Abstract: 【Abstract】 Objective To explore the effect of thinking method on improving surgery clinical thinking. Methods〓Ninety-eight interns were randomized into thinking-mode teaching procedure based teaching group (thinking mode group) and conventional teaching group (control group). Corresponding steps were performed according to different ways of ward-round in each group. Teaching efficiency was evaluated by comprehensive test and medical record writing. Results〓Compared to conventional teaching group, the students in thinking method group behaved much better in comprehensive test, collecting medical history and writing medical record, and the students of thinking-mode group were more satisfied with the teaching method than those of control group. Conclusion〓Thinking-mode based teaching is better in improving surgery clinical thinking when compared with conventional teaching and this method worth further investigation and popularization.

Key words: Thinking method, Clinical thinking, Teaching

摘要： 【摘要】 目的 探讨思维模式教学法在促进外科临床思维中的实际效果。方法〓将来我院外科见习医学生98人通过随机分组分为思维模式教学组和传统式教学组,分别采取相应的教学查房方式,通过综合考试和病历书写评分进行教学效果评价。结果〓思维教学组的见习生在综合考试成绩、病历收集和书写等方面均优于传统式教学组,而见习生对教学方式的评估方面,思维模式教学法的满意度也明显高于传统教学法。结论〓思维模式教学法有助于提升外科临床思维,其应用效果明显优于传统教学法,值得进行进一步的研究和推广。

关键词: 思维模式, 临床思维, 教学