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[临床病例展示:地图并非疆域]

[The presentation of clinical cases: the map is not the territory].

作者信息

Pennetti V, Fiorito S

出版信息

Recenti Prog Med. 1994 Sep;85(9):441-6.

PMID:7938877
Abstract

To establish their effectiveness for teaching purposes two different expository methods employed for the presentation of clinical cases are compared: the "traditional or conventional" expository method and the more recently introduced non-conventional expository method. The "traditional" expository method is characterized by its schematization and rigidity, which are features that misrepresent the real clinical situation. The non-conventional expository method is distinguished by its fluidity, by its different cognitive approach (iterative approach) and by its ability to make the cognitive processes underlying all clinical reasoning explicit. This is an element of fundamental importance for teaching. In addition, the authors point out the teaching limits implicit in the presentation of cases whatever their expository method. The authors conclude by maintaining that tutorials at the patient's bedside must form the basis of clinical teaching.

摘要

为确定用于教学目的的有效性,对用于呈现临床病例的两种不同的讲解方法进行了比较:“传统或常规”讲解方法和最近引入的非常规讲解方法。“传统”讲解方法的特点是其模式化和僵化,这些特征歪曲了真实的临床情况。非常规讲解方法的特点是其流畅性、不同的认知方法(迭代方法)以及能够使所有临床推理背后的认知过程变得明确。这是教学中至关重要的一个要素。此外,作者指出,无论采用何种讲解方法,病例呈现中都隐含着教学局限性。作者最后认为,床边辅导必须构成临床教学的基础。

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