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论临床教学中的提问与反馈技能

On Questioning and Feedback Skills in Clinical Teaching

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【作者】 陈韶华; 郑敏;

【Author】 CHEN Shaohua;ZHENG Min;Department of Medical Education,The First Affiliated Hospital,Zhejiang University School of Medicine;Department of Gastroenterology,The First Affiliated Hospital,Zhejiang University School of Medicine;State Key Laboratory for Diagngsis and Treatment of Infections Diseases,The First Affiliated Hospital,Zhejiang University School of Medicine;

【通讯作者】 郑敏;

【机构】 浙江大学医学院附属第一医院教学部; 浙江大学医学院附属第一医院消化内科; 浙江大学医学院附属第一医院传染病重症诊治全国重点实验室;

【摘要】 通过文献综述方法,从微观角度系统梳理和分析提问与反馈两大临床教学核心技能的理论基础与应用策略。论述了提问和反馈技能的内涵,梳理了苏格拉底式教学法、建构主义学习理论等理论基础,综述了临床提问和反馈的研究现状。基于文献分析,提出提问与反馈技能具有“双重镜像”关系特征,两种技能在临床教学过程中相互依存、相互促进,在思维结构上呈现镜像对称。综合现有研究成果,构建了提问技能的六项应用策略和反馈技能的五项应用策略,为临床教学实践提供了系统性理论指导和可操作的应用框架,有助于提升临床教学质量。

【Abstract】 Using a literature review methodology, this study systematically examined and analyzed the theoretical foundations and application strategies of two core clinical teaching skills—questioning and feedback—from a micro-perspective. The connotation of questioning and feedback skills was elucidated, tracing their theoretical underpinnings to approaches such as the Socratic method and constructivist learning theory. The current research status on clinical questioning and feedback was synthesized. Based on the literature analysis, the study proposed that questioning and feedback skills exhibit a "dual mirroring relationship" characteristic; the two skills are interdependent and mutually reinforcing within the clinical teaching process,demonstrating a mirror symmetry in their cognitive structures. Drawing on existing research findings, the study formulated six application strategies for questioning skills and five for feedback skills. This provided systematic theoretical guidance and an actionable framework for clinical teaching practice, contributing to the enhancement of clinical teaching quality.

【基金】 2023年中华医学会医学教育分会和全国教育发展中心医学教育研究项目(2023B324)
  • 【文献出处】 医学与哲学 ,Medicine & Philosophy , 编辑部邮箱 ,2025年15期
  • 【分类号】G642.4;R-4
  • 【下载频次】39
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