Abstract: Objective To explore the outcomes of the remodeling clinical practice training based on organ system.Methods From June 2017 to May 2019, totally 147 interns of five-year curriculum of clinical medicine enrolled in 2013 and 2014 in Nantong University and Suzhou University were selected as the research objects. Totally 74 interns enrolled in 2014 grade were set as the experimental group,the organ-system based learning was adopted. In addition to bedside teaching, the team-based learning was also applied. The 73 interns enrolled in 2013 were set as the control group, with discipline-based training methodology and the bedside teaching model. Through examination scores Mini-CEX score of the two groups of interns and the questionnaire survey of the experimental group of interns, the effect of the reform of teaching mode was evaluated.Results The results of the experimental group and the control group in theoretical knowledge test were [74.24 ± 7.21) vs (68.23 ± 7.86)], clinical skill operation test[ (89.68 ± 5.36) vs (85.29 ± 4.37)], medical record writing[ (94.45 ± 2.78) vs (87.29 ± 4.05)] and Mini-CEX total score [(28 (25, 30) vs 22 (21, 24)], thedifferences werestatistically significant (All P < 0.01). The questionnaire result showed that 81.1% (60 / 74) of the interns in the experimental group affirmed and praised the “organ-system based” clinical practice teaching mode and effect.Conclusions The remodeling of clinical practice training based on organ system is conducive to improving the learning outcomes and practice quality of interns, and has been recognized by interns.

Key words: Organ-system based learning, Undergraduate tutorial system, Team-based learning, Practice mode, Teaching reform