中医教育2026，Vol.45Issue(1)：57-61,5.DOI:10.3969/j.issn.1003-305X.2026.01.232
基于标准化病人联合学生标准化病人探讨三段式中医四诊教学在中医内科见习中的运用
Application of three-stage TCM four diagnostic methods training model intergrating standardized patients and student standardized patients in TCM internal medicine clerkship
摘要
Abstract
Objective To evaluate the teaching effectiveness of three-stage traditional Chinese medicine(TCM)four diagnostic taining model based on standardized patient(SP)and student as standardized patients(SSP).Methods Sixty-five undergraduate students participating in clinical rotations at Shuguang Clinical Medical College of Shanghai University of Traditional Chinese Medicine(July 2023 to December 2024)were selected as subjects,they were stratified-randomized into control group(n=33)and experimental group(n=32).The experimental group adopted SP-SSP intgrated TCM four diagnostic methods training model,once a week for one month,while the control group received the conventional teaching method,that is,SP-based case history collection following by group members reviewing,once a week for one month.A comparison was made between two groups regarding their performance in Mini-CEX assessment,and the satisfaction of students with the course was investigated via a questionnaire survey.Additionally,the experimental group was assessed for their academic sense of gain related to curriculum ideology.Results The experimental group achieved siginificantly higher Mini-CEX scores(P<0.05)and higher satisfaction rates for the students in the experimental group with the Four Diagnostic training mode(P<0.05)and the review content(P<0.05).And most students reported that the three-stage TCM four diagnostic methods training model could consolidate professional knowledge,improved TCM Four Diagnosis differentiation skills,strengthened clinical reasoning,and heightened codidence in TCM practice.Conclusion The SP-SSP integrated three-stage TCM four diagnosis methods training model demonstrated sifnificant efficacy in raising students'Mini-CEX scores,increasing their satisfaction with teaching.关键词
中医内科学/见习/标准化病人/学生标准化病人Key words
TCM internal medicine/clinical clerkship/standardized patient/student as standardized patients分类
社会科学引用本文复制引用
陈侃俊,沈若冰,窦丹波..基于标准化病人联合学生标准化病人探讨三段式中医四诊教学在中医内科见习中的运用[J].中医教育,2026,45(1):57-61,5.基金项目
上海高校市级重点课程建设项目(2023年度中医内科门诊实践) （2023年度中医内科门诊实践）
上海中医药大学第二十期课程建设重点项目(No.SHUTCM2021KC014) （No.SHUTCM2021KC014）
上海中医药大学第二十一期课程建设项目(No.2022SHUTCMKCJS136) （No.2022SHUTCMKCJS136）
上海中医药大学第二十三期课程建设项目(No.KECJ2024115) （No.KECJ2024115）
上海中医药大学第二十四期课程建设项目(No.KECJ2025099) （No.KECJ2025099）
