Application of symptom-oriented clinical lateral thinking training in gynecology internship teaching
10.3760/cma.j.cn116021-20220811-01515
- VernacularTitle:以症状为导向的临床横向思维培养在妇科实习带教中的应用研究
- Author:
Mengru LI
1
;
Ruoyu LUO
;
Shujun WANG
;
Zhanghong LU
;
Aili TAN
Author Information
1. 武汉大学人民医院妇I科，武汉 430060
- Keywords:
Symptom-oriented;
Clinical lateral thinking training;
Gynecology;
Internship teaching
- From:
Chinese Journal of Medical Education Research
2023;22(12):1869-1873
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the value of symptom-oriented clinical lateral thinking training in gynecology internship teaching.Methods:We enrolled a total of 166 medical students of the five-year program of grades 2017 and 2018 who would participate in internships at the First Department of Gynecology of Renmin Hospital of Wuhan University. They were randomly divided into experimental group and control group, with 43 students of grade 2017 and 37 students of grade 2018 in the experimental group and 46 students of grade 2017 and 40 students of grade 2018 in the control group. The experimental group was taught using a symptom-oriented clinical lateral thinking training mode, and the control group was taught using a traditional teaching mode. At the end of the internship, the teaching quality was evaluated by means of an exam and satisfaction survey. The data were analyzed using the t test with the use of SPSS 24.0. Results:For both grades 2017 and 2018, the two groups had similar scores of theoretical knowledge, but the experimental group had significantly higher scores of medical history taking, physical examination, and medical record analysis compared with the control group ( P<0.05); for example, among students of grade 2017, the score of medical record analysis was (37.34±1.08) in the experimental group and (32.18±1.32) in the control group. The experimental group had significantly higher degrees of satisfaction than the control group in terms of doctor-patient communication ability, effective information acquisition ability, clinical case analysis ability, self-learning ability, literature search and review ability, team cooperation ability, and learning interest motivation (all P<0.05). Conclusions:The symptom-oriented clinical lateral thinking training mode can help students master the diagnosis and treatment principles of gynecological diseases, improve their abilities of clinical analysis, doctor-patient communication, effective information acquisition, self-learning, and literature search and review, and motivate their interest in learning.
