基于工作过程导向的实践教学体系的构建与实施

The construction and implementation on the practice teaching system of working-process-oriented

本文以肇庆医学高等专科学校三年制临床医学专业学生为研究对象，构建了以基层卫生服务体系岗位需求为目标、以临床助理医师工作岗位技能为核心、以执业助理医师资格考试大纲为标准以及以临床助理医师工作任务为主线的“一体化、多层次、开放式”的实践教学体系。肇庆医学高等专科学校2009级临床医学专业学生通过全面实施新的实践教学体系，临床实践技能考核水平明显提高，参加“临床诊疗技能竞赛”取得好成绩，临床实习带教教师的评价明显提升。校内专业实践教学平台初具规模，特色实践教学教材获得好评，实践教改课程成果显著。通过探索与实践，逐步形成了基本实践能力与操作技能、专业技术应用能力与专业技能、综合实践能力与综合技能有机结合的实践教学体系。

This article takes the three-year medical program students of clinical medicine in Zhaoqing Medical College as the research object and studies the construction of an integrated, multi-level and open practice teaching system. This system is aimed at the position requirements in the basic health service system and is centered with the clinical working skills of assistant medical practitioners. Meanwhile, the practice teaching system is based on the outline for the qualification exam of assistant medical practitioners with their work tasks as a main line through the whole process. The level of clinical practice skills assessment of the clinical students 2009 has been significantly improved through the full im- plementation of the new ＂practice teaching system＂. As a result, students did well in the clinical skills competition and the evaluations by the practice teachers in hospitals have improved significantly. The professional practice teaching system in our school has begun to take shape and practice teaching materials with distinguishing features have been well received. The achievement of the teaching reform is remarkable. With our useful exploration and practice, a practice teaching system has been gradually formed, which is a combination of basic practical abilities and skills, professional technical proficiency and expertise, comprehensive practical abilities and general skills.