本文从医学生的选拔方式、培养模式、课程设置、教学方法、教学效果评价等几个方面,分析了美国内布拉斯加大学医学中心医学教育的特点,同时对比我国医学教育的现状和问题,并根据我国的国情和医学教育的现状提出了一些建议,希望为我国医学教育改革提供参考和借鉴。
This paper analyzed the clinical medical education characteristics of University of Nebraska Medical Center in the aspects of MD program enrollment, training model, curriculum, teaching method and instructional evaluation. The advantages and existing problems of Chinese clinical medical education system were discussed as well. It puts forward some suggestions according to the present situation of Chinese medical education and the reality of China, hoping to provide the reference for the present stage of our country's medical education reform.
[1] Frenk J, Chen L, Bhutta ZA, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world[J]. Lancet, 2010, 376(9756): 1923-1958. DOI: 10.1016/S0140-6736(10)61854-5.
[2] 李红波, 赵青赞, 沈兰, 等. 美国高等医学精英教育的形成及启示[J].基础医学与临床,2017,37(2):270-272.DOI:10.3969/j.issn.1001-6325.2017.02.043.
Li HB,Zhao QZ,Shen L,et al. Formation and enlightenment of medical elite education in the United States[J]. Basic & Clinical Medicine, 2017,37(2):270-272. DOI: 10.3969/j.issn.1001-6325.2017.02.043.
[3] 郭进军. 医学专业型研究生临床与科研并重培养模式探讨[J].现代医药卫生,2014, 30(1):133-134. DOI:10.3969/j.issn.1009-5519.2014.01.075.
[4] Cohen LG, Sherif YA. Twelve tips on teaching and learning humanism in medical education[J]. Med Teach, 2014,36(8):680-684. DOI: 10.3109/0142159X.2014.916779.
[5] 张云莎, 郭茂娟, 杜欢, 等. 深化基础医学课程整合 加强临床思维培养[J].中国高等医学教育,2015,(12):45-46. DOI: 10.3969/j.issn.1002-1701.2015.12.023.
Zhang YS,Guo MJ,Du H,et al. Strengthen the training of clinical thinking based on the integration of basic medical courses[J].China Higher Medical Education,2015,(12):45-46. DOI: 10.3969/j.issn.1002-1701.2015.12.023.
[6] Roh YS, Kim SS. Integrating problem-based learning and simula-
tion: effects on student motivation and life skills[J].Comput Inform Nurs, 2015,33(7):278-284.DOI:10.1097/CIN.0000000000000161.
[7] 黄蕾, 管晓枫, 苏娜, 等. 以问题为基础学习教学对医学生批判性思维培养效果的研究[J].中华医学教育杂志,2015,35(6):888-891.DOI:10.3760/cma.j.issn.1673-677X.2015.06.025.
Huang L,Guan XF,Su N,et al. Study on the effect of PBL teaching in medical students' critical thinking[J].Chin J Med Edu,2015,35(6):888-891.DOI:10.3760/cma.j.issn.1673-677X.2015.06.025.
[8] 蒲丹,王月丹,宋德懋,等.以问题为基础学习教学方法考核评估体系的构建与实施[J].中华医学教育杂志,2013,33(1):151-153.DOI:10.3760/cma.j.issn.1673-677X.2013.01.050.
Pu D,Wang YD,Song DM,et al.The evaluation system of PBL in the School of Basic Medical Sciences of Peking University[J].Chin J Med Edu,2013,33(1):151-153.DOI:10.3760/cma.j.issn.1673-677X.2013.01.050.
