建立综合诊室进行口腔医学临床实习教学的探索

Investigation of stolmatological clinical practice training in general clinic

临床实习是口腔医学教育的重要组成部分,多数院校通过安排学生在不同的专业科室内轮转来进行.北京大学口腔医院建立了综合诊室用于临床实习的教学工作,经过3年的实践发现,综合诊室在临床实习教学方面有如下优势：首先,教学整体性增强;第二,可以对患者进行综合治疗;第三,促进学生临床综合诊治思维的建立;第四,可以更合理地安排和使用医疗资源.存在的主要问题是病源不足,此不足可以通过调整专业接诊力度得以缓解,而解决该问题的关键在于：首先,培养出能够进行综合带教的师资;其次,能够使学生在临床实习时真正实行综合诊治,接诊初诊病源时不必局限在某一个专业,必须能够契合当今口腔医学专科住院医师规范化培训的要求.

Clinical practice is an important ingredient of stomatology education.In most of the schools,the students need to practice in different specialized departments in turn.General clinic has been established to be used in clinical practice teaching in Peking University School ＆ hospital of Stomatology.Through 3 years＇ practice,it was found that general clinic has advantages in clinical practice teaching as follow：① Strengthening the integrity of teaching; ② Offering the patient combined therapy; ③ Promoting the students＇ thoughts of the combined diagnosis and treatment; ④ utilizing the medical resource more efficiently.Lack of patients in certain specialities was the major problem.It could be mitigated through adjusting the medical resource in different specialties.Training of the doctors and nurses to obtain teaching ability in general dentistry is the keypoint to solve this problem,which also agrees with requirement of the standardized training for interns nowadays.