【摘要】 目的:探索建立标准化病人对(paired-standardized patients,PSPs),弥补临床医学教育中标准化病人的不足。方法:将日常门诊病人与标准化病人组成PSPs,再与真实病人的实验室及影像学资料相结合形成PSPs标准病案(standard case of PSPs)。采用以问题为中心的教学(problem-based learning,PBL)模式,应用PSPs进行耳鼻咽喉科学临床实习教学。结果:建立了10个PSPs标准病案,通过对PSPs标准病案的学习,使医学生对临床医学产生了浓厚的兴趣,增强了对临床实习的信心。结论:PSPs弥补了标准化病人缺乏变性和生动性的不足,有助于培养医学生的临床技能、临床思维方式、循证医学方法以及自主学习的良好习惯。更多还原

【Abstract】 Objective:The aim of the study is to explore the establishment of paired-standardized patients(PSPs),which can cover the deficiency of standardized patients.Method:The outpatients and standardized patients consist of PSPs.The standard case of PSPs is established by the combination of PSPs and the laboratory and imaging information of the true patients.Then we apply the PBL model and PSPs to the clinic teaching in otorhi-nolaryngology.Result:The study of the ten standard cases of PSPs,which we have established,has enhanced the confidence and interest of medical students in clinical practice.Conclusion:PSPs can cover the deficiency of standardized patients,which includes lacking of change and lively.At the other hand,PSPs can practice the medical students’ clinical skills and the way of evidence-based medicine and can stimulate them to form the good habit of self-regulated learning.更多还原