以执业医师资格考试为导向的内科学教学改革与实践研究

Teaching Reform and Practical Research of Internal Medicine Guided by the Qualification Examination for Practicing Physician

执业医师资格考试是被普遍认可的医师资格准入方式,对我国医学教育改革具有一定的导向作用,同时也给医学教学模式和教学方法提出了更高的要求。为了适应执业医师资格考试,内科学教研室分析了2019—2023年本校毕业生参加执业医师资格考试的成绩情况,发现目前内科学教学中还存在如下问题:实践教学水平有待提高、基础课程与临床课程分离、课程教学内容和执业医师资格考试内容脱节、考核评价体系不健全等。为了适应医考要求,内科学教研室在教学过程中采取了一系列改革与实践:提升教师教学能力,实施临床教师准入制度,研究医师资格考试内容,修订教学大纲,优化教学内容,改革教学方法,建设考试题库,调整考核方式,发挥竞赛引领等,确实提高了教学水平和执业医师通过率。

The medical practitioner qualification examination is a universally recognized way to access the qualification of doctors.It plays a guiding role in the reform of medical education in China.At the same time,it also puts forward higher requirements for medical teaching mode and teaching method.In order to adapt to the practicing physician qualification examination,the teaching and research section of internal medicine has analyzed the results of the medical practitioner qualification examination of the graduates from 2019 to 2023.The following problems still exist in the teaching of internal medicine:the practical teaching level needs to be improved,separation of basic and clinical courses,the teaching content of the course was out of line with the medical licensing examination content,the assessment and evaluation system is not perfect.In order to meet the requirements for the medical exam,it has been adopted a series of reforms and practices in the teaching process:improving the teaching ability of teachers,implementing the admittance system for clinical teachers,studying the content of medical licensing examination,reviseding syllabus,optimizing teaching content,reforming teaching method,constructing examination question bank,adjust the appraisal way,playing a competition lead,it has indeed improved the teaching level and the passing rate of medical practitioners.