Fang Xiang, Jin Shan, Sun Zhengzhe
Neurology Department I, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, Anhui, China.
Neurology Department, The Second Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, Anhui, China.
Med Educ Online. 2025 Dec;30(1):2500557. doi: 10.1080/10872981.2025.2500557. Epub 2025 May 5.
In the current medical environment, Chinese medical students have fewer and fewer opportunities for practice at the internship stage, which leads to a serious lack of clinical skills to meet the demands of the real world of work. In this study, we used a practical training scenario simulation teaching method oriented to strengthen clinical skills, and systematically compared the teaching effectiveness with that of traditional internship teaching models. This study included 40 5-year clinical medicine interns who practiced in the Department of Neurology at our hospital. They were randomly divided into a control group and an observation group, with 20 participants in each group. The control group adopted the bedside teaching, and the observation group adopted the practical training scenario simulation teaching method. Students in both groups were assessed using Mini-CEX scores on comprehensive qualities related to clinical skills, including physical examination of the nervous system, humanistic care, communication skills, organizational skills, etc And then, their learning outcomes are assessed in the form of after-department examination. After the internship, all the scores of teaching effect of students in the observation group were significantly higher than those of the control group, especially in terms of doctor-patient communication, physical examination of the nervous system, localization and nature determination, organizational skills, and overall performance ( < 0.05). The results of students' exit exams, students' and teachers' teaching satisfaction of the observation group were significantly better than those of the control group ( < 0.05). This method has an obvious promotion effect on the improvement of medical students' clinical skills. The method significantly improves the performance of medical students during the internship stage, and results in higher teaching satisfaction for teachers and students.
在当前的医学环境中，中国医学生在实习阶段的实践机会越来越少，这导致临床技能严重不足，无法满足实际工作的需求。在本研究中，我们采用了一种以强化临床技能为导向的实践培训情景模拟教学方法，并系统地将其教学效果与传统实习教学模式进行了比较。本研究纳入了40名在我院神经内科实习的5年制临床医学实习生。他们被随机分为对照组和观察组，每组20人。对照组采用床边教学，观察组采用实践培训情景模拟教学方法。两组学生均使用Mini-CEX评分对与临床技能相关的综合素质进行评估，包括神经系统体格检查、人文关怀、沟通技巧、组织能力等。然后，以科室出科考试的形式评估他们的学习成果。实习结束后，观察组学生的各项教学效果评分均显著高于对照组，尤其是在医患沟通、神经系统体格检查、定位及性质判定、组织能力和总体表现方面（<0.05）。观察组学生的出科考试成绩、学生及教师的教学满意度均显著优于对照组（<0.05）。该方法对医学生临床技能的提升具有明显的促进作用。该方法显著提高了医学生在实习阶段的表现，并使教师和学生的教学满意度更高。
