虚拟标准化患者改善临床思维能力培训在居民:随机对照试验
Liyuan Xu1, Qinrong Xu1, Chunya Liu1
1Department of Endocrinology, Wenzhou Medical University Affiliated Quzhou Hospital, Quzhou People's Hospital, No. 100 Minjiang Avenue, Quzhou City, Quzhou, Zhejiang Province, 324002, China, 8618857008862.
JMIR medical education
|December 8, 2025
概括
虚拟标准化患者 (VSP) 与传统方法相比,显著改善了医学学生的临床思维和理论知识. 这次互动培训增强了诊断技能和实践能力,证明了VSP在医学教育中是有效和可行的.
科学领域:
- 医疗教育 技术 技术 医学教育
- 临床技能发展 临床技能发展
- 内部医学培训培训 内部医学培训
背景情况:
- 在内部医学中,传统的基于病例的教学在发展临床思维技能方面存在局限性,并对教师施加压力.
- 虚拟标准化患者 (VSP) 提供了一个潜在的替代方案,但对其有效性的证据有限.
研究的目的:
- 评估"一般实践中的VSPs"系统的临床应用和有效性.
- 将VSP培训与传统教学方法进行比较,以提高医学学生的临床思维能力.
主要方法:
- 一个随机对照试验,涉及60名医学学生超过两年.
- 参与者被分为一个实验组 (VSP培训) 和一个控制组 (传统培训).
- 通过知识测试,虚拟系统评分和学生满意度调查来评估有效性.
主要成果:
- 与对照组相比,VSP组在理论分数 (P<.001) 和虚拟临床思维测试 (P<.001) 中的改善明显更大.
- 在VSP组中,在咨询技能,整体目标改进,诊断能力和患者治疗规划方面观察到显著的改善 (所有患者P<0.05).
- 在VSP组中,90%的学生认为它增强了他们的临床思维能力.
结论:
- VSPs有效地加强基础知识,提高医学学生的临床思维和独立工作技能.
- 该VSP系统是可行的,实用的,和成本效益,保证在临床教育更广泛的采用.
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