摘要
目的:评估人工智能大模型软件DeepSeek R1在甲状腺乳腺外科(甲乳外科)本科实习临床带教中的应用和教学效果,探讨其对学生临床能力培养的促进作用及局限性。方法:采用随机对照试验设计,纳入80名医学本科生,分为观察组(DeepSeek结合传统教学)和对照组(传统教学),各40名。观察组通过DeepSeek实现个性化病例推送、三维解剖模拟及临床决策反馈;对照组采用理论授课、床旁教学及病例讨论。教学周期4周,评估2组理论知识、临床技能、病例分析及医患沟通能力。结果:观察组在病例分析、临床技能及病例分析能力中的诊断准确性和治疗计划合理性方面均优于对照组(P<0.05~P<0.01),2组医患沟通能力差异无统计学意义(P>0.05)。结论:DeepSeek可有效提升甲乳外科临床教学效果,但其在情感交互与人文关怀方面存在局限性,需与传统教学及人文教育结合以培养全面医学人才。
Objective:To evaluate the application and teaching effectiveness of artificial intelligence large model software DeepSeek R1 in undergraduate clinical teaching of thyroid and breast surgery,and explore its promoting effect and limitation on the cultivation of students′clinical ability.Methods:A randomized controlled trial was conducted with 80 medical undergraduates divided into an observation group(DeepSeek combined with traditional teaching)and a control group(traditional teaching),with 40 students in each group.The observation group received personalized case recommendation,3D anatomical simulation,and clinical decision feedback through DeepSeek,while the control group underwent theoretical lecture,bedside teaching,and case discussion.After a 4-week teaching period,the theoretical knowledge,clinical skill,case analysis,and doctor-patient communication ability in the two groups were evaluated.Results:The case analysis,clinical skill,and diagnostic accuracy and treatment plan rationality in the observation group were better than those in the control group(P<0.05 to P<0.01),while there was no statistically significant difference in doctor-patient communication ability between the two groups(P>0.05).Conclusions:DeepSeek effectively enhances the clinical teaching effectiveness in thyroid and breast surgery,but its limitations in emotional interaction and humanistic care needs to be integrated with traditional teaching and humanistic education to cultivate comprehensive medical professionals.
作者
张明亮
郭晨旭
朱超
许睿
周咏春
ZHANG Mingliang;GUO Chenxu;ZHU Chao;XU Rui;ZHOU Yongchun(Department of Thproid and Breast Surgery,The First Affiliated Hospital of Bengbu Medical University,Bengbu Anhui 233004,China;Department of Oncology Chemotherapy,The First Affiliated Hospital of Bengbu Medical University,Bengbu Anhui 233004,China)
出处
《蚌埠医科大学学报》
2025年第7期1008-1012,共5页
Journal of Bengbu Medical University
基金
安徽省高等学校质量工程项目(2020mooc316)。
关键词
DeepSeek大模型
甲乳外科
医学本科
临床教学
DeepSeek large model
thyroid and breast surgery
undergraduate medical education
clinical teaching
作者简介
张明亮(1983-),男,博士,主任医师,副教授.
