中华医学教育杂志

中华医学教育杂志 ›› 2025, Vol. 45 ›› Issue (6): 450-455.DOI: 10.3760/cma.j.cn115259-20240424-00425

• 住院医师规范化培训 • 上一篇    下一篇

基于“疾病-照护”双轨思维导图教学查房模式在住院医师规范化培训中的应用探索

赵丽1, 张晓岩2, 孙继红2, 陈文慧1   

  1. 1国家呼吸医学中心 呼吸和共病全国重点实验室 国家呼吸疾病临床研究中心 中国医学科学院呼吸病学研究院 中日友好医院呼吸中心 中日友好医院肺移植科,北京 100029;
    2国家呼吸医学中心 呼吸和共病全国重点实验室 国家呼吸疾病临床研究中心 中国医学科学院呼吸病学研究院 中日友好医院呼吸中心 中日友好医院呼吸与危重症医学科,北京 100029
  • 收稿日期:2024-04-24 出版日期:2025-06-01 发布日期:2025-06-03
  • 通讯作者: 陈文慧, Email: wenhuichen1014@sina.com
  • 基金资助:
    首都医科大学2022教育教学改革研究课题(2022JYY373)

The application of the ″disease-care″ dual-track mind map teaching rounds model in standardized residency training

Zhao Li1, Zhang Xiaoyan2, Sun Jihong2, Chen Wenhui1   

  1. 1National Center for Respiratory Medicine ＆ State Key Laboratory of Respiratory Health and Multimorbidity ＆ National Clinical Research Center for Respiratory Diseases ＆ Institute of Respiratory Medicine, Chinese Academy of Medical Sciences ＆ Center of Respiratory Medicine, China-Japan Friendship Hospital ＆ Department of Lung Transplantation, China-Japan Friendship Hospital, Beijing 100029, China;
    2National Center for Respiratory Medicine ＆ State Key Laboratory of Respiratory Health and Multimorbidity ＆ National Clinical Research Center for Respiratory Diseases ＆ Institute of Respiratory Medicine, Chinese Academy of Medical Sciences ＆ Center of Respiratory Medicine, China-Japan Friendship Hospital ＆ Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing 100029, China
  • Received:2024-04-24 Online:2025-06-01 Published:2025-06-03
  • Contact: Chen Wenhui, Email: wenhuichen1014@sina.com
  • Supported by:
    2022 Capital Medical university Education and Teaching Reform Research Project (2022JYY373)

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摘要： 教学查房是医学知识传授和临床思维培养的重要方式,而思维导图作为一种有效的教学方式已经被广泛应用于教学查房中。本研究结合群医学和“促防诊控治康”六位一体的健康照护理念,提出了基于“疾病-照护”双轨思维导图的教学查房模式,明确界定了思维导图中“疾病线”(涵盖病因、病机、病位、病症和病程)和“照护线”(整合预防、诊断、控制、治疗、康复)的内涵,并设计了标准化模板,便于指导医师和住院医师在教学查房中应用。选取2023年5至12月在中日友好医院肺移植科轮转的18名临床医学硕士专业学位研究生和20名住院医师(统称住院医师)为研究对象,开展了16次基于“疾病-照护”双轨思维导图的教学查房,共计32学时。教学结束后通过匿名问卷调查评估教学效果。结果显示,所有住院医师对问卷中的“临床理论知识掌握度”“师生互动质量”“临床学习兴趣激发度”“临床思维能力培养度”等10个评估维度的评级均为“很好”。基于“疾病-照护”双轨思维导图的教学查房模式有助于实现教学查房的规范化和同质化,获得住院医师的普遍认可,教学效果良好。

关键词: 内科学, 住院医师规范化培训, 教学查房, 思维导图, 问题

Abstract: Teaching rounds are a crucial method for imparting medical knowledge and fostering clinical thinking. Mind map, as an effective teaching tool, has been widely adopted in teaching rounds. This study integrates the concepts of population medicine and the six-in-one health care concept of ″health promotion, prevention, diagnosis, control, treatment, and rehabilitation″ to propose a dual-track teaching round model based on mind map. This model clearly defines the ″disease track″ (including etiology, pathogenesis, location, symptoms, and course) and the ″care track″ (integrating prevention, diagnosis, control, treatment, and rehabilitation) within the mind map. A standardized template was designed to facilitate its application by attending physicians and residents during teaching rounds. We selected 18 Master′s degree graduate students in clinical medicine and 20 resident physicians (collectively referred to as resident physicians) rotating in the Lung Transplantation Department of China-Japan Friendship Hospital from May to December 2023 as the study participants. A total of 16 teaching rounds based on the ″disease-care″ dual-track mind map were conducted, amounting to 32 academic hours. The teaching effectiveness was evaluated through anonymous questionnaires after the completion of the teaching rounds. The Results demonstrated that all resident physicians rated ″excellent″ across 10 evaluation dimensions, mainly including ″mastery of clinical theoretical knowledge″, ″quality of teacher-student interaction″, ″level of motivation for clinical learning″ and ″development of clinical thinking ability″. In conclusion, the teaching rounds model based on the ″disease-care″ dual-track mind map contributes to the standardization and homogenization of teaching rounds, garnering widespread recognition from resident physicians and achieving favorable teaching outcomes.

Key words: Internal medicine, Standardized residency training, Teaching rounds, Mind map, Problem

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