临床见习和实习是医学生从理论步入实践、由学生到医生角色转变的关键阶段,见习和实习教学应当是培养具有临床思维和实践能力医学人才的重要途径。本文以神经系统疾病为例,分析了传统医学教学的现状,多层次客观分析了虚拟仿真技术结合基于问题学习教学方式在神经内科见习和实习中的优势,为其在医学教育中的推广提供借鉴和参考。
Clinical internship and practice are key stages for medical students to apply theory to clinical practice and therefore shift their roles from students to doctors gradually. Taking neurological diseases as an example, this paper analyzes the current situation of traditional medical education, proposes a new educational mode which combined virtual simulation technology with problem-based learning, and objectively analyzes the advantages of this new model in training process of clinical internship at different level, furthermore, provides experience and references for promotion of this training method in medical education.
[1]新时代 新使命 新思想 新征程——聚焦党的十九大报告新看点 开启新时代新征程[J].新长征,2017(11):40-64.
[2]中华人民共和国国务院.国务院办公厅关于加快医学教育创新发展的指导意见[EB/OL].(2020-09-23)[2020-12-20].http://www.gov.cn/zhengce/content/2020-09/23/content_5546373.htm.
[3]季林丹, 闫露露, 李海波, 等. 虚拟仿真实验助力新冠疫情期间高校在线教学——以医学遗传学实验为例[J].生命的化学,2021,41(3):614-618.
[4]Raymond Guilbault RW, Vinson JA. Clinical medical education in rural and underserved areas and eventual practice outcomes: a systematic review and meta-analysis[J]. Educ Health (Abingdon), 2017,30(2):146-155. DOI: 10.4103/efh.EfH_226_16.
[5]Rassie K. The apprenticeship model of clinical medical education: time for structural change[J]. N Z Med J, 2017,130(1461):66-72.
[6]Patil AS, Elnaggar AC, Kumar S, et al. Guided outcomes in learned efficiency model in clinical medical education: a randomized controlled trial of self-regulated learning[J]. Am J Obstet Gynecol, 2014,211(5):544.e1-544.e7. DOI: 10.1016/j.ajog.2014.05.048.
[7]Vergel J, Stentoft D, Montoya J. Extending the theoretical framework for curriculum integration in pre-clinical medical education[J]. Perspect Med Educ, 2017,6(4):246-255. DOI: 10.1007/s40037-017-0348-y.
[8]毕胜, 陈光, 侯丽淳, 等. 脑卒中教学体会[J].黑龙江医药科学,2015,38(5):28,30. DOI: 10.3969/j.issn.1008-0104.2015.05.014.
[9]谢敏, 朱海丽, 丁洁琼, 等. PBL教学法结合虚拟实验技术在生理实验教学中的应用研究[J].临床医药文献电子杂志,2019,6(13):181. DOI: 10.3877/j.issn.2095-8242.2019.13.153.
[10]王同聚. 虚拟和增强现实(VR/AR)技术在教学中的应用与前景展望[J].数字教育,2017,3(1):1-10.
[11]刘艳辉, 孙皓天. PBL教学与学生临床思维能力培养体会[J].中国继续医学教育,2020,12(24):13-14. DOI: 10.3969/j.issn.1674-9308.2020.24.006.
[12]黄颉刚, 叶力, 谢志春, 等. 虚拟仿真在基于PBL流行病学教学中的应用初探[J].内科,2018,13(3):407-408,430. DOI: 10.16121/j.cnki.cn45-1347/r.2018.03.42.
