基础医学与临床 ›› 2018, Vol. 38 ›› Issue (1): 141-144.

• 医学教育 • 上一篇    

重症临床诊治思路教学模式探讨

隆云,何怀武,刘大为   

  1. 中国医学科学院北京协和医院
  • 收稿日期:2017-10-31 修回日期:2017-11-17 出版日期:2018-01-05 发布日期:2017-12-26
  • 通讯作者: 隆云 E-mail:ly_icu@aliyun.com
  • 基金资助:
    北京协和医学院2016年度教学质量工程项目

Exploration of the teaching mode in critical clinical diagnosis and treatment

  • Received:2017-10-31 Revised:2017-11-17 Online:2018-01-05 Published:2017-12-26

摘要: 目的 重症医学在基层医院的实施仍存在不规范的现象,本文主要探讨和总结基层医院的重症临床诊治思路的教学模式。 方法 由重症基层协作组针对基层医院,撰写7个重症临床诊治思路规范流程,并于2017年在全国范围基层医院内应用从“理论讲解-案例分析-模拟实战”的教学模式开展教学培训,培训前后通过考试评价培训效果。 结果 总共有15个省共573名重症医学临床医生参加培训,培训前考试答题正确率49%,培训后考试答题正确率61%。 结论 基层医院的重症医生重症诊疗思路能力薄弱,相关教育培训需要继续加强。以“理论讲解-案例分析-模拟实战”的培训模式有助于提高ICU医生重症临床诊疗思路的能力。

关键词: 重症教学,规范化培训

Abstract: Objective The critical clinical diagnosis and treatment remain unstandardized, and the teaching mode of critical clinical diagnosis and treatment in the remote area was investigated and summarised. Methods The Critical Care County Working Group had summarised seven protocols of critical clinical diagnosis and treatment, which have been taught in the hospital of the remote areas. The teaching mode included the theory, clinical case discussions, and simulated practice. The examination was used to assess the effect of the teaching mode. Results A total of 573 ICU doctors from 15 provinces participated in the teaching courses. The accuracy rate of the examination was 49% at the baseline, and the accuracy rate of the examination was 61% after the teaching course.Conclusion The critical diagnostic thinkings was poor in the remote area hospital,and the education should be further enhanced.The teaching mode of “medical theory -case discussion -simulated practice” could im-prove the ability of critical clinical diagnosis and treatment in the ICU doctors.

Key words: Critical care medicine teaching,satandarized training