CAJ | 학술논문

目的探讨以真实病例为中心的情境模拟考核模式在三年制临床医学专业核心课程中的应用价值。方法随机选取2008级临床医学专业2个班的学生，分为实验组（158人）和对照组（156人）。实验组考核包括平时成绩、病例情境模拟考核、期末笔试，对照组沿用传统的考核模式。两组期末笔试采用同一试卷，利用期末笔试成绩和问卷调查来评价“病例情境模拟考核”的实施效果，数据使用SPSS 16.0软件作统计学分析，进行t检验和χ2检验，以P＜0.05为差异有统计学意义。结果实验组学生期末笔试成绩高于对照组（P=0.000）；实验组学生独立完成病史采集、体格检查、病历书写次数明显高于对照组（P=0.002、0.017、0.048）。结论病例情境模拟考核的内容与方法有利于医学生执业综合能力的培养。
목적탐토이진실병례위중심적정경모의고핵모식재삼년제림상의학전업핵심과정중적응용개치。방법수궤선취2008급림상의학전업2개반적학생，분위실험조（158인）화대조조（156인）。실험조고핵포괄평시성적、병례정경모의고핵、기말필시，대조조연용전통적고핵모식。량조기말필시채용동일시권，이용기말필시성적화문권조사래평개“병례정경모의고핵”적실시효과，수거사용SPSS 16.0연건작통계학분석，진행t검험화χ2검험，이P＜0.05위차이유통계학의의。결과실험조학생기말필시성적고우대조조（P=0.000）；실험조학생독립완성병사채집、체격검사、병역서사차수명현고우대조조（P=0.002、0.017、0.048）。결론병례정경모의고핵적내용여방법유리우의학생집업종합능력적배양。
Objective To investigate the application value of real clinical case centered situation simulation examination model in clinical medicine. Methods Two classes were randomly selected from 2008 grade clinical medicine majors, respectively as test group(n=158) and control group(n=156). Final examination of test group includes usual performance, case-oriented situation simulation examination (COSSE) and final written examination. Traditional methods were used in control group. The same paper was used in final written examination of the two groups. Scores of written examination and question-naires were used to evaluate the COSSE model. Data were processed using SPSS 16.0 statistical software;t and chi-square tests were used to analyze the data;P<0.05 signifies that the difference is statistically sig-nificant. Results Scores of final examination in test group were higher than those in control group(P<0.001). Times of independent completion of history taking, physical examinations and medical record writing were more in test group than in control group(P=0.002,0.017,0.048). Conclusions Contents and methods of COSSE is conducive to improving student's professional comprehensive ability.