农村订单定向免费本科医学教育人才培养模式研究

Study on the training model of rural order-directed free medical students

目的:探索建立"农村订单定向免费本科医学教育人才"定向医学教育培养模式。方法:研究全国68所学校5年制临床医学专业和26所学校"农村订单定向免费本科医学教育人才"的培养模式;并对20名高等医学教育专家和112名在校定向医学生进行培养模式偏好调研。结果:68所医学院校临床医学和26所学校"农村订单定向免费本科医学教育人才"的培养模式的培养模式分别是"3+1+1"29所(42.6%)和11所(42.3%),"4+1"13所(19.1%)和5所(19.2%),"3.5+1.5"10所(14.7%)和4所(15.4%),"2.5+1+1.5"10所(14.7%)和4所(15.4%),"2+1.5+1.5"6所(8.8%)和2所(7.7%);20名高等医学教育专家和112名在校免费医学生对"农村订单定向免费本科医学教育人才"培养模式选择持"非常赞成"态度的分别是:"4+1"7人(35.0%)和40人(35.7%),"3.5+1.5"7人(35.0%)和58人(51.8%),"3+1+1"10人(50.0%)和65人(58.1%),"2+1.5+1.5"10人(50.0%)和60人(53.6%),"2.5+1+1.5"14人(70.0%)和77人(68.8%)。结论:当前5年制临床医学多种培养模式并存;"农村订单定向免费本科医学教育人才"多种培养模式并存。

Objective：To establish the rural order-directed free medical students training model. Methods： The training model in 5-year clinical medicine specialty students among 68 schools, and rural order-directed free medical students among 26 schools nation-wide were investigated. The preferences of training model in 20 medical education expells and 112 free medical students were analyzed. Results：Among the clinical medicine students in 68 medical colleges and free medical students in 26 medical colleges, the ＂3 ＋ 1 ＋ 1＂ training models in 29（42.6% ） and 11 （42.3%） schools,the ＂4 ＋ 1＂ training models in 13（ 19.1% ） and 5（ 19.2% ） schools,the ＂ 3.5 ＋ 1.5＂ training models in 10（ 14.7% ） schools and 4 （ 15.4% ） schools, the ＂2.5 ＋ 1 ＋ 1.5＂ training models in 10 （ 14.7% ） schools and 4 （ 15.4 % ） schools, and the ＂2 ＋ 1.5 ＋ 1.5＂ training models in 6 （ 8.8 % ） schools and 2 （7.7%） schools were implemen- ted, respectively. Among 20 higher medical education experts and 112 free medical students hold a ＂very positive＂ attitude toward free medical students training models. Seven（ 35.0% ） experts and 40（35.7 ）% students approved tor ＂4 ＋ 1＂ ,7 （35.0%） experts and 58 （51.8 % ） students approved tot ＂3.5 ＋ 1.5＂, 10 （50.0%） experts and 65 （58.1% ） students approved tor ＂3 ＋ 1 ＋ 1＂, 10 （50.0%） and 60（53.6% ） approved tor （2.5 ＋ 1 ＋ 1.5 ）, and 14 （70.0%） experts and 77 （68.8） % students approved tor＂ 2.5 ＋ 1 ＋ 1.5＂. Conclusions ： The multiple training models coexist in 5-year clinical medicine and free medical students.