Preliminary Exploratim of Application and Effect of Narrative-medicine-based Teaching in Standardized Patient Training

Yang Hong; Shuai Xiao-long; Luo Xiao-hong; Li Yu-lin; Liu Xia

doi:10.3969/j.issn.2095-9753.2025.02.006

Abstract：Background Standardized patient(SP)is widely recognized in medical education and assessment due to their compliance with modern medical ethical standards,effective simulation of clinical scenarios,and objective evaluation.Currently,although a standardized training system for SP has been established,there is still room for improvement in their performance skills and feedback abilities.Objective To explore the implementation pathways of integrating narrative-medicine-based teaching(NMBT)into the standardized SP training system,in order to promote the cultivation of professional clinical medical talents.Methods The experimental group:SP trained with NMBT for students from the 2019 class of Clinical Medicine,in consultaion teaching;the control group:SP trained with conventional methods for students from the 2018 class of Clinical Medicine,in consultaion teaching.The specific implementation steps of integrating NMBT into standardized SP training include:watching medical stories to deepen the empathy of SP;writing reflections on stories to internalize narrative skills;discussing and sharing stories to enhance the empathy and professional identity of SP.The clinical interview scores of the two groups of students in the undergraduate level test were compared,as well as the students'satisfaction.Results The experimental group scored higher(89.42±8.52)than the control group(85.76±7.89),with P<0.001.The satisfaction level of SP teaching in NMBT training was significantly higher than that of the control group in terms of performance authenticity,teaching attractiveness,promotion of communication skills,and cultivation of clinical thinking.Conclusion This study focuses on the deficiencies in the application of SP,reforms the traditional training model by integrating NMBT to enhance the teaching effectiveness of SP,and aims to improve the practical skills of clinical medical professionals and build a harmonious doctor-patient relationship.