Abstract:

Objective To investigate the effect of situational case-based learning (CBL) and standardized patient teaching in doctor-patient communication skills for neurology residents. Methods Forty neurology residents in Beijing Luhe Hospital, Capital Medical University from 2020 September to December were randomly divided into experimental group (n =20) and control group (n =20). Situational CBL combined with standardized patient teaching was used in experimental group and traditional teaching was used in control group. The teaching course was 4 hours for each group. After the teaching course, the SEGUE scale was used to evaluate the communication skills of two groups. Results The total score of the SEGUE scale and the score of each dimension in experimental group were higher than those in control group, and the differences were statistically significant. Conclusions The situational CBL combined with standardized patient teaching in doctor-patient communication skill training of residents had a good effect. It's worthy of popularization in the teaching and training of neurology physicians.

Key words: Case-based learning; Standardized patient; Doctor-patient communication

摘要：

目的 探索情景式案例分析教学法（case-based learning，CBL）联合标准化病人在神经内科住院医 师医患沟通技能教学培训中的运用效果。 方法 选取2020年9-12月在首都医科大学附属北京潞河医院神经内科轮转的住院医师为研究对 象，随机分为实验组（20名）及对照组（20名）。实验组采用情景式CBL并应用标准化病人进行医患沟 通能力教学，对照组采用以授课为导向的教学法进行医患沟通能力教学，教学时长共4课时，每周1次， 每次2课时。教学结束后，应用SEGUE量表对两组学生进行医患沟通能力评价并记录得分情况，对两 组得分进行统计学分析。 结果 实验组SEGUE量表总分（18.52±3.68分 vs 11.38±2.52分）及各维度得分均高于对照组，差 异具有统计学意义（均P <0.01）。 结论 情景式CBL联合标准化病人可用于住院医师医患沟通技能的教学，而且教学效果佳。

关键词: 案例分析教学法; 标准化病人; 医患沟通