中山西渡教学模式开展实践和体会.docVIP

中山-西渡教学模式开展的实践和体会 　　摘 要 目的：探讨中山-西渡教学模式开展8个月来的教学实践和体会，摸索适合在郊区社区开展的特色教学模式。方法：从2015年5月开始，西渡社区卫生服务中心开展“中山-西渡教学模式”，共有19名医生参与，其中中心师资学员2名，每6个月轮换一次；其他学员包括规培生8名、新乡村医生4名、低年资医师5名，每3个月轮换一次。每周三上午由复旦大学中山医院副主任医师带教，学员参与，学员在学习期满时接受临床理论和接诊技能考核。同时，对2015年5月―12月该模式教学接诊的233例患者进行满意度问卷调查，其中初诊患者156例。结果：学员结束培训时，考核全部达到优良。学员经带教后临床思维缜密，均能独立完成患者接诊和初步处理，初诊患者非常满意率达98%。结论：中山-西渡教学模式能起到医患双赢的成效，可作为郊区社区卫生服务中心的教学模板。 　　关键词 教学模式 全科医生 郊区社区 　　中图分类号：G642 文献标识码：A 文章编号：1006-1533（2016）08-0013-03 　　Practice and experience in carrying out the Zhongshan-Xidu teaching mode 　　GU Xiaoqing1， GU Jie2， CHEN Haiying1， JIANG Hua1， YUAN Meijuan1 　　（1. Xidu Community Health Service Center of Fengxian District， Shanghai 201401， China； 　　2. Zhongshan Hospital affiliated to Fudan University， Shanghai 200032， China） 　　ABSTRACT Objective： To discuss the practice and experience in carrying out the Zhongshan-Xidu teaching mode for 8 months in order to explore the suitable teaching mode with characteristics of suburban communities. Methods： From the beginning of May 2015， Xidu Community Health Service Center developed the Zhongshan-Xidu teaching mode and a total of 19 doctors participated. Among them 2 were teacher trainees with a rotation of 6 months and other trainees with a rotation of 3 months included 8 standardized training students， 4 new rural doctors and 5 junior doctors. During the training course， the associate chief physician from Zhongshan Hospital of Fudan University guided and taught the trainees how to manage the diseases every Wednesday morning .The trainees received the clinical theory and treatment skill examinations at the end of the training. The questionnaire survey was conducted in 233 patients who were treated in this teaching mode from May to Dec. 2015， including 156 newly diagnosed patients. Results： At the end of the training， all the students achieved the excellent assessment in their careful clinical thinking and independently completed initial diagnosis and treatment. The satisfaction rate of