医学实习生内科入科教育的探讨  

Discussion on Internal Medicine Admission Education for Medical Interns

作　　者：黄宗顺 王颖超 李媛 张平[1] 彭用华[1] HUANG Zongshun;WANG Yingchao;LI Yuan;ZHANG Ping;PENG Yonghua(Department of Nephrology,the First Affiliated Hospital of Guangzhou Medical University,Guangzhou Guangdong 510120,China;Department of Internal Medicine,the First Affiliated Hospital of Guangzhou Medical University,Guangzhou Guangdong 510120,China)

机构地区：[1]广州医科大学附属第一医院肾内科,广东广州510120 [2]广州医科大学附属第一医院内科教研室,广东广州510120

出　　处：《继续医学教育》2024年第6期118-121,共4页Continuing Medical Education

基　　金：广州市校(院)联合资助项目基础与应用基础研究项目(202201020403);国家自然科学基金委员会资助项目(81700594);广东省自然科学基金项目(2017A030310075)。

摘　　要：临床实习是医学生转变为医生的重要过程,入科教育是内科实习教学中关键的第一步。在实习生进入临床前对每个亚专科进行一次性的入科教育难度大、效果差。因此,在实习生进入各个亚专科前需要对其进行大内科的入科教育。文章结合广州医科大学附属第一医院内科教学经验,探讨如何采用案例教学、多媒体教学、网络教学、模拟训练法、任务驱动教学法等教学方式灵活、创新地进行,以达到良好的教学效果;教育内容涵盖了纪律教育与实习生职责、医疗安全教育、医德与人文教育、心理辅导、介绍工作环境和各亚专科特点、临床技能培训、临床思维培养、未来规划等,以此增加实习生对实习工作的信心。在对实习生进行内科入科教育的同时,还应建立教学评价和反馈系统以便达到“教学互长”的良好效果。Clinical practice is an important process for medical students to change into doctors,and admission education for interns is the first key step in internal medicine teaching.It is difficult and ineffective to conduct one-time admission education for each sub-specialty before interns enter the clinic.Therefore,it is necessary to conduct admission education of internal medicine for interns before entering each subspecialty.Based on the teaching experience of internal medicine in the First Affiliated Hospital of Guangzhou Medical University,this paper discusses how to flexibly and innovatively use case teaching,multimedia teaching,network teaching,simulation training method,and task-driven teaching method to achieve good teaching effects.The contents of education should cover discipline education and internship duties,medical safety education,medical ethics and humanities education,psychological counseling,introduction of working environment and characteristics of each sub-specialty,clinical skills training,clinical thinking training,future planning,etc.,so as to increase their confidence in internship work.At the same time,teaching evaluation and feedback system should be established in order to achieve the good effect of"mutual teaching".

关 键 词：医学 实习生 内科 入科教育 教学方式 教学内容 

分 类 号：G642[文化科学—高等教育学]