目的 探索临床医学专业学位研究生核心课程内容的设置。方法 2018年7月至2021年7月,通过问卷调查了解48所医学院校的1 281名临床医学专业学位研究生和489名研究生导师对临床医学专业学位研究生课程体系的需求,采用Friedman秩和检验和Mann-Whitney U 秩和检验对结果进行分析。结果 硕士专业学位研究生的专业必修课程中,方法类课程和基础类课程最多;研究生的专业课程设置未区分培养层次;导师对课程内容重要性的评分排在前3位的是临床医学专业理论知识 [8.0(2.0)分]、临床操作技能[ 7.0(2.0)分]和职业精神和人文素养[7.0(6.0)分] (P＜0.001),研究生对课程内容重要性的评分排在前3位的是临床医学专业理论知识 [9.0(2.0)分]、临床操作技能[9.0(2.0)分]和医学基础知识[7.0(3.0)分] (P＜0.001);博士研究生对临床研究方法学课程、医学统计学课程重要性的评分高于硕士研究生[7.0(4.0)分比6.0(3.0)分,P=0.001;7.0(3.0)分比6.0(3.0)分,P＜0.001]。结论 临床医学专业理论知识、临床操作技能、职业精神和人文素养、临床研究方法学课程和医学统计学等是临床医学专业学位研究生的核心课程内容;专业课程设置需要区分博士研究生和硕士研究生层次,临床研究方法学、医学统计学等方法学课程需要加强。
   

Objective To explore the core curriculum for medical graduates for professional degree. Methods From July 2018 to July 2021,questionnaire survey was used to investigate the current situation and demand of the curriculum by medical graduates for professional degree. The survey covered 1 281 medical graduates and 489 tutors at 48 medical colleges.The results were analyzed by Friedman rank sum test and Mann Whitney U rank sum test. Results The methodology courses and basic courses were the most abundant. There was no gap between the professional compulsory courses of postgraduates with master's degree and doctoral degree. The top three scores of the tutors on the importance of the course were the theoretical knowledge of clinical medicine [8.0(2.0)], clinical operation skills [7.0(2.0)] and professionalism and humanistic quality [7.0(6.0)](P＜0.001),the top three postgraduates' scores on the importance of the course were theoretical knowledge of clinical medicine [9.0(2.0)], clinical operation skills [9.0(2.0)] and basic medical knowledge [7.0(3.0)](P＜0.001).The scores of the importance of clinical research methodology courses and medical statistics courses of doctoral students were higher than those of master students [7.0(4.0) vs. 6.0(3.0), P=0.001; 7.0(3.0) vs. 6.0(3.0), P<0.001]. Conclusions Clinical professional theoretical knowledge, clinical operation skills, professionalism and humanistic quality, clinical research methodology and medical statistics are core course contents. The curriculum for graduates of doctor degree should be differentiated from that of master's degree. The training of research methodology and medical statistics should be intensified.