情景模拟课程提升医学生临床决策能力效果研究

打开文本图片集

中图分类号：G642.0 文献标志码：A 文章编号：2096-3181（2025）06-0779-06

Research on the Effectiveness of Scenario Simulation Course in Enhancing Clinical Decision-Making Abilities of Medical Students

CAO Wei，SHEN Xuning，FANG Jun，SUO Yuan，MA Jianyun，XU Jun， YU Huijie，CAO Weizhong

Affiliated Hospital of Jiaxing University/The First Hospital of Jiaxing，Jiaxing 314OOo，China

Abstract： Objective To explore the efectiveness of the“trap-based” scenario simulation course in improving clinicaldecision-making abilities of medical students.MethodsA total of116 ClinicalMedical students practicing in the Emergency Department of Afliated Hospital of Jiaxing University from March 2024 to February 2O25 were enroled and randomly divided into the experimental group （58 students）and the control group （58 students）. The experimental group received“trap-based”scenario simulation teaching，while the control group underwent traditional clinical training. Teaching outcomes were evaluated using theoretical assessments， practical assessments （Mini-CEX evaluation scale）， and satisfaction surveys. Results The experimental group demonstrated significantly higher theoretical scores and practical scores compared with the control group （ P<0.05 ）. Additionally，the experimental group showed improved diagnostic accuracy，clinical decision-making accuracy，and error identification rates （all P<0.05 ）. Satisfaction surveys indicated superior outcomes for the experimental group in learming interest，course design，knowledge retention，and clinical decision-making skill development （all P<0.05 ）.Conclusion The“trap-based”scenario simulation course effctively enhances medical students’clinical decision-making abilities by exposing cognitive biases， providing immediate feedback，and facilitating reflective reconstruction. It also improves teaching satisfaction and isworthyof broader implementation.

Keywords： Scenario simulation; Clinical decision-making ability;Medical education； Emergency medicine; Teaching reform

随着医学教育向“能力导向"转型，临床决策能力作为医学生应对急诊高时效、高风险诊疗场景的核心素养，其培养短板日益凸显。（剩余7565字）