七年制临床医学专业（药学方向）学生“三段式”毕业实习的探索

Exploration of the three-stages of graduate practice in seven-year clinical medicine （ pharmacy direction）

为了提高临床医学专业（药学方向）学生的培养质量，使学生更好地掌握临床医学知识、药学知识与科研写作的技能，培养学生临床药学的实际工作能力，山东大学对七年制临床医学专业（药学方向）学生实施了“三段式”毕业实习的教学改革探索。本文对“三段式”毕业实习进行了详细阐述，包括临床轮转实习、临床药学实习、毕业专题（定向）实习的时间安排、方式与内容、性质与任务、基本要求以及导师组成、专题实习选题、毕业论文的质量要求等。通过“三段式”毕业实习，使培养的学生更加符合临床药师工作的实际需要。此外，本文还就当前我国临床药学人才的培养模式、存在的问题和困难、面临的发展机遇和挑战以及临床药师的工作与定位，提出了思考与建议。

In order to improve the quality of clinical medicine （pharmacy direction） students, well grasp the knowledge of the comprehensive clinical medicine and pharmacy, cultivate and increase the actual working ability, the three stages of clinical practices was arranged on clinical medicine （pharmacy direction） students for seven-year medical program. This paper detailed the three stages of clinical practices, including the rotary clinical practice, clinical pharmacy practice and graduation practice, and discusses the design, arrangement, assignment, advisory group, dissertation requirement and others of clinical practice, sets forth some preliminary thoughts on clinical pharmacy, analyses the existing problems and difficulties in the discipline.