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    口腔臨床教學方法探討
    關鍵字:探討,臨床,口腔,qr,op,st,uv,wx,mn,ij, 發布時間:2011-08-21

    口腔臨床教學方法探討 陳立新 王 宏范丹丹孟曉琳包金英郝英杰李宏 【摘要】目的提高口腔科門診臨床教學質量,培養高素質的口腔專業人才。方法由原來以 。說”為主的“填鴨式”教學模式,改為以。做”為主的創新能力培養,采用提問、問卷調查,現場探作的方式 做有益嘗試。結果實習醫生基礎知識得以鞏固和深化,操作技能更加規范。結論通過改變教學模 式,培養了實習醫生的實踐能力和靈活運用知識能力。 【關鍵詞】口腔科臨床實習標準預防教學創新能力 我院是一所擁有住院床位1290張,口腔科日門診量80 人次以上的三級甲等醫院,集醫療、科研、教學為一體,每年有 醫學院口腔專科、本科畢業學生來院臨床實習,作為臨床工作 的帶教老師,我深感責任之重大,臨床教學實踐中不僅要完善 和發展前人創造的知識寶庫,更要培養出具備高尚醫德醫風 的創新性人才,以適應醫學科技飛速發展的需求。 1引導學生盡快進入醫生角色 1.1強化責任意識大學生由校園步人醫院,首先要從思想 上認識到,從這一刻起,自己已成為一名醫生,肩負著人類健 康衛士的使命,應文明行醫,禮貌待患,誠信為本,為患者提供 良好的服務。老師應為人師表,在淺移默化中傳授為醫、做人 之道。 1.2加強消毒隔離意識口腔科門診診療器械的消毒隔離 日益被關注,已成為衡量口腔科門診服務質量的重要指標之 一。衛生部2004年就已頒布《醫療機構口腔診療器械消毒技 術操作規范》,旨在進一步加強醫療機構口腔診療器械消毒工 作,保障醫療質量和醫療安全。應教育實習醫生掌握口腔科 各種器械的使用方法和消毒流程,預防由于器械清洗消毒不 合格導致的醫源性疾病傳播,把住“病從口入關”。 1.3樹立安全意識口腔科門診患者多,周轉快,醫生很難 對診療患者做全面的身體檢查,傳染病隱藏機會較多.應教育 實習醫生遵循“標準預防”原則,嚴格執行《醫務人員手衛生規 范》、《醫院隔離技術規范》等法律法規,增強職業暴露后的自 我防護意識,防止傳染病在患者之間、醫患之同交叉感染。 1.4掌握醫患溝通方法隨著醫學模式由生物醫學向生物 一心理一社會醫學模式的轉變,醫患關系由“疾病”為中心,轉 變到以“患者”為中心【1],醫患糾紛呈上升趨勢,應教育實習醫 生學習《執業醫師法》和《醫療事故處理條例》,學會運用法律 維護患者和自身的利益。要善于與患者溝通,尊重患者的權 力,用簡明通俗的語言向患者交待疾病情況,療效、風險,費用 等,充分體現以人為本的理念。 2夯實口腔理論基礎。掌握常規技能操作 2.1 復習有關口腔理論知識采用提問、問卷調查、現場操 作的方式,了解實習醫生對知識的掌握程度.啟發其主動學 作者單位:齊齊哈爾醫學院附屬第三醫院感染監控科 郵編161000 收稿日期20lO一07—20 習、討論式學習和問題引導式學習。對重要的概念和理論,結 合臨床病例和模型利用多媒體教學再次講解,引導實習醫生 把口腔理論知識聯系臨床實踐,使臨床實習更有實效性。 2.2掌握口腔病歷書寫口腔系學生普遍缺少病歷書寫的 基本訓練,首先要強調書寫病歷的重要性。它是具有法律效力 的醫療文書,應書寫規范、準確、完整,既是臨床資料的真實記 錄,也是醫生自我保護的利器。是科研、書寫論文必備資料。 2.3提高診療探作技能在老師的指導下,進行口腔診療操 作1)老師要先做示教,并告之不規范操作的危害性,建立精 細牙科的理念。2)在操作過程中,老師應對具有共性的難點 給予重點講解。3)實習醫生在離體牙上做模擬練習.初步掌 握操作要點和流程后,方可在患者口內進行操作,由簡單到復 雜。由淺入深,循序漸進,每一步都要經過老師檢查修正,嚴格 把關,指出優點,糾正不足。4)對實習醫生臨床實踐做階段評 估,要求寫階段心得。 3培養科學嚴謹的思維能力和獨立解決問題的能力 3.1 強調教學過程中師生互動在臨床教學中,提高學生操 作技能是教學的主體,扎實的基本功是教與學雙方共同追求 的目標。經過階段的實習,學生鞏固和深化了基本知識,訓練 了臨床思維能力。針對實習醫生過分依賴老師的心理,選擇 性的給實習醫生一些可逆性的獨立診斷和操作的機會。如嘗 試接待初診患者,讓其自己發現問題,用所學的知識和技能, 詢問病史、檢查患病部位,初步得出診斷和治療計劃;再請老 師核查。得出最終診療計劃。 3.2運用口腔循征醫學思想,提高學生思辨能力組織學生 進行疑難病歷討論.觀看口腔教學VCD,重點掌握疾病適應 癥、禁忌癥的鑒別診斷及治療的操作要點難點,同時介紹本專 業前沿性的技術和設備,如口腔計算機CAD/CAM新進展、 口腔顯微根管內窺鏡的應用,開闊實習醫生的視野。啟迪其智 慧,使實習醫生能運用口腔循征醫學的思想,篩選出最佳治療 方案,讓患者能愉快地接受診治.實習醫生圓滿完成口腔臨床 實習任務。 參考文獻 [1]韓利紅.如何加強口腔臨床實習教學工作E13.醫學理論與實踐。 2005.13(12):1490 E2]鄭美華。潘朝斌,余松軟.等.新形勢下口腔修復學實習的教學改 進[J].中華現代醫院管理雜志,2004,2(9):50一5l 萬方數據 換頁

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