赵宇

【摘要】目的：探究在心内科临床教学中对医学生实施临床路径教学法对于提升教学质量所产生的积极应用价值。方法：分析开展时间为2020年4月—2021年4月，将心内科接受实习的医学生150名设置为带教对象。对医学生进行分组，分为观察组75名和对照组75名，观察组的教学方式是临床路径教学法，对照组的教学方式是常规心内科带教方式，对比指标：①带教后医学生的考核成绩；②教学质量评分。结果：观察组医学生的考核成绩分数更高，教学质量评分高，各项指标数据与对照组形成对比（P<0.05）。结论：将临床路径教学法应用在心内科临床教学中可以明显提升医学生的考核成绩与教学质量，规范医学生的临床思路，调动起主动学习的兴趣，培养其团队能力与创新思维，对于保证教学质量具有重要的价值，值得应用。

【关键词】心内科；临床教学；临床路径教学法；应用价值

The application of clinical pathway teaching method in clinical teaching of cardiology

ZHAO Yu

Yanqing District Hospital， Beijing 102100， China

【Abstract】Objective： To explore the positive application value of implementing clinical pathway teaching method for medical students in clinical teaching of cardiology in improving teaching quality. Methods： The analysis was conducted from April 2020 to April 2021， and 150 medical students who underwent internships in the Department of Cardiology were selected as teaching subjects. Divide medical students into an observation group of 75 and a control group of 75. The teaching method of the observation group is clinical pathway teaching method， while the teaching method of the control group is conventional cardiology teaching method. Comparative indicators： ① assessment scores of medical students after teaching； ② Teaching quality evaluation. Result： The observation groups medical students had higher assessment scores， higher teaching quality scores， and a comparison of various indicator data with the control group（P<0.05）. Conclusion： The application of clinical pathway teaching method in the clinical teaching of cardiology can significantly improve the assessment results and teaching quality of medical students， standardize the clinical thinking of medical students， mobilize their interest in active learning， and cultivate their team ability and innovative thinking， which has important value for ensuring the teaching quality and is worth applying.

【Key Words】Department of Cardiology； Clinical teaching； Clinical pathway teaching method； Application value

臨床实习是医学生进入临床工作前的一个重要过程，通过临床带教实习可以帮助医学生将理论知识应用于临床实际诊疗中，培养医学生护患沟通能力与专业态度，提升医疗技能，为今后顺利进入临床工作奠定扎实的基础[1]。传统心内科的实习带教存在较多的问题，比如带教形式不规范、教学目标模糊、缺少对重点疾病的培训等，这些因素影响着心内科临床教学质量[2]。临床路径基于循证医学，使医学专业人员针对某种特定疾病所开展的科学诊疗方案，通过制定有严格工作顺序和准确时间要求的程序化、标准化的诊疗计划来规范医疗行为，促进患者疾病的康复，减少医疗资源的浪费[3]。鉴于此，本文开展如下分析，对心内科实习的医学生分别应用临床路径教学与常规教学法，对比教学质量。

1 资料和方法