模拟特色化在诊断学实践教学中的应用研究

目的：通过研究心肺和腹部模拟人在诊断学教学中的教学效果，评价模拟教学在实践教学中的应用价值。方法本科生随机分为试点班（模拟教学）和非试点班（传统方式教学），以理论和操作测试及调查问卷的方式比较教学效果。结果理论测试：试点班成绩（92±20．6）分，与非试点班成绩（93±15．2）分差异无显著性意义（P＞0．05）；操作测试：试点班成绩（94±14．3）分，优于非试点班成绩（68±21．2）分（P＜0．05）。调查问卷显示：对实践教学整体、基本操作训练的满意度，试点班明显高于非试点班（ P＜0．05）。结论模拟教学提高了教学效果，得到大部分学生的认可，从心肺腹部模拟教学开始全面推进模拟化教学。

Application of simulation in practice teaching of diagnostics

Objective To study teaching effect of simulated humans for cardiopulmonary auscultation and abdominal palpa-tion in diagnostics teaching.Methods Five-year medical undergraduate students were divided into two classes according to the teaching method：an experimental class using simulated teaching and a non-experimental class using traditional teach-ing.Teaching effect in two ways was compared by theory test, operation test and questionnaires.Results Theory test results showed no significant difference in scores between the experimental class（92 ±20.6） and the non -experimental class （93 ±15.2）（P〉0.05）.The score of operation test in the experimental class（94 ±14.3）was significantly higher than that of the non-experimental class（68 ±21.2）（P〈0.05）.Questionnaire results indicated that satisfaction degree in the ex-perimental class to whole practice teaching and simulation teaching was significantly better than that in a non-experimental class（ P〈0.05 ） .Conclusion Simulation mode plays a significant role in teaching of diagnostics.Simulation teaching should be comprehensively promoted starting from simulated humans for cardiopulmonary auscultation and abdominal palpa-tion.