目的 了解医学院校临床理论教学与实践教学融合的现状,发现存在的问题。方法 采用问卷调查方法,2017年9月至12月对16所医学院校的师生进行问卷调查,共有593名临床教师和1 086名实习医生完成问卷。结果 91.9%(545/593)的临床教师和83.5%(907/1 086)的实习医生认为临床理论教学与实践教学课时设置合理,临床理论教学与实践教学的课时比例多集中在1∶1,2∶1和3∶1,认为两者比例1∶1最合适的临床教师与实习医生最多。师生均认为临床理论课程与实践课程多数为部分衔接,两者融合方式最好的是能够结合各科理论知识解析病例与结合案例讲授各科理论。53.0%(311/587)的临床教师表示所在院校开设了系统整合课程,但仅有近1/3的临床教师参与过系统整合课程教学。结论 现阶段医学院校临床理论教学与实践教学融合存在一定的问题,应该以岗位胜任力为导向,不断完善和优化系统整合课程,协调和改进学科内的融合教学,提高医学人才的培养质量。

Objective To understand the current situation of the integration of clinical theory and practice in medical colleges and discover problems. Methods A questionnaire survey was conducted among 593 teachers and 1 086 students from 16 medical colleges from September to December 2017. Results It shows that 91.9% (545/593) of the clinical teachers and 83.5% (907/1 086) of the interns believes that the proportion of theoretical and practical teaching hours is reasonable, most of which is concentrated in 1∶1, 2∶1 and 3∶1, most of the clinical teachers and the interns believe that the ratio of 1∶1 is the most appropriate. It is believed that most of the clinical theory courses and practical courses are partially connected, and the best way to integrate them is to combine the theoretical knowledge with clinical cases or to combine clinical cases with teach theories. As much as 53.0%(311/587) of the teachers understand that there is a systematic integration course and a systematic integration course in the institution, and nearly one-third of the teachers have participated in the integration course. Conclusions There are still several problems in the integration of clinical theory teaching and practical teaching. It should be guided by competency, continuously improve and optimize the system integration curriculum, coordinate and improve the integrated teaching within the medical disciplinary, and improve the quality of medical personnel training.