整合课程体系建设和胜任力导向医学教育是当前我国医学教育改革与发展的2项重要工作。本文试图从医学教育全过程视角明确院校教育和毕业后教育2个阶段的培养目标、相关性及存在的问题,强调院校教育与毕业后教育有机衔接的重要性。并在此基础上,确立整合课程建设的原则,即按照医学教育阶段合理设置学习内容和目标;明确与胜任力相契合的学习方式转变,强化自主学习能力的培养和实践驱动学习的落实;明确胜任力导向教育相关临床实践教学和胜任力评价的开展。
The construction of integrated curriculum system and competency-based medical education are the two key points in the current reform and development of medical education in China. This paper attempts to clarify the training objectives, relevance and problems of the two stages of undergraduate education and postgraduate education from the perspective of the whole process of medical education and emphasizes the importance of the close relationship between undergraduate education and postgraduate education. On this basis, this paper seeks to clarify the following three aspects: the principle of integrated curriculum construction, that is, to set the learning contents and objectives reasonably according to the different stages of medical education; the transformation of learning styles to match competency-based education, and strengthen the cultivation of self-learning ability and the implementation of practice-driven learning; the development of clinical practice teaching and assessment related to competency-based education.
[1] 教育部 国家卫生健康委员会 国家中医药管理局.关于加强医教协同实施卓越医生教育培养计划2.0的意见[EB/OL].(2018-10-08)[2022-06-14]. http://www.moe.gov.cn/srcsite/A08/moe_740/s7952/201810/t20181017_351901.html.
[2] 国务院办公厅.关于加快医学教育创新发展的指导意见[EB/OL].(2020-09-23)[2022-06-14].http://www.gov.cn/zhengce/content/2020-09/23/content_5546373.htm.
[3] Teunissen PW, Westerman M. Opportunity or threat: the ambiguity of the consequences of transitions in medical education[J]. Med Educ, 2011,45(1):51-59. DOI:10.1111/j.1365-2923.2010.03755.x.
[4] 教育部临床学专业认证工作委员会. 中国本科医学教育标准——临床医学专业(2016版本)[M].北京:北京大学医学出版社,2017:1-6.
[5] Association of American Medical Colleges (AAMC). Core entrustable professional activities for entering residency: curriculum developers' guide[M]. Washington, DC: AAMC,2014:1.
[6] 教育部 卫生部. 教育部 卫生部关于印发《本科医学教育标准——临床医学专业(试行)》的通知[EB/OL].(2008-09-16)[2022-06-14]. http://www.moe.gov.cn/srcsite/A08/moe_740/s3864/200809/t20080916_109605.html.
[7] 李海潮. 第二代医学教育改革与胜任力导向医学教育的关系分析[J].中华医学教育杂志,2019,39(11):801-806. DOI:10.3760/cma.j.issn.1673-677X.2019.11.001.
[8] 陈心航, 吴红斌, 江哲涵, 等. 国际置信职业行为研究在医学教育中的发展与启示[J].中华医学教育杂志,2020,40(12):945-950. DOI:10.3760/cma.j.cn115259-20201012-01447.
[9] 吴红斌, 王维民. 世界医学教育改革与发展回顾及我国八年制医学教育的思考[J].中华医学教育杂志,2018,38(5):641-645. DOI:10.3760/cma.j.issn.1673-677X.2018.05.001.
