临床教师医教研行为选择探析

The research on clinical teachers＇ behavior choices in the aspects of medical care, education and research

目的探讨临床教师的医教研行为选择状态及影响因素。方法采用文献法、访谈法和问卷调查法。结果57．6％的临床教师感到高压力，83．28％认为“工作多，时间紧”；临床教师的安排以“医疗〉科研〉教学”或“医疗〉教学〉科研”为主。结论时间、精力成为临床教师的“稀缺资源”，医教研的平衡使临床教师面临选择，个人认识及政策环境成为临床教师行为选择的影响因素。

Objective The aim of this study is to discuss the clinical teachers＇ behavior choices in the aspects of medical care, education and research, and explore the related factors by making an investi- gation. Methods This study adopts the method of Literature Review, interview and questionnaire inves- tigation. Results 57.6% of clinical teachers obviously felt enormous pressure, 83.28% of clinical teach- ers support the saying ＂busy and time pressing＂ is one of the most important facts; in view of the time allo- cation, the majority of the clinical teachers ＇ arrangement is ＂medical care 〉 research 〉 education＂ or ＂medical care 〉 education 〉 research＂. Conclusions Time and energy became the ＂scarce resources＂ for clinical teachers. On the other hand, the conflict relationship among medical care, education and research makes clinical teachers stand at the crossroads. The understanding of the relationship among medical care, education and research, and the policy environment are important factors when a clinical teacher was making a stand.