目的 为提高心血管内科学实习教学效果,实施3分钟教学结合任务式教学,并对教学效果进行评估。方法 将2016年3月到2017年4月期间在解放军总医院心血管内科实习的临床医学专业56名本科生随机分为对照组（30人）和实验组（26人）,对照组以常规方法进行临床教学,实验组在常规教学的基础上实施3分钟教学结合任务式教学。以出科理论、操作及综合考核成绩对教学效果进行评估;辅以问卷调查评估,内容包括学生对临床带教的满意度,非带教医护人员和患者对实习学生的整体评价。结果 实验组学生实习教学效果在各方面优于对照组学生。结论 3分钟教学结合任务式教学是一种简洁易行、有效的临床带教方法,值得在临床教学实践中加以推广。

Objective To improve the effect of clinical training for interns at cardiovascular department, the method of 3 minutes plus task was established to teach interns and was evaluated, in the light of one minute preceptor clinical teaching method. Methods Undergraduate students majored in clinical medicine who were in their practice stage of the fifth year were enrolled in when they were trained in cardiovascular department from March 2016 to April 2017. 56 interns were assigned randomly into control group and experimental group. Control group were given traditional clinical training only while experimental group were given additional 3 minutes plus task teaching. Evaluations of the two groups were firstly done by means of paper examination of theory and knowledge, operation assessment and composite examination. Then questionnaire were given to interns for their level of satisfaction about the clinical teaching. Questionnaire were also sent to doctors without teaching task, nurses and patients related for their assessment about overall performance of interns. Results Compared to control group, the experimental group achieved better scores in all aspect of evaluation and questionnaires. Conclusions Three minutes plus tasks is an easy and effective clinical teaching method and deserves dissemination and further investigation.