关于临床教学阶段实施本科生导师制的探讨  

Investigation on implementation of the tutorial system for clinical medical undergraduate

作　　者：叶艳平[1] 庄晓明[2] 金声扬[3] 陈以娟[3] 罗雯[3] Ye Yanping;Chen Yijuan;Zhuang Xiaoming;Jin Shengyang;Luo Wen(Division of Respiratory Medicine, Fuxing Hospital, Capital Medical University, Beijing 100038, China;Internal Medicine Teaching Office, Fuxing Hospital, Capital Medical University, Beijing 100038, China;Division of Education, Fuxing Hospital, Capital Medical University, Beijing 100038, China)

机构地区：[1]首都医科大学附属复兴医院呼吸内科,北京100038 [2]首都医科大学附属复兴医院内科教学办公室,北京100038 [3]首都医科大学附属复兴医院教育处,北京100038

出　　处：《医学教育管理》2016年第4期630-634,共5页Medical Education Management

基　　金：首都医科大学校长研究基金(2015JYY165)

摘　　要：目的调查分析在医学本科生临床教学阶段实施导师制度的必要性、主要目标及具体实施方法。方法对首都医科大学第八临床医学院2013级临床医学专业5年制本科学生进行问卷调查和分析。结果 97.3%的学生认为有必要在临床教学阶段实施本科生导师制度;导师制度的主要目标是以临床技能为主的综合能力培养;对于实施方法,学生希望对导师的选择最好双向选择或随机分配,师生比为1:1为宜;指导形式及内容多样,以学生主动约见导师,在导师指导下结合临床病例学习临床知识和技能为主;同时大多数学生也希望在与患者的沟通技巧及开展科研工作方面得到导师的指导。结论在临床教学阶段实施本科生导师制具有必要性;建议建立优化导师资源配置,教学时间灵活掌握,采取以临床典型病例教学为主教学方法,以提高临床技能为主要目标的本科生导师制度。Objective Study was carried on the necessity, objective and specific action of implementing tutorial systemduring clinical undergraduate education. Methods Questionnaires were delivered to five-year clinical undergraduatestudents of 2013 Clinical Medicine Department of the Eighth Clinical Hospital Affiliated to Capital Medical University andoutcomes were analyzed. Results 97.3% of the students think that it is necessary to implement tutorial system in the courseof clinical teaching; the main objective of the tutorial system is to improve students’ clinical skills; As for the implementationof the program, the students hope to choose tutors by either two-way selection or random assignment, teacher-studentratio is supposed to be 1: 1; guidance and content of tutoring is in diversity, students take initiative to meet with tutorsand to study clinical knowledge and skills under the guidance of tutors. At the same time, some students hope to improvecommunication skills with patients and to carry out research activities. Conclusion It is necessary to adopt tutorial systemfor undergraduates in the process of clinical teaching. It is recommended the establishment of clinical undergraduate tutorialsystem by optimal allocation of resources tutor, flexibility of teaching time, a typical case-based clinical teaching method toimprove clinical skills.

关 键 词：医学本科生 导师制度 临床实践 临床技能 

分 类 号：G642[文化科学—高等教育学] R-4[文化科学—教育学]