CAJ | 학술논문

目的：探讨风湿科临床教学中临床思维能力的培养方式。方法将2012年6月至2013年2月在蚌埠医学院第一附属医院风湿科实习的临床医学五年制学生共101人分为研究组48人和对照组53人。研究组学生接受教学查房、床边教学、教学病例讨论、以问题为基础的教学、病历书写，对照组学生接受传统教学。对两组学生入科和出科临床思维能力总评（病历书写能力、病史采集能力、体格检查能力、鉴别诊断能力和实验结果分析能力）进行效果评价。结果研究组实习生的入科和出科临床思维能力考核成绩提高值明显高于对照组，差异均有统计学意义（P<0.05）。结论改进的临床教学方法能显著提高实习生的临床思维能力，为进入临床工作打好基础。
목적：탐토풍습과림상교학중림상사유능력적배양방식。방법장2012년6월지2013년2월재방부의학원제일부속의원풍습과실습적림상의학오년제학생공101인분위연구조48인화대조조53인。연구조학생접수교학사방、상변교학、교학병례토론、이문제위기출적교학、병역서사，대조조학생접수전통교학。대량조학생입과화출과림상사유능력총평（병역서사능력、병사채집능력、체격검사능력、감별진단능력화실험결과분석능력）진행효과평개。결과연구조실습생적입과화출과림상사유능력고핵성적제고치명현고우대조조，차이균유통계학의의（P<0.05）。결론개진적림상교학방법능현저제고실습생적림상사유능력，위진입림상공작타호기출。
Objective To explore the methods of the clinical thinking ability cultivation for medical students in the De-partment of Rheumatology. Methods A total of 101 clinical students,who worked as an intern in the Department of Rheumatology of the First Affiliated Hospital of Bengbu Medical College from June 2012 to February 2013 ,were divided into study group(n=48) and control group(n=53). The study group received teaching rounds,bedside teaching,case analysis for teaching,problem-based learning(PBL) teaching and medical record writing,while the control group was adopted traditional lecture-based learning. The overall clinical thinking ability including medical record writing,history of acquisition,physical examination,differential diagnosis and the experiment results analysis at the begin and end of intership were evaluated. Results The performance of the intern on clinical thinking ability at the begin and end of intership in the study group was obviously better than that in the control group ,and the difference had statistical significance(P<0.05). Conclusion Improved clinical teaching methods can significantly increase the intern′s clinical thinking ability,laying the foundation for clinical work.