目的 探讨全国高等医学院校大学生临床技能竞赛存在的问题与解决思路。方法 总结1届～7届竞赛情况,并对参赛院校的师生进行问卷调查与结果分析。结果 全国134所开设临床医学本科专业的院校参加过竞赛,每年参赛院校在115所左右;向110所参赛院校的师生和管理人员发出880份问卷,回收有效问卷752份。受访者认为,竞赛存在的主要问题是“竞赛耗费大量人财物力”“竞赛只是少数学生受益”“竞赛成绩不能反映学校真实水平”等;五分量表对竞赛题目的调查结果显示,赛题总体满意度评分在3.5分～4.0分之间,主要问题是赛题内容过于宽泛,难度部分超标,数量偏多。结论 竞赛整体上获得了成功,初步实现了推动实践教学发展的目的,但也出现了一些问题。明确竞赛使命与目的,全面评价与认识竞赛作用,提高命题质量是促进竞赛健康发展的关键所在。
关键词：
临床技能; 医学生; 竞赛; 问题; 思考
Objective To analysis the problems of national clinical skills competition of medical undergraduates.Methods Summarize the participation of the competitions, and analyzes the questionnaires for teachers and students from 110 medical colleges nationwide.Results The results show that 134 colleges have participated in the past seven competitions. About 115 colleges participated in the competition each year.880 questionnaires for 110 colleges were delivered and 752 valid responses were received. Teachers and students think that the main problem of the competition is “it costs a lot of teachers, money and property”, “only a few students profit by it”,and “the results can not reflect the true level of colleges”, and so on. The satisfaction of the difficulty and breadth of the questions (5-point Likert scale) in the competition is from 3.5 to 4.0. The main problem is wide range of assessment, high difficulty and more quantity of questions.Conclusions The national clinical skill competition is widely accepted in China. It achieves the purpose of promoting the development of clinical practical education. But it also has some problems. To make clear the mission, comprehensively evaluates its function and improve proposition quality are the high points.
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