疫情期间本科临床医学来华留学生线上实习效果分析

Teachers and students perceptions towards online clerkship for international bachelor of medicine and bachelor of surgery students during coronavirus disease 2019 epidemic

目的调查新型冠状病毒肺炎疫情暴发以来本科临床医学专业来华留学生的线上实习情况,了解带习教师和留学生在教与学方面遇到的问题和需求。方法2020年5月对四川大学华西医院85名本科临床医学专业留学生及10个相关实习科室的带习教师进行问卷调查、电话沟通和面对面访谈,对线上实习的入科宣教、考勤、教学、作业考核及总体评价5个调查指标进行分析。结果分别有4个科室的带习教师和43名(50.6%)学生认为在线实习增加了时间投入,3个科室的带习教师认为学生积极性下降明显。6个科室的带习教师反映学生依从性较差;58名(68.2%)学生反映无法体验真实临床环境。10个科室均反映实践操作完成较困难,认为在线实习只能部分达到教学目标;78名(91.8%)学生认为在线实习效果符合预期;16名(18.8%)学生非常满意,59名(69.4%)学生感到满意。多数学生认为在线实习的优势是有更多时间精力备考医师资格考试[66人(77.6%)]以及可以随时在线提出问题[48人(56.5%)]。结论留学生线上实习的开展有利有弊,线上实习对师生之间的英语沟通效率和准确性、对留学生的自我约束和纪律性提出了更高的要求。当前全球疫情形势下,应充分利用现有信息技术,不断在"智能"实践教学上加强探索。

Objective To investigate the problems and needs of teachers and international bachelor of medicine and bachelor of surgery(MBBS)students in the online clerkship since the outbreak of coronavirus disease 2019.Methods In May 2020,questionnaires,telephone communication and face-to-face interviews were conducted among 85 international MBBS students and clinical teachers of 10 related departments in West China Hospital,Sichuan University.Teachers and students perceptions towards online clerkship were collected from five aspects including department orientation,attendance,teaching plan,assignment&assessment,and overall evaluation.Results Four departments and43 students(50.6%)thought that online clerkship increased time input,while 3 departments thought that students’enthusiasm decreased significantly compared to ordinary clerkship.Six departments reported that students’compliance was poor;58 students(68.2%)reported that they could not experience the real clinical environment.All departments reported difficulties in completing procedures and skills,and believed the teaching objectives were only partially achieved;78 students(91.8%)thought that the effect of online clerkship met with their expectations;16 students(18.8%)were very satisfied,and 59 students(69.4%)were satisfied.The majority of students believed that the advantages of online clerkship were that they had more time to prepare for their licensing examination[66 students(77.6%)]and could ask questions online at any time[48 students(56.5%)].Conclusions There are both pros and cons in the online clerkship.It has put forward higher requirements for the efficiency and accuracy of English communication between teachers and students,and for the self-restraint and discipline of students.Under the current global epidemic situation,we should make full use of the information technology to constantly strengthen the practical education.