应用SP教学法构建肛肠外科临床见习教学模式的研究

本文主要研究利用标准化病人（SP）教学法构建肛肠外科临床教学模式的应用效果，通过对大学四年级的实习生开展SP教学法进行肛肠外科的教学，结果显示，在进行工厂外科临床见习教学是应用标准化病人优点有以下几点：一是通过SP提供多典型的病例，标准化特点明显，确保了临床教学秩序以及标准的统一；二是保护患者隐私，有效避免医疗纠纷；三是SP教学法锻炼学生和医惠进行交流的能力。但同时存在诸多问题：一是SP构建的见习教学模式均为较典型的病例，问题的答案则是标准答案，对于培养学生的应变能力较为不足；二是很难模仿部分体征，需要配合实施；三是SP的来源属于低年资的实习生，具有不稳定性。总之，在临床见习教学时，实施标准化病人（SP）教学法利于开展肛肠外科教学，具有广阔应用前景，但需要继续克服一些问题。

Study on the construction of clinical teaching mode in the department of anus intestine surgery by applying SP teaching method

Objective：To study the application effect of standardized patient （SP） teaching mode on the con- struction clinical teaching method in department of anus ＆ intestine surgery. Methods：We carried out SP teach- ing method to the fourth grade university interns in department of anus ＆ intestine surgery. Results： The factory clinical probation teaching applicatied by standardized patient has the following advantages：The first is to provide atypical case through SP,standard features are clear to ensure the clinical teaching order and standard u- niform;The second is to protect the privacy of the patient,effectively prevent medical disputes;The third is the ability to communicate. SP teaching method could train students and doctors and patients. However, there are many problems at the same time： the first is that the teaching mode of construction of SP are typical cases,and the answer to the question is standard answer,and it is insufficient to strengthen student＇s strain capacity;the second is that it is difficult to imitate some signs, which needs to cooperate with the implementation ~ the third is the source of the SP genera in junior intern has no stability. Conclusion：In the clinical teaching, the implementation of standardized patient（SP）teaching method is conductive to teaching in Department of anus ＆ intestine surgery. It has broad application prospect ,but needs to overcome some problems.