以學生為中心的臨床案例教學法在中醫(yī)急診住院醫(yī)師規(guī)范化培訓中的探索與實踐

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[Abstract]ObjectiveToevaluatetheefectivenessofthestudent-centered，case-basedteaching methodinthestandardizedtrainingoftraditionalChinesemedicine（TCM）residentphysicians.MethodsFromJanuarytoDecember2O22，3Oresident physiciansundergoingemergencydepartmentrainingwererandomlyselectedasthecontrolgroupandtaughtbytraditionalmethods.In thisapproach，dsignatedisructorsprovidedteoreticallssons，practicaldemonsratios，andgdedreesinompletigpr lectedclinicalcasesindependently.Another3Oresidentphysicianswererandomlychosenastheobservationgroup，taughtbya student-centeredase-basedteachgetodTismethdmphsizedcorepathogenesis，progresivelyintegatedtetbooktet， andconectedmultidisciplinaryknowledgepoints.Afterthetraining，bothgroupsweresurveyedtoasesstheirsatisfactionwithemer gencytrainingandtheirself-evaluationofclinicalsyndromediferentiationskils.Entranceexamresultswerealsocomparedbetween thetwogroups.ResultsTheobservationgroupshowedsignificantlyhighersatisfactionandself-evaluationscoresforsyndroedifferentiation ability compared to the control group （ P<0.05 ）．Additionally，their clinical syndrome differentiation and treatment scores were significantly superior （ P<0.05 ）.Conclusion The student-centered，case-based teaching method enhances the clinical diagnosisandtreatmentskilsofesidentphysiciansinstadadedtrningprogamsandinceasstheroverallsatisfactionwithteain ing process.

[Key words] Traditional Chinese medicine teaching；Students-centered；Case-based teaching；Standardized training；Syndromedifferentiation

住院醫(yī)師規(guī)范化培訓（以下簡稱規(guī)培）始于1993年衛(wèi)生部印發(fā)的《關于實施臨床住院醫(yī)師規(guī)范化培訓試行辦法的通知》，是醫(yī)學生畢業(yè)后教育的重要組成部分，以提高臨床實踐能力作為培訓的主要內(nèi)容，在醫(yī)學終身教育中具有承前啟后的重要地位。（剩余6938字）