自主学习结合情景模拟在医学生技能培训中的应用

目的 探讨自主学习结合情景模拟教学法在医学生技能培训中的应用效果和意义。方法 选取2012级的60 名医学生进行研究，随机分为试验组和对照组，每组各30 人，培训前对两组学员进行考核，成绩无统计学差异。对照组采用LBL+ 床旁带教的教学方法，试验组采用自主学习结合情景模拟教学方法进行技能培训。两组学生均培训2 个月后进行考核，对考试成绩进行分析比较。考核结束后进行问卷调查，对培训满意度进行调研。结果 试验组的技能考核成绩明显高于对照组，具有统计学意义（P ＜ 0.05）；试验组的理论成绩高于对照组，但不具有统计学意义（P ＞ 0.05）；试验组对培训的满意度（90%）明显高于对照组（77.8%），具有统计学意义（P ＜ 0.05）。结论 采用自主学习结合情景模拟教学方法对医学生进行培训能明显提高临床技能培训效果，提高医学生培训满意度，是一种较好的实践技能教学方法。

Application of self-directed learning and scene simulation in medical students’ skill training

Objective To research the result of self-directed learning and scene simulation in medical students skill training. Methods 60 medical students of grade 2012 were randomly divided into experimental group and control group.There are 30 students in each group. Before training, the students were assessed. There was no significant difference in their scores. The control group was taught by LBL and traditional teaching method, while the experimental group was trained by the method of self-directed learning and scene simulation. Two groups of students were trained for two months, then took the examination, and the examination results were analyzed. After the examination, we investigated the training satisfaction.Results The scores of skill test in the experimental group were significantly higher than those in the control group (P<0.05);the theoretical scores in the experimental group were higher than those in the control group, but there was no statistical significance (P>0.05); the satisfaction of training in the experimental group (90%) was significantly higher than that in the control group (77.8%) with statistical significance (P<0.05). Conclusion Self-directed learning and scene simulation can obviously improve the effect of skill training and the training satisfaction in medical students. It is a good skill teaching method and can be applied in skill training.