境外交换生短期临床见习项目管理模式的创新与评估

Reflections on a new model of receiving oversea exchange students for short-term clinical clerkship in China

目的：探讨北京大学医学部（北医）接收境外交换生短期临床见习项目的管理模式及其经验，评估该项目对来访学生个人成长及职业发展的影响，分析该项目中存在的问题并提出相应对策。方法通过工作资料总结、问卷调查和访谈等方式收集资料，使用 Nvivo 10和 SPSS 18统计软件对有关数据进行分析。结果北医接收境外交换生短期临床见习项目采用了导师制和学生志愿者帮助等策略，较好地解决了来访学生语言沟通、学习指导、在华生活等一系列问题。来访学生对项目满意度较高，普遍认为该项目对拓展国际视野、促进个人成长及职业发展等方面有着积极的影响。同时，该项目在管理上也存在一些问题。结论接收境外交换生来华短期临床见习是医学教育国际化的重要组成部分，需要认真总结，采取有效措施，从建立来访学生数据库、建立长效资金支持机制、建立严格申请程序和管理机制、提供更好的支持性服务等方面入手，有助于完善该项目的工作。

Objective To introduce the new model and management experience of receiving overseas exchange students for short-term clinical clerkship, evaluate the effect of this clerkship on students’ personal growth and career development, find out the existing problems in this program and put forward improving approaches. Methods The data is collected through examination of work-related documents, questionnaires and interviews; the data is then analyzed by using Nvivo10 and SPSS18 software. Results PUHSC adopted the supervision and students volunteer assistance system for receiving overseas exchange students to do clinical clerkships, which solves the problem of language barrier, study guidance, daily life challenge etc quite well. The visiting students are general happy with the program, and think it plays a positive role in areas such as developing their global view and guiding students’ personal growth etc. However, there are still some problems in the program management. Conclusions Receiving oversea exchange students for short-term clinical clerkship in China is an important part of the internationalization of medical education. It is worthy to exam the program, and take effective measures to address the existing issues in order to keep the sustainable development of this program. The improving measures may include： setting up a database of exchange students, long-term funding support, establishing strict applying procedure and management system, providing effective support etc.