早期接触临床对医学生培养的促进作用

Promoting Effects of Early Involvement in Clinical Practice of Medical Education

目的探讨早期接触临床预见习的优势及存在的不足,为今后进一步完善预见习的具体实施方案提供依据。方法选取在中山大学孙逸仙纪念医院进行预见习的2012—2014年级临床医学生共86名进行问卷调查,从预见习质量评价(包括满意度调查、达到的教学目标、帮助提高的内容)、学生个人知识能力发展情况等方面对预见习进行评价,并列明补充意见或建议。结果大部分学生对预见习表示满意,在感受医生如何工作,增强医学生的沟通技能,增强对临床疾病的感性认识,提高学习兴趣,加深对医学学科及所在专科特点的了解等方面均有较大收获。结论早期接触临床预见习能锻炼医学生与患者交流沟通的能力,提高学习兴趣,为提高医学生的综合素质,形成良好的临床思维能力奠定基础,对临床医学专业课程建设起到积极的促进作用。

Objective To explore the advantage and disadvantage of early involvement in clinical practice,make it provide the base of education developing strategy.Methods 86 lower-grade medical students who were taking the program of ＂early involvement in clinical practice＂ in Sun Yat-sen Memorial Hospital were investigated by questionnaire,including program quality evaluation（e.g.survey of satisfaction,achievement of teaching design,promoting effects）,development of personal intellectual skills and comments or advices.Results Most students were satisfied with early involvement in clinical practice,gained a lot in feeling how doctor worked,improving communication skills,improving the perceptions of clinical diseases,increasing interest of learning,deepening the knowledge of medicine and its specialist etc.Conclusion Early involvement in clinical practice will improve students＇ communication skills with patients,increase interest of learning,improve students＇ all-round ability and lay a good foundation of using knowledge to solve practical clinical problems,and promot effects in medical education.