陈伟, 赵志敬, 于进, 刘兵, 陶凌, 王琼. 病例汇报模式在心内科实习医生考核中的实践[J]. 心脏杂志, 2023, 35(6): 727-730. DOI: 10.12125/j.chj.202302071
    引用本文: 陈伟, 赵志敬, 于进, 刘兵, 陶凌, 王琼. 病例汇报模式在心内科实习医生考核中的实践[J]. 心脏杂志, 2023, 35(6): 727-730. DOI: 10.12125/j.chj.202302071
    CHEN Wei, ZHAO Zhi-jing, YU Jin, LIU Bing, TAO Ling, WANG Qiong. Practice of case report mode in examination for cardiology interns[J]. Chinese Heart Journal, 2023, 35(6): 727-730. DOI: 10.12125/j.chj.202302071
    Citation: CHEN Wei, ZHAO Zhi-jing, YU Jin, LIU Bing, TAO Ling, WANG Qiong. Practice of case report mode in examination for cardiology interns[J]. Chinese Heart Journal, 2023, 35(6): 727-730. DOI: 10.12125/j.chj.202302071

    病例汇报模式在心内科实习医生考核中的实践

    Practice of case report mode in examination for cardiology interns

    • 摘要:
      目的  探讨基于病例汇报模式的形成性考核在心血管内科实习医生出科考核中的应用效果。
      方法  将84名五年制临床医学专业实习生分为2组,对照组42人采用传统的方式考核,试验组42人采用病例汇报模式考核,分析考核效果。
      结果  试验组的出科考核成绩显著优于对照组(P<0.01),试验组在实习讲课、病例讨论当堂掌握率高于对照组(P<0.05),教学查房当堂掌握率在试验组和对照组无统计学差异,试验组课后复习率明显高于对照组(P<0.05),与对照组相比,试验组认为病例汇报更能锻炼分析临床问题的能力,加强对疾病的鉴别诊断能力和加深对理论知识的理解程度等临床思维能力。
      结论  基于病例汇报模式的形成性考核可以提高心血管内科实习医生的考核成绩,有助于激发实习医生的学习主动性,更好的培养学生的临床思维和对知识的理解能力,是一种可推广的实习考核方法。

       

      Abstract:
      AIM  To explore the application effect of formative assessment based on case report model in the final examination for interns in cardiovascular medicine.
      METHODS  A total of 84 five-year medical students majoring in clinical medicine and aerospace medicine were divided into two groups. The control group (42 cases) was assessed by traditional method, while the experimental group (42 cases) was assessed by case report mode.
      RESULTS  The examination results in experimental group were significantly better than those in control group (P<0.01). The performance of lecture practice, the in-class learning results of case discussion and after-class review rate in experimental group were higher than those in control group (P<0.05), and no statistical difference was found in in-class learning results of teaching ward-round between the two groups. Compared with the traditional method, the case report could better exercise the ability of analyzing clinical problems, strengthen the ability of differential diagnosis of diseases and deepen the understanding of theoretical knowledge.
      CONCLUSION  The formative assessment based on case report model can improve the assessment results of interns, help to stimulate the learning initiative of interns and better cultivate students’ clinical thinking and understanding ability of knowledge. It is an interns assessment that can be popularized.

       

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