2008 who were about to enter the clinical probation were given clinical commu-nication education guidance. Through five classification variables questionnaire and return visit, the teaching effect was evaluate. Epidata 3.0 was used to input data, and the SPSS 15.0 was used to make descriptive analysis of the questionnaire and proportion comparison. Results We found 35.4%(29) and 63.4%(52) of subjects liked and approval this training, respectively;90.2%(74) of the subjects thought the diffi-culty of this train was moderate; 77.3% (65) of subjects believed that it was necessary to set the clinical scenarios discussion before clinical probation. Conclusions The implementation of clinical scenarios discussion before clinical probation was effective on inducing the medical students to pay attention to the doctor-patient communication, and deep thinking about the communication notice mat-ters and cop-ing styles in clinical environment.
展开▼
