中华医学教育杂志

中华医学教育杂志 ›› 2020, Vol. 40 ›› Issue (5): 338-342.DOI: 10.3760/cma.j.cn115259-20190721-00583

• 课程改革与建设 • 上一篇    下一篇

16所医学院校临床理论教学与实践教学融合现状的调查

卢书明1, 李春艳1, 杜建玲1, 张金宝2, 易桂兰3, 刘薇薇4, 尹剑5, 尚东2, 管又飞6   

  1. 1大连医科大学附属第一医院内科学教研室 116011;
    2大连医科大学附属第一医院急腹症外科 116011;
    3大连医科大学附属第一医院教务部 116011;
    4大连医科大学医学教育研究所 116044;
    5大连医科大学教务处 116044;
    6大连医科大学 116044
  • 收稿日期:2019-07-21 出版日期:2020-05-01 发布日期:2020-12-09
  • 通讯作者: 尚东, Email: shangdong@dmu.edu.cn, 电话: 0411-83635963
  • 基金资助:
    中国高等教育学会“十三五”高等教育科学研究规划课题(16YB015);辽宁省教育科学“十三五”规划立项课题(JGl7DB105);全国医学专业学位研究生教育指导委员会研究课题(YX2018-03-05)

Investigation on the integration of clinical theory and practice in 16 medical universities

Lu Shuming1, Li Chunyan1, Du Jianling1, Zhang Jinbao2, Yi Guilan3, Liu Weiwei4, Yin Jian5, Shang Dong2, Guan Youfei6   

  1. 1Department of Internal Medicine, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, China; 2Department of Acute Abdominal Surgery, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, China;
    3Department of Educational Administration, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, China;
    4Research Center for Medical Education, Dalian Medical University, Dalian 116044, China;
    5Dean's Office, Dalian Medical University, Dalian 116044, China;
    6Dalian Medical University, Dalian 116044, China
  • Received:2019-07-21 Online:2020-05-01 Published:2020-12-09
  • Contact: Shang Dong, Email: shangdong@dmu.edu.cn. Tel: 0086-411-83635963
  • Supported by:
    Science Research Grant to Higher Education of “The 13th Five-Year Plan”in China Association of Higher Education (16YB015); Liaoning Province Education Science “the 13th Five-Year Plan” Project (JGl7DB105); National Medical Professional Degree Graduate Education Steering Committee Research Project (YX2018-03-05)

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摘要： 目的 了解医学院校临床理论教学与实践教学融合的现状,发现存在的问题。方法 采用问卷调查方法,2017年9月至12月对16所医学院校的师生进行问卷调查,共有593名临床教师和1 086名实习医生完成问卷。结果 91.9%(545/593)的临床教师和83.5%(907/1 086)的实习医生认为临床理论教学与实践教学课时设置合理,临床理论教学与实践教学的课时比例多集中在1∶1,2∶1和3∶1,认为两者比例1∶1最合适的临床教师与实习医生最多。师生均认为临床理论课程与实践课程多数为部分衔接,两者融合方式最好的是能够结合各科理论知识解析病例与结合案例讲授各科理论。53.0%(311/587)的临床教师表示所在院校开设了系统整合课程,但仅有近1/3的临床教师参与过系统整合课程教学。结论 现阶段医学院校临床理论教学与实践教学融合存在一定的问题,应该以岗位胜任力为导向,不断完善和优化系统整合课程,协调和改进学科内的融合教学,提高医学人才的培养质量。

关键词: 理论教学, 实践教学, 融合, 系统整合课程

Abstract: Objective To understand the current situation of the integration of clinical theory and practice in medical colleges and discover problems. Methods A questionnaire survey was conducted among 593 teachers and 1 086 students from 16 medical colleges from September to December 2017. Results It shows that 91.9% (545/593) of the clinical teachers and 83.5% (907/1 086) of the interns believes that the proportion of theoretical and practical teaching hours is reasonable, most of which is concentrated in 1∶1, 2∶1 and 3∶1, most of the clinical teachers and the interns believe that the ratio of 1∶1 is the most appropriate. It is believed that most of the clinical theory courses and practical courses are partially connected, and the best way to integrate them is to combine the theoretical knowledge with clinical cases or to combine clinical cases with teach theories. As much as 53.0%(311/587) of the teachers understand that there is a systematic integration course and a systematic integration course in the institution, and nearly one-third of the teachers have participated in the integration course. Conclusions There are still several problems in the integration of clinical theory teaching and practical teaching. It should be guided by competency, continuously improve and optimize the system integration curriculum, coordinate and improve the integrated teaching within the medical disciplinary, and improve the quality of medical personnel training.

Key words: Theoretical teaching, Practical teaching, Integration, Systematic integration courses

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