发达国家纵向整合临床实习模式的发展及其对我国医学教育的启示

doi:10.3760/cma.j.cn115259-20190910-00742

中华医学教育杂志 ›› 2020, Vol. 40 ›› Issue (9): 748-698.DOI: 10.3760/cma.j.cn115259-20190910-00742

• 国外医学与比较医学教育 • 上一篇

发达国家纵向整合临床实习模式的发展及其对我国医学教育的启示

李鸿鹤¹, David A Hirsh², Tara A Singh², Yamini Saravanan², Rachel Hathaway², Bianca Shagrin², Elizabeth Gaufberg², Arundhati Ghosh², 刘君², 李扬龄², 闻德亮³

¹中国医科大学国际医学教育研究院, 沈阳 110122;
²哈佛大学医学院剑桥健康联盟,马萨诸塞州剑桥市 02139;
³中国医科大学,沈阳 110122

收稿日期:2019-09-10 出版日期:2020-09-01 发布日期:2020-12-08
通讯作者: 闻德亮,Email:dlwen@cmu.edu.cn,电话:024-31939011
作者简介:李鸿鹤和David A Hirsh对本文有同等贡献

Longitudinal integrated clerkships in developed countries and their inspiration for Chinese medical education

Li Honghe¹, David A Hirsh², Tara A Singh², Yamini Saravanan², Rachel Hathaway², Bianca Shagrin², Elizabeth Gaufberg², Arundhati Ghosh², Liu Jun², Li Chloe², Wen Deliang³

¹Institute for International Health Professions Education and Research, China Medical University, Shenyang 110122, China;
²Cambridge Health Alliance, Harvard Medical School, Cambridge 02139, USA;
³China Medical University, Shenyang 110122, China Li Honghe and David A Hirsh contributed equally to this work

Received:2019-09-10 Online:2020-09-01 Published:2020-12-08
Contact: Wen Deliang, Email: dlwen@cmu.edu.cn, Tel: 0086-24-31939011

摘要/Abstract

摘要： 临床实习是医学生将理论知识转化为临床能力和深入临床环境学习的重要途径。纵向整合临床实习模式目前是一种创新性的临床教学方法和理念,它将连续性作为教学原则,很好地解决了原有临床实习中缺乏医疗连续性、课程连续性和教学指导连续性的问题,越来越多的医学院应用此种模式进行临床教学改革。本文对该实习模式的核心内涵、意义和哈佛剑桥模式及其发展与衍变进行阐述,并结合中国医学教育的实际需求进行分析,认为纵向整合临床实习模式可以提高我国临床医生培养质量,促进基层医疗人才队伍建设,增强住院医师规范化培训效果,有助于我国医学教育改革发展。

关键词: 临床医学教育, 教育连续性, 纵向整合临床实习模式, 中国, 启示

Abstract: Clinical clerkships are an important learning experience for medical students to translate theoretical knowledge into professional practice in the clinical environment. The longitudinal integrated clerkship (LIC) model represents a new and innovative approach in medical education that uses continuity as the organizing principle. The LIC model addresses a critical problem in clinical medical education: the lack of educational continuity. Educational continuity is comprised of continuity of the curriculum, continuity of care, and continuity of supervision. Medical schools across the US, Canada, Australia, and other nations are implementing LICs to advance clinical education reform. This article introduces the definition, principles, and characteristics of the LIC model. The authors describe Harvard Medical School's LIC model as an example, describe the growth of LICs internationally, and reflect on LICs for the Chinese medical education context. Lessons learned from LICs and educational continuity can inform and guide approaches to improve the health of the Chinese population through three new strategies: medical student education reform, medical workforce enhancement and practice reform, and resident training reform.

Key words: Clinical medical education, Educational continuity, Longitudinal integrated clerkship, China, Innovation

中图分类号:

R0
R-05

李鸿鹤, David A Hirsh, Tara A Singh, Yamini Saravanan, Rachel Hathaway, Bianca Shagrin, Elizabeth Gaufberg, Arundhati Ghosh, 刘君, 李扬龄, 闻德亮. 发达国家纵向整合临床实习模式的发展及其对我国医学教育的启示[J]. 中华医学教育杂志, 2020, 40(9): 748-698.

Li Honghe, David A Hirsh, Tara A Singh, Yamini Saravanan, Rachel Hathaway, Bianca Shagrin, Elizabeth Gaufberg, Arundhati Ghosh, Liu Jun, Li Chloe, Wen Deliang. Longitudinal integrated clerkships in developed countries and their inspiration for Chinese medical education[J]. Chinese Journal of Medical Education, 2020, 40(9): 748-698.

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发达国家纵向整合临床实习模式的发展及其对我国医学教育的启示

Longitudinal integrated clerkships in developed countries and their inspiration for Chinese medical education

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