医学生内科临床实践教学资源现状与对策  

Internal Clinical Teaching Resources for Medical Students: Current Status and Countermeasures

作　　者：高绥之 陈涛[1] 徐茂云[2] 徐向进[3] 徐茂锦[4] 

机构地区：[1]第二军医大学学员旅,上海200433 [2]济南军区总医院,济南250000 [3]南京军区福州总医院,福州350000 [4]第二军医大学长海医院,上海200433

出　　处：《解放军医院管理杂志》2015年第7期643-644,共2页Hospital Administration Journal of Chinese People's Liberation Army

基　　金：第二军医大学教学研究与改革重大项目(JYA2011002);上海市教育科学研究市级项目(2012B12020)

摘　　要：目的了解医学生内科临床实践教学资源情况,发现问题,提出相应措施,以期建立更完善的教学模式。方法对照《临床实习指导大纲》,通过实地调研、调查问卷、分析比较等方法,了解内科各科室一个实习周期(一年)收治病例数、临床技能操作例数等教学资源。结果列入《临床实习指导大纲》的病种,A类(资源充足)占42.62%,B类(资源不足)占13.12%,C类(资源缺乏)占44.26%;列入《临床实习指导大纲》的临床技能操作,A类(资源充足)占53.85%,B类(资源不足)占46.15%;一些重要的教学病种如慢性阻塞性肺病等缺乏病例资源。结论医学生内科临床实践教学资源欠缺,病种不全、临床技能操作不足,难以完成实习大纲。临床医学院需要完善教学模式,加强医学生临床实践能力的培养。Objective To know the situation and problems of internal medicine teaching resources for medi- cal students clinical practice, so as to provide relevant measures and build a better teaching model. Methods Ac- cording to the guideline of clinical practice, the quantities of diseases and clinical operations in internal medicine of- rices in a year were surveyed by the following methods, such as field research, questionnaire survey and analytic com- parison. Results In the diseases written on the guideline for clinical practice, sort A, accounting for 42.62%, re- presents the ones which have enough resources, sort B, accounting for 13.12%, represents the ones which have less resources, and sort C, accounting for 44.26%, represents the ones which lack resources. In the clinical operations written on the guideline for clinical practice, sort A accounts for 53.85%, and sort B accounts for 46.15%. Some diseases which are of vital importance to the medical students, such as COPD, are short of resources. Conclusion The clinical practice resources for medical students in internal medicine offices are insufficient, increasing the diffi- culty for medical students to finish the task written on the guideline for clinical practice. The clinical medicine colle- ges should improve the teaching model and pay more attention to promoting the practice ability of medical students.

关 键 词：临床实践 教学资源 调查分析 

分 类 号：R197.32[医药卫生—卫生事业管理]