| 临床教员应传授的诊断推理模式 |
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| 引用本文： | 聂明明,卓冬兰,徐逸萍,王志农. 临床教员应传授的诊断推理模式[J]. 医学教育探索, 2007, 6(6): 539-542 |
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| 作者姓名： | 聂明明 卓冬兰 徐逸萍 王志农 |
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| 作者单位： | 1. 第二军医大学附属长海医院普通外科,上海,200433
2. 第二军医大学附属长海医院外科教研室,上海,200433 |
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| 摘 要： | 临床医学院教员的核心任务之一是教会学生正确的诊断方法，并制定合理的治疗方案。本文归纳了临床诊断推理过程的两种主要模式，即分析法和非分析法，前者是有意识的，而后者的无意识的。这两种模式各有其优势和缺陷，只有灵活结合两种诊断推理模式，才能掌握正确的诊断方法，以适应在特定背景条件下的灵活做出的正确诊断。
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| 关 键 词： | 医学教育 教学方法 诊断 临床能力 |
| 文章编号： | 1671-8569（2007）06-0539-02 |
| 修稿时间： | 2007-01-17 |
What a Teacher Needs to Pass on about Clinical Reasoning |
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| NIE Ming-ming,ZUO Dong-lan,XU Yi-ping,WANG Zhi-nong. What a Teacher Needs to Pass on about Clinical Reasoning[J]. Researches in Medical Education, 2007, 6(6): 539-542 |
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| Authors: | NIE Ming-ming ZUO Dong-lan XU Yi-ping WANG Zhi-nong |
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| Affiliation: | Changhai Hospital, Second Mlitary Medical University, Shanghai 200433, China |
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| Abstract: | One of the core tasks assigned to clinical teachers is to enable students to accurately assign a diagnostic label.The strengths and weaknesses of different approaches to clinical reasoning will be examined using one of the core divides between various models of analytic versus non-analytic as an orienting framework.Clinical teachers should stress the importance of both forms of reasoning,thereby enabling students to marshal reasoning processes in a flexible and context-specific manner. |
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| Keywords: | Medical education Clinical competence Decision making Teaching methods |
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