华西医学

华西医学

标准化病人在留学生内科学实践教学中的应用

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目的 探讨标准化病人(standardized patient,SP)教学模式在留学生内科学实践教学病史采集中的应用价值。 方法 2017 秋季教学期间,将 96 名 2014 级来华医学留学生采用随机数字表法随机分为 2 组,SP 教学法和常规教学法各 48 人,比较两组留学生内科学实践中英文病史采集成绩,并通过问卷星网络问卷调查统计留学生教学反馈。 结果 利用 SP 教学法的留学生,其内科学实习中病史问诊测验成绩高于常规教学法的学生[(86.5±9.7)vs.(78.2±10.6)分,t=3.983,P<0.001]。问卷调查分析显示,对于目前的教学方法是否增强学习兴趣、提高沟通能力、增进临床技能、训练临床思维、体现人文关怀方面,SP 教学组中持积极正面观点的学生分别占 92.86%、97.62%、85.71%、90.48% 和 95.24%,而常规教学组中持正面观点的学生分别占 90.00%、87.50%、82.50%、77.50% 和 97.50%,差异均无统计学意义(P>0.05)。 结论 英文 SP 在留学生内科学及诊断学临床教学上有较好的应用价值。接受 SP 教学的留学生大多对其持积极正面的态度

Objective To explore the application value of standardized patient (SP)-based teaching method in the teaching of medical history taking for international students. Methods During the autumn semester of 2017, 96 international medical students were randomly divided into two groups, with 48 students in the SP-based teaching group and 48 students in the conventional teaching group. The test scores of medical history taking in English in internal medical practice of the two groups were compared. The teaching feedback from the international students was collected and evaluated by online questionnaire survey. Results The scores of medical history taking examination in internal medical practice of the students using SP-based teaching method were higher than those of the students using conventional teaching method (86.5±9.7 vs.78.2±10.6), and the difference was statistically significant (t=3.983, P<0.001). According to the questionnaire analysis, in terms of whether the current teaching method could enhance learning interest, improve communication ability, promote clinical skills, train clinical thinking, and highlight humanistic care, students with positive views in the SP-based teaching group accounted for 92.86%, 97.62%, 85.71%, 90.48%, and 95.24%, respectively, while students with positive views in the conventional teaching group accounted for 90.00%, 87.50%, 82.50%, 77.50%, and 97.50%, respectively, and the differences were not statistically significant (P>0.05). Conclusions Well-trained SP has a good application value in clinical practice of internal medicine and diagnostics teaching for international students. SP-based teaching method has been accepted and supported by the majority of international medical students who have experienced it.

关键词: 标准化病人; 留学生; 内科学; 临床实践; 病史采集

Key words: Standardized patient; International student; Internal medicine; Clinical practice; History taking

引用本文: 谭惠文, 李春雨, 吴小康, 曾锐, 岳荣铮, 左川. 标准化病人在留学生内科学实践教学中的应用. 华西医学, 2019, 34(1): 100-104. doi: 10.7507/1002-0179.201806133 复制

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