思维图结合日常迷你临床演练在妇科住院住院医师规范化培训中的应用研究

目的 探讨思维图结合日常迷你临床演练在妇科住院医师规范化培训中的应用。方法 将分配到重庆医科大学附属妇女儿童医院妇科进行规培轮转的100名学员作为研究对象。按进科轮转的先后顺序分为对照组和观察组，对照组采用传统带教，观察组采用思维图结合日常迷你临床演练进行带教，每组50人。教学结束后对两组住培学员临床实践演练考核测评结果及教学满意度评价进行比较。采用SPSS 22.0统计软件进行t检验。结果 采用思维图结合日常迷你临床演练应用于妇科住培教学后，观察组住培学员的问诊能力、专科查体、临床诊断、诊治方案、临床实践能力、沟通能力、临床思维能力、临床问题决策能力和整体表现考核测评结果均高于对照组，差异有统计学意义（P<0.05）。观察组住培学员对临床问诊能力的掌握、专科查体的掌握、诊断及治疗方案制定的掌握、医患沟通能力的表现、临床实践操作能力的掌握与教学整体满意度评分均高于对照组，差异均有统计学意义（P<0.05）。结论 思维图结合日常迷你临床演练是一种简便易行的教学方法，有助于提高住培学员的临床综合实践能力，具有推广意义。

Application of mind map combined with daily mini-clinical evaluation exercise in standardized residency training of gynecology

Objective To investigate the application of mind map combined with daily mini-clinical evaluation exercise in standardized training of gynecological residents.Methods A total of 100 trainees who received standardized training in Department of Gynecology, Women and Children''s Hospital of Chongqing Medical University, were selected as subjects, and they were divided into control group (traditional teaching) and observation group (mind map combined with daily mini-clinical evaluation exercise) according to the order by which they entered the department for training, with 50 trainees in each group. After teaching, the two groups were compared in terms of assessment results of clinical practice exercise and degree of satisfaction with teaching. SPSS 22.0 statistical software was used for the t-test.Results After the application of mind map combined with daily mini-clinical evaluation exercise in the standardized training of gynecological residents, compared with the control group, the observation group had significantly higher assessment results of inquiry ability, specialized physical examination, clinical diagnosis, diagnosis and treatment regimen, clinical practice ability, communication ability, clinical thinking ability, decision-making ability for clinical issues, and overall performance (P<0.05). Compared with the control group, the observation group had significantly higher levels of mastery of clinical inquiry ability, specialized physical examination, development of diagnosis and treatment regimen, doctor-patient communication ability, and clinical practice ability, as well as a significantly higher overall teaching satisfaction score (P<0.05).Conclusion Mind map combined with daily mini-clinical evaluation exercise is a simple and feasible teaching method and can help to improve the comprehensive clinical practice ability of trainees receiving standardized residency training, and therefore, it holds promise for application in teaching.