|HospitalManagementForum|Jan.2024Vol.41No.0160Research/TeachingManagement人工智能教学病例库在住院医师临床思维培训中的应用ApplicationofArtificialIntelligenceTeachingCaseDatabaseinClinicalThinkingTrainingofResidents□汪恒WANGHeng王妍WANGYan沈宁SHENNing韩江莉HANJiang-li摘要Abstract住院医师在面对真实患者时往往由于技能不熟练、患者配合度低等原因导致医患沟通不畅、问诊效率低下，在临床思维培训中也存在不知如何整理临床资料、更有效率地完成诊断和鉴别诊断过程的问题。北京大学第三医院教育处联合信息中心开发人工智能教学病例库，为住院医师提供模拟真实临床场景的诊疗体验和临床思维培训模式。住院医师通过模拟真实接诊患者流程，主动搜集病历资料进行临床决策，逐步建立临床思维。问卷调查和教师访谈结果显示，住院医师对人工智能教学病例库接受度高，教学培训效果好，可以进一步推广。Inthefaceofrealpatients,residentsoftenhavepoordoctor-patientcommunicationandinefficientinquiryduetounskilledskillsandlowpatientcooperation.Intheclinicalthinkingtraining,residentsalsohavetheproblemofnotknowinghowtosortoutclinicaldataandcompletethediagnosisanddifferentialdiagnosisprocessmoreefficiently.ThedepartmentofeducationandtheinformationcenterofPekingUniversityThirdHospitaldevelopedanartificialintelligenceteachingcasedatabasetoprovideresidentswithdiagnosisandtreatmentexperienceandclinicalthinkingtrainingmodethatsimulatedrealclinicalscenarios.Bysimulatingtherealprocessofclinicalreception,residentsactivelycollectedmedicalrecordsforclinicaldecision-making,andgraduallyestablishedclinicalthinking.Theresultsofquestionnairesurveyandteacherinterviewshowedthattheresidentshadahighacceptanceoftheartificialintelligenceteachingcasedatabase,andtheteachingandtrainingeffectwasgood,whichcouldbefurtherpromoted.关键词Keywords：住院医师Residents；临床思维Clinicalthinking；人工智能Artificialintelligence；病例库Casedatabase作者单位：北京大学第三医院PekingUniversityThirdHospitalEmail:dr_hanjiangli@126.com通讯作者：韩江莉基金项目：北京大学医学部教育教学研究项目，编号：2020ZD03中图分类号：R197.3；文献标识码：ADOI:10.3969/j.issn.1671-9069.2024....
