医学研究与教育 ›› 2018, Vol. 35 ›› Issue (6): 69-73.DOI: 10.3969/j.issn.1674-490X.2018.06.013

• 教育教学 • 上一篇    下一篇

标准化病人与其他教学法在眼科临床见习中的应用

张扬1,张帆2,李建华1   

  1. 1.昆明医科大学第一附属医院眼科, 云南 昆明 650032;
    2.昆明医科大学第一附属医院耳鼻喉科, 云南 昆明 650032
  • 收稿日期:2017-09-06 出版日期:2018-12-25 发布日期:2018-12-25
  • 通讯作者: 张帆(1978—),男,云南昆明人,副主任医师,硕士,主要从事内耳疾病治疗及人工耳蜗植入。E-mail: sailzh@263.net
  • 作者简介:张扬(1974—),男,云南昆明人,副主任医师,硕士,主要从事斜视与小儿眼科、眼整形和眼科医学教育。
  • 基金资助:
    2017年昆明医科大学教研教改项目(2017-JY-Y-052)

  • Received:2017-09-06 Online:2018-12-25 Published:2018-12-25

摘要: 目的 探讨标准化病人在眼科见习中的应用。方法 在眼科本科教学中利用真实患者充当标准化病人(standardized patient,SP),将眼科临床见习学生分为A(传统教学)组、B(SP+LBL)组、C(SP+PBL)组和D(SP+CBL)组4组分别进行教学。见习结束后根据学生评价、实践技能和理论考核的得分情况做统计分析,比较4种教学法的学生满意度和教学效果。结果 学生评价得分从高到低依次为D组、C组、B组、A组(P<0.05);实践技能+理论考核得分D组分数高于其他3组(P<0.05),C组分数高于A组和B组(P<0.05),而A组与B组分数比较差异无统计学意义(P>0.05)。结论 利用真实患者充当SP的眼科教学更容易受到学生的接受;SP与CBL、PBL教学法相结合,是一套理论与实践紧密结合的优秀教学方案。

关键词: 眼科, 标准化病人, LBL教学, PBL教学, CBL教学

Abstract: Objective To explore the application and teaching effects of standardized patients in clinical probation of ophthalmology. Methods Using the real patients serves as SP in the teaching of ophthalmology, the clinical students were divided into four groups: group A(traditional teaching group),group B(SP+LBL),group C(SP+PBL)and group D(SP+CBL).At the end of the internship, the students' satisfaction and teaching effects were compared in four groups after statistical analysis were made, according to the scores of students' evaluation, practical skills and the theoretical examination. Results The scores of students' evaluation from high to low was group D,C,B and A(P< 0.05 ).The scores of group D were the highest which were higher than the other 3 groups(P<0.05),and the group C was higher than that of group B and A(P< 0.05). However, there was no difference between the group B and A(P>0.05).Conclusion It is easier for students to accept the use of real patients as SP in teaching ophthalmology. SP is an excellent teaching method combining theory with practice, which is worth popularizing.

Key words: ophthalmology, standardized patient, lecture-based learning, problem-based learning, case-based learning

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