目的 探讨胜任力导向的八年制临床医学专业学生临床早接触课程“医疗行为全过程”创新模块的建设、实施与反馈。方法 以清华大学医学院2022级八年制临床医学专业68名学生和10名带教教师为研究对象,以门诊和病房临床实践为场景,基于核心胜任力培养和医学生需求评估设计课程内容,明确模块目标,互动式教学为主,强调人文教育,基于系统实践。以访谈和课后小结的形式收集教师和学生对课程的评价。结果 学生认为该模块使其对医疗行为、临床思维、医学伦理和基于系统实践形成初步认识,临床实践能够与未来学习建立紧密联系,学习兴趣和自学能力有所提高。与以往粗放的临床早接触课程相比,带教教师认为细化的“医疗行为全过程”创新模块教学目标清晰,重点突出,对人力要求高,师生之间和学生之间交流增加,能够激发医学生学习兴趣、有利于提高专业课程学习效率、提升学生领导力,最终有助于提升医学生未来的核心胜任力。结论 “医疗行为全过程”创新模块顺应胜任力导向医学教育的发展需求,可以为医学院校临床早接触课程建设提供借鉴。

Objective To explore the design, implementation, and feedback of the innovative module "Whole Process of Medical Behavior"of the competency based early clinical exposure course for eight-year medical students. Methods A total of 68 undergraduate students of the 2022 clinical medicine eight year program from School of Medicine Tsinghua University and 10 clinical teachers were involved in the early clinical exposure course. "Whole Process of Medical Behavior"module was designed based on core competencies and needs assessment of the medical students. Both outpatient and inpatient clinical practice was observed. Rational module objectives were developed. Active teaching methods were adopted. Humanity education and system based practice were emphasized. The curriculum was preliminarily assessed by formal interviews with both clinical teachers and students and after-class summaries. Results Students believed that this module provided them with a preliminary understanding of medical behavior, clinical thinking, medical ethics, and systems-based practice. Clinical experience will be recalled and connected with future theretical learning, and help culture learning interest and self-directed learning ability. Compared with the previous extensive clinical early exposure courses, the teachers believed that the refined "Whole Process of Medical Behavior"module had detailed objectives, specific focuses, inevitably with more manpower demand. The module allowed in-depth student-student and teacher-student communication, and was expected to help develop core competency by stimulating interest, improving learning efficiency, and enhancing leadership. Conclusions The module "Whole Process of Medical Behavior"conforms to the goal of competency-oriented medical education, and can provide reference for the design of clinical exposure courses in medical colleges.