基础医学与临床 ›› 2026, Vol. 46 ›› Issue (7): 1019-1022.doi: 10.16352/j.issn.1001-6325.2026.07.1019

• 医学教育 • 上一篇    下一篇

医学人文教育融入泌尿外科学沟通情景模拟教学的实践

东洁, 周敬敏, 纪志刚, 魏梦超*   

  1. 中国医学科学院北京协和医学院 北京协和医院 泌尿外科,北京 100730
  • 收稿日期:2025-11-18 修回日期:2026-01-26 发布日期:2026-06-23
  • 通讯作者: *weimengchao@pumch.cn
  • 基金资助:
    北京协和医学院课程思政教改专项基金(2025kcsz001)

Practice of integrating medical humanistic education into communication scenario simulation training in the process of learning urology

DONG Jie, ZHOU Jingmin, JI Zhigang, WEI Mengchao*   

  1. Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2025-11-18 Revised:2026-01-26 Published:2026-06-23
  • Contact: *weimengchao@pumch.cn

摘要: 目的 探讨医学人文教育融入泌尿外科病房沟通情景模拟教学在住院医师规范化培训(规培)中的应用效果。方法 2025年10月至12月,选择北京协和医院泌尿外科30名规培医师作为研究对象。采用医学人文教育融入泌尿外科病房沟通情景模拟教学,比较培训前后住院医师的医患沟通技能评价量表(SEGUE)和标准化病人对住院医师的沟通能力评价,以及培训后住院医师对医学人文教学的满意度评价。结果 培训后住院医师SEGUE评分中信息收集、理解患者以及总分均高于培训前(P<0.05)。培训后标准化病人对住院医师的沟通能力评价中的谈话技巧、应变能力、谈话内容、人文关怀、谈话效果均高于培训前(P<0.05)。培训后住院医师对医学人文教学满意度整体较高,其中,对学习兴趣、家国情怀、人文素养等维度的测评满意度为90%以上,对科研诚信的满意度为83.3%,对创新精神的满意度为76.7%。结论 医学人文教育融入泌尿外科病房沟通情景模拟教学有助于提升规培医师的医患沟通能力,实现专业教学与医学人文育人“1+1>2”的教学目标。

关键词: 医学人文教育, 情景模拟教学, 泌尿外科, 住院医师规范化培训

Abstract: Objective To explore the effectiveness of integrating medical humanistic education into communication scenario simulation training in the urology ward for standardized residency training. Methods From October to December 2025, 30 resident physicians undergoing standardized training in the Urology Department of Peking Union Medical College Hospital were selected as the study subjects. Medical humanistic education was integrated into the communication scenario simulation training in the urology ward. The patient-physician communication skills were evaluated with the SEGUE framework, by standard patients before and after the training. Additionally, residents' satisfaction with the medical humanistic education was also evaluated after the training. Results After the communication training, the trainees' scores in gathering patients' information, understanding the patient and total SEGUE score were significantly higher than those before the training (P<0.05). The evaluations by standard patients for the residents' communication competence, including conversational skills, adaptability, content of conversation, humanistic care and conversation effectiveness were also significantly higher after the training (P<0.05). Overall satisfaction with the medical humanistic education was high after the training. Satisfaction ratings exceeded 90% in dimensions such as learning interest, national identity and societal responsibility and humanistic literacy. Satisfaction with research integrity was 83.3%, and with innovative 76.7%trainees believed the training encouraged their innovative spirit. Conclusions Integrating medical humanistic education into communication scenario simulation training in urology ward may enhance the patient-physician communication skills of resident physicians and achieve the teaching goal of “1+1>2” for the program of medical humanistic education.

Key words: medical humanistic education, scenario simulation teaching, urology, standardized residency training

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