临床路径模式在神经内科实习带教中的应用探析

高树森

[摘要] 神经内科带教传统教学模式，主要是依据实习大纲的要求，带教老师对本科实习生进行入科教育，增强了教学的随意性与随机性，但缺乏系统性。临床路径作为优化的诊疗流程，可以有的放失地针对特定的疾病，对各专业科目的协同性予以高度关注，同时重视治疗的结果与时间。神经内科带教临床路径教学新模式的内容，是依据神经内科实习大纲的要求，有机地结合神经内科的主体特征、制定标准化、科学化的流程，设计优化神经内科的临床路径带教表，设计要遵循计划性、秩序性原则。神经内科带教临床路径教学考核评价主要是实习带教满意度调查和进行实习带教效果单项评比。神经内科临床路径带教的主要优势是可以有效提升实习生的考核成绩、提高患者的满意度，并提高实习生对带教模式的满意度。

[关键词] 临床路径；神经内科；临床路径带教；带教路径

[中图分类号] R4 [文献标识码] A [文章编号] 1672-5654（2017）06（b）-0082-02

[Abstract] The traditional teaching model is that the teachers conduct the education before entering the department according to the requirements of internship outline thus enhancing the randomness of teaching， but the lack of systematicness， clinical route， as the optimized diagnosis and treatment course， can pay highly attention to the coordination of various professional subjects according to specific diseases and treatment results and time， and the content of clinical path teaching new model in the department of neurology is to design and optimize the clinical path teaching chart organically combined with the principal characteristics and standardized and scientific process according to the requirement of practical outline in the department of neurology and planned and orderly principles， and the main advantages of clinical path teaching is that it can effectively improve the examination score of interns， effectively improve the satisfactory degree of patients and improve the satisfactory degree of interns to the teaching model.

[Key words] Clinical path； Department of neurology； Clinical path teaching； Teaching path

神經内科是独立的二级学科，主要诊治脑血管疾病（脑梗死、脑出血）、偏头痛、脑部炎症性疾病（脑炎、脑膜炎）、脊髓炎、癫痫、痴呆、神经系统变性病、代谢病和遗传病、三叉神经痛、周围神经病及重症肌无力等，同时与心理科交叉进行神经衰弱、失眠等功能性疾患的诊治。临床路径是属于临床治疗的综合化、科学化模式范畴之内，即针对某疾病、构建健全标准的治疗体系，优化治疗流程，遵循医学证据、围绕医学指南这一核心，促进组织的治疗，加大对疾病的管理力度，从而发挥规范医疗行为的作用，缩减变异现象，节约成本支出，提升治疗水平[1]，同时重视治疗的结果与时间[2]。……