临床路径在骨科临床教学中的应用

目的探讨临床路径（Clinical pathway，CP）在骨科临床教学中的应用效果。方法将在科室实习的64名临床医学本科生随机分成两组，分别采用CP教学和传统教学。实习结束后，进行理论、临床操作及临床病例分析考核，并进行比较，同时对带教的满意度进行问卷调查。结果CP教学组各项成绩均优于传统教学组（P〈0．05）；且其对带教的满意度优于传统教学组（P〈0．05）。结论CP教学能够促进骨科临床教学的标准化、系统化，有利于贯彻基于问题的临床学习，提高临床教学效果及带教满意度。

Application of clinical pathway teaching model in orthopedics clinical teaching

Objective To examine the efficacy of applying clinical pathway （CP） teaching model in orthopedics clinical teaching. Methods Totally 64 medical undergraduates were randomized into 2 groups. The traditional teaching method and CP model were separately preformed on them. Their scores of theoretical, manipulation and case analysis exams at the end of internship were compared. Meanwhile the questionnaire of satisfaction degree also was conducted. Results Scores of exams and satisfaction degree were better in CP group than in classical group （P 〈 0.05） . Conclusions The no- vel CP model can promote the standardization and systematization of clinical teaching in orthopedics. It is conducive to evaluating teaching effect and performing teaching reform. Meanwhile, it is in accord- ance with the problem-based learning and can improve clinical teaching effect and satisfaction degree.