医学教育管理 ›› 2019, Vol. 5 ›› Issue (5): 426-430.doi: 10.3969/j.issn.2096-045X.2019.05.009

• 临床教学 • 上一篇    下一篇

主治医师作为“标准化病人”在临床教学中的应用

谭杰,韩琳,静媛媛,刘燕,耿聪俐,刁桐湘,李雪实,赵一馨,郑宏伟   

  1. 北京大学人民医院耳鼻咽喉头颈外科,北京 100023
  • 收稿日期:2019-08-26 出版日期:2019-10-20 发布日期:2019-12-27
  • 通讯作者: 郑宏伟

Application of attending physicians in otolaryngology as “standardized patients” in clinical teaching

Tan Jie, Han Lin, Jing Yuanyuan, Liu Yan, Geng Congli, Diao Tongxiang, Li Xueshi, Zhao Yixin, Zheng Hongwei   

  1. Department of Otolaryngology, Head and Neck Surgery, the People’s Hospital,Peking University, Beijing 100023, China
  • Received:2019-08-26 Online:2019-10-20 Published:2019-12-27

摘要: 标准化病人 (standardized patient,SP) 能准确地表达出某种病人的临床症状、体征和 / 或病史,具有充当扮演者、教学评估者和指导者的功能,在临床教学中发挥重要作用。在临床教学中,由于耳鼻咽喉科学的理论性和实践性都很强,医学生与真实患者的接触受到了很多限制 , 因此,常需要 SP 辅助临床教学。但是,许多医院招募的 SP 多为退休人员或无固定职业者,SP 队伍不够稳定,而且,SP 在短期内准确、全面、形象地把握疾病的临床表现及病人心理变化存在困难。因此,选择本科室主治医师作为 SP 进行耳鼻咽喉科的教学及考核。调查结果显示,临床医学生和带教老师对主治医师扮演的 SP 的认可度相当高,并且评分一致;而且学生认为本科室主治医师作为 SP 对学生表现的即时点评获益最大。由此可见,由本科室主治医师作为 SP,可有效提高耳鼻咽喉头颈外科学的临床教学和考核质量。

Abstract: Standardized patient (SP) serves as an actor, teaching evaluator and mentor in accurately displaying a patient's clinical symptoms, signs and/or medical history in clinical education. However, the strong theoretical and practical nature of otolaryngologyres tricted the contact between medical students and real patients, thus made standardized patient necessary in clinical teaching. Meanwhile, many otolaryngology diseases have markedly subjective symptoms, yet objective examination is difficult to diagnose, ending up in long consultation time, missed key points or conflicts in doctor-patient communication. Many hospitals recruit SP mostly from retirees or people without regular work, who often quit and cause instability of SP teams. Without medical background, SP is difficult to accurately, comprehensively and vividly grasp the clinical manifestations of cases and patients’ psychology in a short term. Therefore, this study introduced the teaching and assessment of the attending physicians as SP in otolaryngology. We found that clinical medical students and teachers gave high and consistent evaluations to SP played by the attending physician and they favor that on-the-spot comments on students’ performance benefit students most in SP teaching process.The model of attending physician as SP will be well applied in the clinical teaching and assessment of otolaryngology head and neck surgery and will be popularized in the standardized training bases of otolaryngology head and neck surgery.