八年制医学生普通内科门诊实习教学模式探索

Teaching mode exploration for eight-year program interns in the out-patient department of general internal

门诊实习教学是内科学临床教学的重要组成部分。华中科技大学从2010年开始，安排八年制医学生进行普通内科门诊实习轮转。门诊教学实施一对一带教制度，采用以教师示教为主的示范式教学与以学生实践为主的督导式教学相结合的方法，并开展以案例为基础的讨论式教学小结。在轮转结束时，贯彻实施阶段性教学考核评估制度。实践证明，该教学模式不仅使八年制医学生内科常见病诊疗的专业理论和实践水平得到了切实提高，而且培养了学生门诊工作能力和职业精神，值得进一步推广。

Clinical practice teaching in out-patient department is an important part of general internal clinical teaching for medical students. From 2010, eight-year program medical students in Huazhong University of Science and Technology began their clinical rotation practice in the out-patient department of general internal medicine. The one-on-one tutoring style was used in clinical teaching. We combined teacher demonstration teaching method with teacher supervision teaching method in clinical practice, and carried out periodical case discussion. At the end of each rotation stage, regular teaching evaluation and examination was taken. It has been proved that our teaching mode can not only help the students improve their professional and practical levels of clinical skills, and also help them gain the clinical working abilities and the professional spirits, which is worthy of further promotion.