浙江大学医学院临床医学五年制类临床情境教考一体化模拟课程体系改革与探索

Reform and Exploration of the Integrated Clinical Simulation Course System in the Five-Year Clinical Medicine Program at Zhejiang University

为了响应新时代对以临床胜任力为导向的高素质临床医学人才培养体系的需求,浙江大学对临床医学五年制教学模式进行了改革实践,推出了一系列、分阶段的沉浸式临床训练课程.但目前存在的考核模式仍执拗于扁平化的文本考核,造成教学和考核形式的割裂,导致学生能力难以有效客观地被评估.依据《本科医学教育质量改进全球标准》中对学生考核标准的评价理念,探索在类临床情境模拟教学的基础上,如何融合学生学习行为和学习考核,构建教考一体化教学系统,在学生考核中体现实际临床场景的团队合作、人文关怀等内容,最大限度地有效评估学生对基础知识、技术技能、非技术技能的掌握程度、复杂临床环境的处理能力以及团队沟通合作能力,为健康中国战略培养优秀的医学人才.

In response to the demand for a high-quality clinical medicine talent training system oriented towards clinical competence in the new era,Zhejiang University has implemented a series of phased,immersive clinical training courses in its five-year clinical medicine program.However,the current assessment model remains rigidly text-based,leading to a disconnect between teaching and assessment methods and making it difficult to objectively evaluate students'capabilities.Based on the evaluation principles of the"Global Standards for Undergraduate Medical Education Quality Improvement,"this study explores how to integrate student learning behaviors and assessments into a cohesive teaching and assessment system on the foundation of simulated clinical scenarios.The integrated system aims to reflect actual clinical settings,including team collaboration and humanistic care,in student assessments.This approach seeks to effectively assess students'mastery of fundamental knowledge,technical and non-technical skills,complex clinical environment handling,and teamwork communication abilities,thereby contributing to the cultivation of outstanding medical professionals aligned with the Healthy China strategy.