通讯作者: 王向明, xiangming_wang@wfmc.edu.cn

DOI：10.12201/bmr.202406.00016

Application of holistic functional teaching in clinical teaching of chronic kidney disease

• 摘要：【摘要】 目的 探究功能整体性教学在慢性肾脏病临床带教中的应用。方法 本研究共纳入2022年5月至2023年12月潍坊医学院附属医院本科实习学生和一年级规培研究生92人，其中参与第一题测试的学生为48人，分为实习组和规培组，考察学生对病例主要诊断的辨识和全面诊断的作答能力；参与第二、三题测试的规培研究生共44人，分为传统带教组和功能整体性带教组，考察学生对肾功能失代偿期各种临床表现和治疗方案内在机制的综合理解能力。 结果 与实习生相比，规培生对慢性肾脏病及其并发症的辨识和综合诊断能力更强（P＜0.05）。与传统临床带教相比，功能整体性教学明显提高了专业型研究生对于慢性肾脏病及其并发症发生机制和药物干预靶点的综合理解能力（P＜0.05）。结论 与本科实习学生相比，内科学专业型研究生更具备接受功能整体性教学的能力，功能整体性教学较传统的临床带教明显提高了学生对慢性肾脏病及其并发症防治的综合理解水平。

  关键词： 功能整体; 临床带教; 慢性肾脏病; 内科学; 研究生

   

  Abstract: 【Abstract】 Objective To explore the application of holistic functional teaching in the clinical teaching of chronic kidney disease. Methods A total of 92 undergraduate students and first-year postgraduate students in training at the Affiliated Hospital of Weifang Medical College were included in this study from May 2022 to December 2023, of which 48 students participated in the first question test, which was divided into the internship group and the training group, to investigate the students ability to recognize the main diagnosis of the case and to answer the comprehensive diagnosis; a total of 44 postgraduate students in training who participated in the second and the third question test, which was divided into the traditional teaching group A total of 44 postgraduate students, divided into the traditional teaching group and the functional holistic teaching group, participated in the second and third tests, which examined the students comprehensive understanding of the various clinical manifestations of renal failure and the mechanisms inherent in the treatment plan. Results Compared with interns, Gepeisheng had better identification and comprehensive diagnosis ability of chronic kidney disease and its complications (P<0.05). Functional holistic teaching significantly improved professional graduate students comprehensive understanding of the mechanisms and targets of pharmacological interventions for chronic kidney disease and its complications compared with students in traditional clinical leadership (P<0.05). Conclusion Compared with undergraduate internship students, internal medicine specialty graduate students were more capable of receiving functional holistic teaching, and functional holistic teaching significantly improved students comprehensive understanding of the management of chronic kidney disease and its complications compared with traditional clinical teaching.

  Key words: functional holistic; clinical teaching; chronic kidney disease; internal medicine; graduate students

  提交时间：2024-06-14

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• 序号	提交日期	编号	操作
  1	2024-04-25	bmr.202406.00016V1	下载

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