问诊是临床医生必须掌握的基本技能。为解决当前问诊教学资源不足的现状并提高问诊教学效果,本研究小组基于微信小程序及标准化病人,设计并创建了“切问”问诊训练平台。2022年4月组织中国医科大学五年制临床医学专业50名学生应用该平台进行问诊训练,训练半个月后向学生发放问卷调查训练效果,向10名指导教师发放问卷调查教学效果。在回收的49份有效学生问卷中,44名(89.8%)学生认为本平台有助于激发学习兴趣;45名(91.8%)学生认为其有助于培养自主学习能力;46名(93.9%)学生认为其有助于提高临床思维能力;44名(89.8%)学生认为其有助于加深对问诊理论知识的理解和记忆;47名(95.9%)学生认为其有助于提高医患沟通能力;46名(93.9%)学生认为其贴近临床真实情境。所有被调查教师均认为应用本平台进行教学有助于激发学生的学习兴趣,提高学生的临床思维能力、问诊能力。“切问”问诊训练平台增加了学生问诊的实践机会、贴近临床真实情境,得到学生和教师认可,有助于解决问诊教学资源不足的问题,在提高学生问诊技能方面具有一定的可行性和创新性。

Medical history taking is an essential skill for clinicians. "Qiewen", which is an online platform of medical history taking based on WeChat mini program and standardized patients, was designed and applied to solve the problem of insufficient learning resources and improve the teaching effect of medical history taking. In April 2022, a preliminary attempt of medical history taking on the platform was successfully completed among 50 students from China Medical University. After half a month of practice, a questionnaire survey was conducted among the students and 10 teachers on the studying and teaching effects of medical history taking. Of the 49 valid student questionnaires collected, 44(89.8%) students thought it was helpful to increase their interest in learning. Independent learning ability was improved in 45(91.8%) students, 46(93.9%) students believed that it was beneficial to their clinical reasoning, it was useful for the understanding and memorization of theoretical knowledge in 44(89.8%) students, 47(95.9%) students considered the clinical communication ability was improved through the training, 46(93.9%) students believed that it was close to real clinical scenarios. All teachers surveyed believed that the application of this platform to teaching would help stimulate students′ interest in learning and improve their clinical thinking ability and inquiry ability. "Qiewen" training platform increases the practice opportunities of students′ consultation, is close to the real clinical situation, is recognized by students and teachers, helps to solve the problem of insufficient consultation teaching resources, and has certain feasibility and innovation in improving students′ history taking skills.