Graduation practice of general practice on clinical medicine major undergraduate in clinical teaching hospital

doi:10.3760/cma.j.issn.1673-677X.2017.01.024

Abstract

Abstract: Objective To implement and evaluate clinical practice of general practice on clinical medicine specialty undergraduate in clinical teaching hospital.Methods 144 undergraduates of clinical medicine specialty in China medical university randomly divided into experimental group (72 undergraduates) and the control group (72 undergraduates). The experimental group took part in graduation practice in general practice department in the first affiliated hospital of China Medical University ward for a week, while the control group took part in graduation practice in other medicine department ward in the first affiliated hospital of China Medical University ward for a week. The examination, questionnaire and interviewing method were used to evaluate the teaching effectiveness. SPSS 11.5 was used for statistical analysis.Results The results of the experimental and satisfaction did not show statistically significant difference between the experimental group and the control group (P>0.05). In the result of questionnaire survey, the awareness of the experimental group about GP system, department of general practice in tertiary hospital, referral system between community and large hospital, sequential service of general practitioner and coordination service of general practitioner was better than that of the control group (P<0.05). The possibility of the experimental group in the future working in general practice is significantly higher than that of the control group (P<0.05).Conclusions Graduation practice of general practice in clinical teaching hospital perfected the teaching system in general practice, increased the awareness of general medicine and the possibility of the students in the future working in general practice, and is of practical significance to the development of general medicine and the establishment of the GP system.

Key words: Clinical practice, General practice, Medical student, Clinical medicine major

Qi Dianjun, Yu Kai, Wang Shuang, Yu Xiaosong. Graduation practice of general practice on clinical medicine major undergraduate in clinical teaching hospital[J]. Chinese Journal of Medical Education, 2017, 37(1): 111-115.

References

[1] 张东华.加强改革提高实习教学质量[J].中国高等医学教育,2001(6):41-43.
[2] 冯晓娟,马兆明,李玲君,等.临床医学专业5年制学生实习情况调查分析[J].西北医学教育,2003,11(4):301-302.
[3] 齐殿君,王爽,何旖旎,等.临床医学专业本科生基层医疗卫生服务实习初探[J].中华医学教育杂志,2012,32(4):573-574,583.DOI:10.3760/cma.j.issn.1673-677X. 2012.04.34.
Qi DJ,Wang S,He YN,et al. A preliminary study on practice of primary health care in clinical medicine program [J].Chin J Med Edu,2012,32(4):573-574,583. DOI:10.3760/cma.j.issn.1673-677X.2012.04.34.
[4] 张阳,孙阳,伦施斯,等.以培养能力为目标的《临床医学导论》课程整合教学改革[J].中华医学教育探索杂志,2012,11(12):1208-1211.DOI:10.3760/cma.j.issn.2095-1485.2012.12.003.
Zhang Y,Sun Y,Lun SS,et al. Taking capacity-building as the objective and carrying out teaching reform in the integrated course of introduction to clinical medicine[J],Chin J of Med Edu Res,2012,11(12):1208-1211.DOI:10.3760/ cma.j.issn.2095-1485.2012.12.003.
[5] 齐殿君,张联红,王爽,等.“以病例为中心、问题为基础、社区为导向”全科医学教学模式的效果评价研究[J].中国全科医学,2012,15(4):418-420,424.
Qi DJ,Zhang LH,Wang S,et al. Evaluation of case-centered,problem-based and community-oriented curriculum teaching model in general practice[J].Chinese General Practice,2012,15(4):418-420,424.
[6] 何旖旎,王爽,齐殿君,等.临床医学本科生全科医学课间实习的初步探索[J].中华全科医学,2012,10(3):475-476.
He YN,Wang S,Qi DJ,et al. Preliminary study on teaching practice during courses in clinical medicine undergraduates[J].Chinese Journal of General Practice,2012,10(3): 475-476.
[7] 齐殿君,王爽,杜改燕,等.在临床医学专业开展全科医学第二课堂教学的初步探索[J].中华全科医师杂志,2011,10(1):43-44.DOI:10.3760/cma.j.issn.1671-7368.2011.01.018.
Qi DJ,Wang S,Du GY,et al. Extracurricular activities in general practice teaching for medical student[J].Chin J Gen Pract,2011,10(1):43-44.DOI:10.3760 /cma.j.issn.1671-7368.2011.01.018.
[8] 齐殿君,王爽,何旖旎,等.PBL教学模式在本科生全科医学教学中的应用[J].中华全科医学,2012,10(2):312-313.
Qi DJ,Wang S,He YN,et al. Application of problem-based learning model in general practice teaching[J].Chinese Journal of General Practice,2012,10(2): 312-313.
[9] 刘何根,赵志军.全科医学教育培训必须遵循医学教育规律[J].中国卫生事业管理杂志,2010,27(12):851-852.
Liu HG,Zhao ZJ. Training on general practice follows the law of medical education[J].Chinese Health Service Management,2010,27(12):851-852.
[10] 胡睿,王夏玲.六部委联合下发《以全科医生为重点的基层医疗卫生队伍建设规划》社区医疗发展进入人才“攻略期”[J].中国社区医师,2010(20):3-3.
[11] 陆媛,于德华,王朝昕,等.关于三级医院设置全科医学科的意义与建议[J].中华医院管理杂志,2015,31(6):456-458.
Lu Y,Yu DH,Wang ZX,et al. Analysis of the necessity and possibility to establish a general practice department at tertiary hospitals[J].Chinese Journal of Hospital Administration,2015,31(6):456-458.

[1]	Gu Feng, Qi Wenxiu, Meng Chang, Li Yujing, Xue Shilin, Yin Zhaodi, Li Meiyao, Lan Xueli, Zhang Meng. Evaluation of learning outcome by online teaching in medical undergraduates during COVID-19 pandemic [J]. Chinese Journal of Medical Education, 2020, 40(9): 726-730.
[2]	Yang Xia, Zhang Jun. The application of non-standardized test to behavioral medicine in eight-year program students [J]. Chinese Journal of Medical Education, 2020, 40(9): 736-739.
[3]	Huang Jiaxin, Yuan Siyue, Ding Hui, Liu Chen, Wang Lei, Huang Zehan, Du Yiheng, Zhang Tao, Hu Jianli, Yang Shengli. Online learning and living conditions of medical college students during the COVID-19 pandemic [J]. Chinese Journal of Medical Education, 2020, 40(7): 495-499.
[4]	Pan Chen, Wu Yan, Wang Lifeng, Tang Qiuping. Empathy training in doctor-patient communication exercise of medical students [J]. Chinese Journal of Medical Education, 2020, 40(5): 343-348.
[5]	Yang Sen, Zhao Huaxin, Shi Jianwei, Ge Xuhua, Chen Chen, Niu Xiaomin, Zhang Hanzhi, Yu Dehua. Effect evaluation of standardized training for general residents in Shanghai [J]. Chinese Journal of Medical Education, 2020, 40(5): 382-386.
[6]	Xu Wenying, Zhou Jian, Chen Nan, Wang Zihuai, Lyu Mengyuan, Liu Lunxu. Exploration on building talent growth platforms for medical associations [J]. Chinese Journal of Medical Education, 2020, 40(4): 265-268.
[7]	Fan Guanhua, Yang Mianhua, Lin Changmin, Huang Zhanqin, Chen Haibin. An empirical study on the homogenization of teaching quality under the dispersed clinical internship model based on cognition of medical students [J]. Chinese Journal of Medical Education, 2020, 40(4): 288-292.
[8]	Yang Guitao, Zhong Yanling, Chen Yantong, Huang Biling, Qiu Xiuhua. Comparison of the development stage of medical students' professionalism on self-cognition [J]. Chinese Journal of Medical Education, 2020, 40(11): 872-875.
[9]	Zhu Xiaoyan, Shen Li, Shi Lili, Cai Yuyang. Investigation on the tendency of moral dilemma for medical students in Shanghai Jiao Tong University [J]. Chinese Journal of Medical Education, 2020, 40(11): 876-878.
[10]	Bi Xuanyi, Wang Dengtai, Chen Wenyao. Correlation study on occupational attitudes and hardiness personality among nursing students in clinical practice in the Yangtze River delta during the prevention of COVID-19 [J]. Chinese Journal of Medical Education, 2020, 40(11): 883-887.
[11]	Wu Xuan, Chen Kaitian, Zhuang Huiwen, Wen Weiping. The practice and exploration of the training of clinical scientific research of medical students in the theoretical teaching of otorhinolaryngology [J]. Chinese Journal of Medical Education, 2020, 40(11): 893-896.
[12]	Sun Pengxia, Li Shuya, Li Fan. Investigation of medical students' readiness for the trans-discipline learning [J]. Chinese Journal of Medical Education, 2020, 40(11): 901-904.
[13]	Yu Hong, Zhang Jin, Li Yanjun, Chen Qi, Liu Xueyong. Experience of application of online simulation teaching on clinical reasoning training for medical students [J]. Chinese Journal of Medical Education, 2020, 40(11): 909-912.
[14]	Jia Weiqian, Li Jing, Guo Yidan, Qin Man. The flash animation video assisted skill training for pulpectomy of primary teeth [J]. Chinese Journal of Medical Education, 2020, 40(11): 917-920.
[15]	Zhao Miaomiao, Luo Jinyan, Cai Qiaoling. The impact of three-stage clinical practice on medical students' cognition of narrative medicine [J]. Chinese Journal of Medical Education, 2020, 40(10): 780-783.