医学生实习中外科基本操作常犯错误及对策分析

The Common Mistakes and Countermeasure Analysis of Surgical Basic Practice in Medical Students

目的:探讨医学生临床实习中在基本操作上常犯的错误,并对此提出建议和纠正措施,旨在进一步提高临床带教水平及临床教学质量。方法:总结我院临床医学专业实习生进行常见的外科临床基本操作考核成绩的情况,对错误类型等进行统计并提出合理的解决措施。结果:共考察学生90名,其中外科换药方法欠佳者22人(24.4%),消毒铺巾存在问题24人(26.6%),缝合存在问题32人(35.5%),打结存在问题38(42.2%)人,拆线存在问题19(21.1%)人。结论:加强医学生外科实习期间的无菌观念培养及强化手术基本操作是临床教学的重要环节。

Objective： To investigate the common mistakes in clinical practice of medical students, which helps to improve the clinical teaching level and quality. Methods： We concluded the common surgical clinical basic operation of clinical medicine students in our hospital, then made a statistical result and put forward certain measurements. Results： A total of 90 students were investigated. There were 22 person-time （24.4%） met mistakes in the management of surgical dressing, 24 person-time met mistakes in surgery disinfection （26.6%）, 32 person-time met mistakes in suture （35.5%）, 38 person-time met mistakes in knot （42.2%）, and 19 person-time met mistakes in taking out stitches. Conclusion： It is an important link of the clinical teaching that strengthen the surgical practice during the period of aseptic concept training and basic operation in medical students.