探讨情景模拟医患质证结合教学评估在临床带教中的应用

Investigating the Application of Scenario-Based Simulation-Medical Examination Combined Teaching Assessment in Clinical Teaching

摘要: 医学生临床技能的掌握情况对于未来医疗卫生队伍的整体诊疗能力质量具有直接且深远的影响。临床技能是医生在医疗实践中所必需的基本功，涵盖了从病史采集、体格检查、诊断分析到治疗方案的制定与执行等各个环节。这些技能的熟练掌握程度，不仅关系到患者病情的准确判断与及时救治，更直接影响到医疗服务的质量和安全。本文通过分析目前医学生临床技能教学的现状和存在的问题，从教学内容、教学方法和教学评价结果运用等方面入手，探讨应用迷你临床演练评估(mini-clinical evaluation exercise, Mini-CEX)和临床操作技能评估(direct observation of procedural skills, DOPS)与情景模拟法庭医患双方质证提高医学生临床技能的对策，缩短技能教学与医疗实践之间的差距，对学生适应未来医疗工作环境起到良好的知识、技能迁移作用，最大限度地使其所学理论知识与临床接轨，实现无缝连接。

Abstract: The mastery of clinical skills by medical students has a direct and far-reaching influence on the quality of the overall diagnosis and treatment ability of the future medical and health team. Clinical skills are the basic skills necessary for doctors in medical practice, covering all aspects from history collection, physical examination, diagnosis and analysis to the formulation and implementation of treatment plans. The proficiency of these skills is not only related to the accurate judgment and timely treatment of the patient’s condition, but also directly affects the quality and safety of medical services. This paper analyzes the present situation and existing problems of clinical skills teaching of medical students from the teaching content From the aspects of teaching methods and the application of teaching evaluation results, this paper discusses the countermeasures to improve the clinical skills of medical students by applying mini-clinical evaluation exercise (Mini-CEX) and direct observation of procedural skills (DOPS) and the doctor-patient cross-examination in the scenario mock court, so as to shorten the gap between skill teaching and medical practice, and provide good knowledge for students to adapt to the future medical work environment Skill transfer function, maximize the theoretical knowledge and clinical integration, to achieve seamless connection.