目的 探究临床实习对临床医学专业学生岗位胜任力的改善情况,同时了解医学生对临床实习安排的满意度。方法 对上海交通大学五年制临床医学专业36名学生在临床实习前后分别进行试题测试和问卷调查。学生通过填写调查问卷,首先对岗位胜任力情况进行自我评价;其次对实习安排的满意度进行评价。岗位胜任力评价包含以下7个方面:临床基本能力,医患沟通能力,医学职业精神,医学基本知识,文献检索能力,科研能力,团队合作能力,以此反映学生的岗位胜任能力。同时,对带教教师进行内容相同的问卷调查,评估实习前后学生的岗位胜任能力的变化情况。结果 学生自评和带教教师评价结果显示,临床实习对学生临床基本能力、医患沟通能力、医学职业精神和团队合作能力提高最为明显,而能否提高医学基本知识存在争议,文献检索能力和科研能力并未得到显著提高。满意度调查结果显示,有63.9%(23/36)的学生对实习安排表示满意。结论 总体来说,临床实习有助于提高临床医学专业学生的岗位胜任力,但在科研能力等方面没有明显提高。
Objective To explore the influence of undergraduate medical students internship on competency and conduct a survey about internship-plan satisfaction. Methods All students who were major in clinical medicine were asked to fill a test and a questionnaire before and after their internship, which reflects students’ competency and contains 7 parts, including clinical skills, medical knowledge, clinical communication skills, professional responsibility, team work, literature-searching and scientific research ability. At the same time, an internship satisfaction questionnaire was required to be filled by every student. The same questionnaire was required to be filled by teachers at last. Results After internship study, clinical skills, clinical communication skills, professional responsibility and team work were improved significantly, while medical knowledge was controversial, literature-searching and scientific research ability were not improved. 63.9% (23/36)students were satisfied with internship plan, while the rest were not. Conclusions Undergraduate medical students improve their competency during the internship, however, there are some limitations need to be noted, especially, scientific research ability. Internship plan should be modified to get the goal for improving competency as well as students’ satisfaction.
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