摘要
目的探讨SNAPPS病例陈述方法在实习医生的临床推理教学中的应用情况,及其对医学生诊断思维的影响。方法选择2023年1月—2024年12月在安徽医科大学第一附属医院消化内科实习同学100名,采用随机数表法将学生随机分为两组,分别采用传统病例陈述教学方法和SNAPPS病例陈述教学方法教学,比较分析两组学生病例陈述能力、诊断思维量表(DTI)评分、基本医学知识测试和师生教学后反馈意见。结果SNAPPS组学生在诊断分析方面优于传统教学组,SNAPPS组全部学生都通过提问和表达自己的不确定性来寻求澄清疑问,并且都确定了基于案例的相关主题进行自学。SNAPPS组学生DTI得分高于传统教学组,DTI评分与基本医学知识无明显相关。师生对SNAPPS教学方法总体评价满意。结论SNAPPS方法有助于提高医学生的诊断思维能力,可用于临床实习教学。
Objective To explore the application of SNAPPS case presentation teaching method in clinical reasoning teaching of interns and its influence on medical students'diagnostic thinking.Methods 100 students who were doing internships in the Department of Gastroenterology of the First Affiliated Hospital of Anhui Medical University from January 2023 to December 2024 were selected.The students were randomly divided into two groups by the random number table method.The interns were taught respectively by the traditional case presentation teaching method and SNAPPS case presentation teaching method.The case presentation ability,diagnostic thinking inventory score,basic medical knowledge test and feedback of teachers and students after teaching were compared between the two groups.Results The findings suggested that the students in SNAPPS group performed better in diagnostic analysis than those in traditional teaching group.All the students in the SNAPPS group sought to clarify their doubts by asking questions and admitting their uncertainty,and all of them identified case-based topics for self-study.The DTI score in SNAPPS group was higher than that in traditional teaching group,and DTI score had no correlation with basic medical knowledge.Teachers and students were generally satisfied with SNAPPS teaching methods.Conclusions The SNAPPS method promotes students to enhance clinical diagnostic reasoning,which can be used in clinical practice teaching.
作者
任晓非
揭磊
樊人瑜
REN Xiao-fei;JIE lei;FAN Ren-yu(Department of Gastroenterology,The First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui Province,China)
出处
《继续医学教育》
2025年第7期32-36,共5页
Continuing Medical Education
基金
安徽省教育厅2023年度高等学校省级质量工程项目(2023jyxm1109)。
关键词
病例陈述
教学方法
临床推理
诊断
case presentation
teaching methods
clinical reasoning
diagnosis
