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| Study on the training method of clinical thinking in emergency for interns based on case training |
| DENG Xiaoyan XIAN Li′na LIN Zhixing ZHENG Yanling |
| Department of Resuscitation, College of Emergency and Trauma, Hainan Medical College, Hainan Province, Haikou 571199, China |
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Abstract Objective To explore the effect of the training method of clinical thinking in emergency for interns based on case training. Methods A total of 160 emergency interns in Emergency Trauma College of Hainan Medical College from January 2014 to June 2019 were selected, they were divided into observation group (from January 2017 to June 2019，80 cases) and control group (from January 2014 to December 2016, 80 cases) by chronological order. The control group was given the traditional demonstration teaching method, while the observation group was given the clinical thinking training method based on case training. The results of theory, skill assessment, teacher evaluation and questionnaire feedback were compared between the two groups. Results The scores of theoretical knowledge, clinical thinking and total scores in the observation group were significantly higher than those in the control group (P ＜ 0.05). The results of defibrillation, tracheal intubation, thoracic puncture, abdominal puncture and cardiopulmonary resuscitation in the observation group were significantly higher than those in the control group (P ＜ 0.05). Teachers′ satisfaction with interns′ autonomous learning ability, analytical problem-solving ability, emergency clinical thinking, emergency theoretical knowledge, emergency first aid skills and teaching learning atmosphere in the observation group were significantly higher than those in the control group (P ＜ 0.05). The results of questionnaire feedback from interns in the observation group were significantly better than those in the control group (P ＜ 0.05). Conclusion The training method of clinical thinking based on case training has good effect. It can guide interns to explore and find problems on their own initiative, cultivate their ability to solve problems independently, combine theoretical knowledge with clinical practice, improve practical ability and thinking ability of emergency department, and it can be widely used in clinical work of emergency department.
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