医学生临床技能培训指标体系探索与实践.docVIP

医学生临床技能培训指标体系探索与实践 　　[摘要] 目的 为提高本院临床实习医学生的培养质量，制订科学合理的符合医学生实习需要的临床技能培训指标体系，探索其推广应用的可行性。 方法 随机抽取2013年7月～2014年7月进入本院实习的医学生50名作为改革组，按照临床技能培训指标体系进行培养考核，与2011年7月～2013年7月常规培养的50名学员（对照组）考核成绩进行比较。 结果 改革组考核成绩较对照组有明显提高，两者比较，差异有统计学意义（P0.01）。 结论 医学生临床技能培训指标体系注重医学生个体化培养，较常规培养模式更加完善，有显著优越性，应向全院各科室进一步推广。 　　[关键词] 医学生；实习；临床技能培训指标体系；培养 　　[中图分类号] G642 [文献标识码] A [文章编号] 1674-4721（2015）05（c）-0156-04 　　[Abstract] Objective To improve the training quality for medical students under clinical internship in our hospital，formulate scientific and appropriate target system of clinical technique training which meets the needs of internship for medical students，and to explore the feasibility of the promotion and application of the system. Methods 50 medical students who were enrolled in our hospital for internship from July 2013 to July 2014 were randomly selected as reform group.Training and assessment were carried out according to the target system of clinical technique training， and their assessment results were compared with those of 50 students（control group）who received regular training from July 2011 to July 2013. Results The assessment results of the reform group were significantly improved compared with the control group，with statistical difference（P0.01）. Conclusion The target system of clinical technique training for medical students focuses on individualized training for medical students，is more comprehensive than regular training mode，and has significant advantages，which should be further promoted to all departments of the hospital. 　　[Key words] Medical students；Internship；Target system of clinical technique training；Training 　　医学生实习是高等医学教育的重要组成部分，是医学生从理论向实践、从课堂向社会进行过渡的关键环节，对医学生临床技能的提升至关重要。临床实习质量的优劣将直接影响整个医学教育质量和医学生未来的发展。医学教育承担着培养高素质医学人才的重大使命，深化人才培养模式改革、提高医学生的综合素质培养，是医科院校义不容辞的责任[1]。 　　作为医学院校附属医院，本院每年承担着医学生实习的任务，医院已有较为合理的考核体系，2013年之前，本院学员毕业实习是采用全院各科室轮转实习的形式，每个临床科室实习结束后进行出科考核，研究发现每年医学生考核成绩都差强人意，技能操作水平难以达到临床要求，其培养模式存在一些弊端。提高医学生实习的质量，除合理的考核体系外，更重要的是制订科学合理、行之有效的临床技能培训指标体系。针对此种现象，本