摘要
临床医学是实践性很强的学科,长期以来医学生临床技能训练都是在患者中进行,通过参与诊疗过程来完成。但随着《中华人民共和国执业医师法》对医学生临床实践行为范围的限制,加上近年来患者维权意识不断增强、医患关系趋于紧张等多因素影响,传统教学方法常难以实施,如果学生固守以观摩为主的学习途径,其临床技能培养的效果多数不甚理想。模拟器教学随着电子计算机技术在医学教学中的不断应用而发展,近年来被较多采用的是多功能系统模拟或虚拟培训系统模拟器,在超声、麻醉、外科、妇产科和眼科等专业的应用结果都表明其提高临床技能培训的效果和优点是值得肯定的,可在多层面培养对象和多专业上推广应用。但也必须指出,模拟器教学只是手段,需要在高质量理论知识传授的基础上开展,规范的教学方案和高质量的计划执行是模拟器教学质量保证的核心环节,而具体教学方法的选取应有一定灵活性。
Clinical medicine is a highly practical discipline.For a long time,clinical skills training of medical students has been carried out on patients by participating in the diagnosis and treatment process.However,as the scope of clinical practice of medical students is restricted by Law of the People’s Republic of China on Medical Practitioners,coupled with the influence of multiple factors such as the increasing awareness of patients’rights protection and the tense relationship between doctors and patients in recent years,traditional teaching methods are often difficult to implement.If students stick to the learning approach mainly based on observation,the effect of clinical skills training is not very satisfactory.Simulator teaching has been promoted with the continuous development of electronic computer technology in medical education.In recent years,multi-functional system simulation or virtual training system simulators have been promoted,which are mainly used in ultrasound medicine,anesthesia,surgery,obstetrics,ophthalmology,etc.The application results show that the effect and advantages of simulator teaching to improve clinical skills training are affirmative,which can be promoted in application of multi-level trainees and multi-professions.However,it must be pointed out that simulator teaching is only a learning method,which has to be carried out on basis of the high-quality theoretical knowledge education.Standard teaching scheme and high quality plan execution are the core links of simulator teaching quality assurance,and the selection of specific teaching methods should be flexible.
作者
张菁
芮娜
冉红
张平洋
ZHANG Jing;RUI Na;RAN Hong;ZHANG Pingyang(Teaching Affairs Office,Nanjing First Hospital,Nanjing Medical UniversityNanjing First Hospital,Jiangsu Province,Nanjing210006,China;Department of Ultrasound Medicine,Nanjing Hospital,Nanjing Medical UniversityNanjing First Hospital,Jiangsu Province,Nanjing210006,China)
出处
《中国医药导报》
CAS
2022年第35期189-192,共4页
China Medical Herald
基金
国家自然科学基金资助项目(82102058)
江苏省南京市卫生科技发展重点项目(ZKX17026)。
关键词
模拟器教学
临床医学
技能培训
应用
思考
Simulator teaching
Clinical medicine
Skills training
Application
Thinking
