目的 探索见习清单在临床医学专业学生循环系统见习中的应用效果。方法 采用试验对照方法。2021年10月,以华中科技大学同济医学院2017级临床医学专业53名学生为试验组,以见习清单为基础开展循环系统见习;以实施传统见习教学的2016级临床医学专业42名学生为对照组。见习结束后,比较两组学生的见习成绩,并以问卷调查形式收集试验组学生的教学反馈意见。采用独立样本t检验对相关数据进行分析。结果 试验组学生在病历书写、见习表现和见习总成绩方面均高于对照组学生[(43.6±2.5)分比(41.4±4.2)分,(49.5±0.6)分比(49.0±0.8)分,(93.1±2.5)分比(90.4±4.3)分],其差异均具有统计学意义(均P<0.05)。试验组参与调查的52名学生中,有48名(92.3%)学生认可见习清单的内容设置;所有学生均认为见习清单的时间设置合理;所有学生均认为见习清单有助于临床能力的培养,尤其是对临床思维、病历书写和医德医风的培养。结论 以见习清单为基础的见习方式应用于临床医学专业循环系统见习,提高了学生的见习积极性,提升了临床见习效果。
Objective To explore the effect of clinical clerkship checklist in the Cardiology clerkship for students of clinical medicine. Methods A controlled trial method was adopted in this study. In October 2021, 53 students majoring in clinical medicine of grade 2017 of Tongji Medical College, Huazhong University of Science and Technology, were assigned as the study group to undergo a Cardiology clerkship based on the clerkship checklist model. Meanwhile, a total of 42 students from the grade 2016 of the same specialty who underwent traditional clerkship teaching served as the control group. After the clerkship, the clerkship performance of both groups were compared, and a questionnaire survey was conducted among the study group students to collect their feedback on the teaching. Independent sample t-tests were used to analyze the relevant data. Results The study group students scored higher than the control group in medical record writing [(43.6±2.5) vs. (41.4±4.2)], clerkship performance [(49.5±0.6) vs. (49.0±0.8)], and overall clerkship scores (93.1±2.5) vs. [(90.4±4.3)], all P<0.05. Among the 52 students in the study group who participated in the survey, 48 (92.3%) agreed with the content setting of the clerkship checklist. All students believed that the time arrangement of the checklist was reasonable, and all students believed that the clerkship checklist contributed to the development of clinical ability, especially for clinical thinking, medical record writing, and medical ethics. Conclusions The clerkship model based on the clerkship checklist has achieved promising results in the Cardiology clerkship for students of clinical medicine. It has enhanced students' enthusiasm for the clerkship and improved the effects of clinical clerkship.
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