PBL结合SP教学模式在内科住院医师规范化培训的价值
The Value of PBL Combined with SP Teaching Model in Standardized Training of Internal Medical Residents

目的：探讨在内科规培的医师采用PBL联合标准化病人(SP)教学模式的临床效果。方法：选择2020年6月~2023年7月在上海市闵行区中心医院住院医师规范化培训内科基地轮转的80名规培医师作为研究对象，随机分为观察组和对照组。对照组采用传统教学方式，观察组采用PBL和SP教学相结合。结果：与对照组相比，观察组规培医师出科理论考试成绩高于对照组，差异有统计学意义(P < 0.01)；观察组临床实践能力病史采集、体格检查、人文医学、临床思维、组织协调均优于对照组(P < 0.05)。结论：采用PBL联合SP教学方式在内科住院医师规范化培养中具有良好效果。
Objective: To explore the clinical effect of PBL combined with standardized patient (SP) teaching mode in the clinical teaching of physicians in the internal medicine training base. Methods: Eighty regular-training physicians rotating in the Internal medicine base of standardized resident training in Infection Department of Minhang Hospital Affiliated to Fudan University from June 2020 to July 2023 were selected as the study objects and randomly divided into the observation group and the control group. The traditional teaching method was used in the control group, and the combination of PBL and SP was used in the observation group. Results: Through clinical comparison, compared with the control group, the scores of the doctors in the observation group were higher than those in the control group, and the difference was statistically significant (P < 0.01). The clinical practice ability of the observation group was better than that of the control group in history collection, physical examination, humanistic medicine, clinical thinking and organization coordination (P < 0.05). Conclusions: The PBL combined with SP teaching method has a good effect in the standardized training of internal medicine residents.