【摘要】 目的:探讨跟诊式教学比较传统的教学模式对本科实习学生临床思维的培养。方法:将60名口腔本科实习学生按照学习成绩降幂排列后,分为2组,每组30人。单号者采用"跟诊式教学",即实习学生独自完成接诊患者的全部口腔治疗;双号者采用传统的教学方式,即只对所在实习科室的相关治疗进行处置,如果患者口腔中存在涉及其他科室的疾患,则转给相关科室的实习学生。通过出科理论考试、标准化病人测试及临床操作能力考试,评价两组学生的理论基础、沟通能力、病例综合分析能力及临床操作能力。通过Fisher精确检验比较2组间的差异。结果:"跟诊式教学"组比较传统教学模式组,临床实习本科生具有更好的沟通能力及病例综合分析能力,其差异具有统计学意义(P<0.05),而在理论基础和临床操作技能方面,两组间的差异不具有统计学意义(P>0.05)。结论:"跟诊式教学"有利于增强学生的自信心,培养本科实习生与患者的沟通能力及病例综合分析能力,该教学模式适用于口腔本科生的临床实习教学。更多还原

【Abstract】 Objective: To discuss the clinical ability training of dental undergraduate interns when taking"following up patients teaching"mode or tranditional teaching mode. Methods: Sisty dental undergraduate interns were divided into 2groups equally according to odd or even-number performance ranking,odd-number interns were in"following up patients teaching"group,even-number students were in tranditional teaching group."Following up patients teaching"mode is that interns treat all oral health problems of each patient alone. Tranditional teaching mode is curing patients with one kind of oral disease on practicum. If the patients with other oral health problems,interns in other practice departments are responsible for the treatment. Theoretical foundation,communication ability,comprehensive analysis ability and clinical skills between the two groups were evaluated by theoretical examination,standardized patients test and clinical skill practice. Fisher exact testwas used to calculate the significance between the two groups. Results: Compared with the interns in tranditional teaching group,interns in"following up patients teaching"group had a better communication ability and comprehensive analysis ability,the difference between the two groups was statistically significant( P < 0. 05). And the difference on theoretical basis and clinical operational skills was not statistically significant( P > 0. 05). Conclusion: "Following up patients teaching"mode is beneficial to establish students’ self-confidence,their communication ability and comprehensive analysis ability. It is a good teaching mode for clinical training of dental ungergraduate interns.更多还原