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| 目的 通过在国内医学生中实施DxR Clinician（简称：DxR）模拟教学，了解医学生对其认可程度，以及其在临床教学中的可行性和应用前景。方法 选择在上海交通大学附属第六人民医院学习的98位医学生为研究对象，对其进行DxR软件培训、操作练习和教学评估，并利用问卷调查及个别访谈评价教学效果。使用Excel 2007对问卷数据进行统计分析。结果 ①多数学生认为DxR使用范围广泛，超过70.00%的学生认为其可用于实习前培训、实习后出科考试以及住院医师规范化培训和考试。②71名（72.45%）学生认为其操作界面虽然有点复杂但容易掌握，也有19名（19.39%）学生觉得较难掌握，需要一定的培训时间。③对于DxR的版块设计，认为“体格检查”和“辅助检查”版块设计较为理想的分别有52、48名学生，分别占53.06%、48.98%，而被认为设计最不令人满意的是“处置”版块。④在DxR诸多优点中，37名（37.76%）学生认为实践性是其最突出的优点，而认为是灵活性的有28名（28.57%）。⑤总体而言，认同DxR软件适用于我国临床教学的学生有88名（88.78%）。⑥在对DxR的教学效果评价中，得分最高的项目是“DxR能够提高学生的推理分析能力”：8.87分， 得分最低的是“DxR能够提高学习效果”：7.95分，总体平均得分为8.36。结论 从初期结果来看，大部分学生对DxR模拟教学给予了肯定的评价，认为其适用于我国的临床教学，DxR今后有望成为传统理论教学和临床实践教学的有效辅助手段。 |
| 英文摘要: |
| Objective To get more information about students' acceptance of DxR Clinician（abbreriation：ＤxR） simulation teaching model and to explore the feasibility and application prospects of this clinical teaching model in China. Methods Totally 98 medical students in the clinical skill laboratory of the Sixth People's Hospital affiliated to Shanghai Jiao Tong University were given DxR software training， exercises，teaching evaluation and questionnaires and individual interviews were also given. Excel 2007 was used to do statistical analysis. Results The majority of students considered that DxR had a wide range of application and more than 70.00% students considered that it can be used for training before internship， internship examination， resident training and examination. 72.45% students thought that its interface was a little complicated but easy to master and 19.39% students flet more difficult in grasping it and required moretime for training. For section design of DxR， 53.06% and 48.98% students thought that ‘physical examination’ and ‘auxiliary examination’ sections were designed respectively good while ‘disposal’ section was considered to be the most unsatisfactory. Among many advantages of DxR， 37.76% students hold the opinion that the most prominent advantage was its practicality， but 28.57% thought it is flexibility. Overall， 88.78% approved that the DxR soft-ware was suitable for clinical teaching in China. In the teaching evaluation， the highest scoring project was ‘DxR can improve students' reasoning ability’（8.87 points）， and the lowest scoring project was ‘DxR can improve the learning effect’（7.95 points） and the overall average score was 8.36 points. Conclusion From the preliminary results， the majority of the students give positive evaluation on the DxR simulation teaching. They think it's suitable for Chinese clinical teaching， and it will be helpful in assisting both theoretical and clinical practice teaching in the coming years. |
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