基于标准化病人联合学生标准化病人探讨三段式中医四诊教学在中医内科见习中的运用OA

Objective To evaluate the teaching effectiveness of three-stage traditional Chinese medicine(TCM)four diagnostic taining model based on standardized patient(SP)and student as standardized patients(SSP).Methods Sixty-five undergraduate students participating in clinical rotations at Shuguang Clinical Medical College of Shanghai University of Traditional Chinese Medicine(July 2023 to December 2024)were selected as subjects,they were stratified-randomized into control group(n=33)and experimental group(n=32).The experimental group adopted SP-SSP intgrated TCM four diagnostic methods training model,once a week for one month,while the control group received the conventional teaching method,that is,SP-based case history collection following by group members reviewing,once a week for one month.A comparison was made between two groups regarding their performance in Mini-CEX assessment,and the satisfaction of students with the course was investigated via a questionnaire survey.Additionally,the experimental group was assessed for their academic sense of gain related to curriculum ideology.Results The experimental group achieved siginificantly higher Mini-CEX scores(P<0.05)and higher satisfaction rates for the students in the experimental group with the Four Diagnostic training mode(P<0.05)and the review content(P<0.05).And most students reported that the three-stage TCM four diagnostic methods training model could consolidate professional knowledge,improved TCM Four Diagnosis differentiation skills,strengthened clinical reasoning,and heightened codidence in TCM practice.Conclusion The SP-SSP integrated three-stage TCM four diagnosis methods training model demonstrated sifnificant efficacy in raising students'Mini-CEX scores,increasing their satisfaction with teaching.