开设临床基本技能选修课的探索

Exploration and practice of opening selective course of basic clinical skill

目的探索提高医学生临床基本技能操作能力的有效方法。方法借助模拟医学教育手段，针对临床医学专业四年级学员开设临床基本技能选修课。选修课安排课时为21学时，培训内容包括内科、外科、护理3个单元共15项临床基本操作技术，教学活动采取课前预习、理论讲解、操作示范、模拟操作、小组竞赛、技能考试、调查问卷等多种形式。选修课考核由课堂活动与结业考试两部分组成，分别占总成绩的20％和80％。考核成绩按优秀、良好、中等分为三个等级。使用Excel2007统计软件对学员考试成绩和调查问卷数据进行统计处理，计算出考核成绩各等级人数和对问卷调查项目反馈意见的百分率。结果考核成绩统计结果显示，70％的学员达到优秀等级（≥90分）。问卷调查结果显示，76．6％学员的临床基本技能操作能力有很大提高，79．2％学员认为临床基本技能选修课对临床实践有很大的帮助。结论基于模拟医学教育的临床技能课程对提高医学生的临床实践操作能力具有重要作用。

Objective To explore an effective method for enhancing basic clinical skill of students. Methods Selective course of basic clinical skill was launched for the fourth grade clinical medicine students by using simulation-based medical education （SBME）. Elective courses have 21 class hours, involving 15 items of basic clinical skills in internal medicine, surgery and nursing. Training methods include preparation, explanation, demonstration, operation, group competition, examination and questionnaire. Selective course examination includes class activation and final examination, accounting for 20% and 80% of the final scores, respectively. Scores were classified into A （ excellent） , B （good） and C （moderate） levels. Scores and questionnaire data were processed by Microsoft Office Excel 2007 software and percentages of score and questionnaire feedback were calculated. Results Resuhs suggested that the scores of 70% students were more than 90. Results of questionnaire indicated that the basic clinical skills of 76.6% of the students were improved a lot. 79.2% considered that it was useful for their clinical practices. Conclusion Clinical-skill course based on SBME is conducive to enhancing basic clinical skills of students.