临床实习是医学生将理论知识转化为临床能力和深入临床环境学习的重要途径。纵向整合临床实习模式目前是一种创新性的临床教学方法和理念,它将连续性作为教学原则,很好地解决了原有临床实习中缺乏医疗连续性、课程连续性和教学指导连续性的问题,越来越多的医学院应用此种模式进行临床教学改革。本文对该实习模式的核心内涵、意义和哈佛剑桥模式及其发展与衍变进行阐述,并结合中国医学教育的实际需求进行分析,认为纵向整合临床实习模式可以提高我国临床医生培养质量,促进基层医疗人才队伍建设,增强住院医师规范化培训效果,有助于我国医学教育改革发展。
李鸿鹤
,
David A Hirsh
,
Tara A Singh
,
Yamini Saravanan
,
Rachel Hathaway
,
Bianca Shagrin
,
Elizabeth Gaufberg
,
Arundhati Ghosh
,
刘君
,
李扬龄
,
闻德亮
. 发达国家纵向整合临床实习模式的发展及其对我国医学教育的启示[J]. 中华医学教育杂志, 2020
, 40(9)
: 748
-698
.
DOI: 10.3760/cma.j.cn115259-20190910-00742
Clinical clerkships are an important learning experience for medical students to translate theoretical knowledge into professional practice in the clinical environment. The longitudinal integrated clerkship (LIC) model represents a new and innovative approach in medical education that uses continuity as the organizing principle. The LIC model addresses a critical problem in clinical medical education: the lack of educational continuity. Educational continuity is comprised of continuity of the curriculum, continuity of care, and continuity of supervision. Medical schools across the US, Canada, Australia, and other nations are implementing LICs to advance clinical education reform. This article introduces the definition, principles, and characteristics of the LIC model. The authors describe Harvard Medical School's LIC model as an example, describe the growth of LICs internationally, and reflect on LICs for the Chinese medical education context. Lessons learned from LICs and educational continuity can inform and guide approaches to improve the health of the Chinese population through three new strategies: medical student education reform, medical workforce enhancement and practice reform, and resident training reform.
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