[Problem solving of the clinical case-method type for the development of clinical thinking. The illustrative problem of galactosemia].

G Kosekova, L Sirakov
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Abstract

Problem-solving case approach is an effective method for teaching clinical concepts. This method makes medical students be aware of the significance of Biochemistry for the clinical practice. The students are stimulated to study basic biochemical principles. The complete text of a problem case on galactosemia is presented. This case, usually given to the students during the final seminar on carbohydrate metabolism reflects a real situation, in which the student feels responsible to make decisions. He has to make the diagnosis and prescribe a treatment. The student's actions are assessed and commented. The students took a great interest in that problem case and that shows that it is possible and necessary even in the second preclinical year to joint the theoretical principles with the future clinical practice.

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临床病例-方法型解决问题促进临床思维的发展。半乳糖血症的说明性问题。
问题解决案例教学法是临床概念教学的有效方法。这种方法使医学生认识到生物化学对临床实践的重要意义。鼓励学生学习基本的生化原理。完整的文本问题的情况下,半乳糖血症是提出。这个案例通常是在最后的碳水化合物代谢研讨会上给学生的,它反映了一个真实的情况,在这个情况下,学生感到有责任做出决定。他必须做出诊断并开出治疗处方。学生的行为被评估和评论。学生们对这个案例表现出极大的兴趣,这表明即使在临床前的第二年,将理论原理与未来的临床实践结合起来是可能和必要的。
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