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提高消化内科实习生临床技能水平的研究
引用本文:邓敏,王启之,刘晓阳,顾林,薛永举,朱玉.提高消化内科实习生临床技能水平的研究[J].中华全科医学,2016,14(3):485.
作者姓名:邓敏  王启之  刘晓阳  顾林  薛永举  朱玉
作者单位:蚌埠医学院第一附属医院消化内科, 安徽 蚌埠 233004
基金项目:安徽省省级教学研究项目(20100592)
摘    要:医学教育是实践性教育,是以生命为研究对象的学科。要培养合格的医学生,扎实的理论知识是基础,但临床技能水平更是重要环节。实习是医学生把所学理论知识用于临床实践,培养临床思维能力、提高临床技能水平的关键时期。通过分析当前形势下实习生在临床实践过程中普遍存在的问题发现,强化临床实习医生的临床技能培养有助于和谐医患关系,提高医疗服务质量;其次,在消化内科临床工作中,常用的临床操作住院医师在实际工作的中掌握情况并不十分理想,本科实习医生临床技能培训质量严重下滑,临床思维能力、解决问题的能力均不足。因此有必要探讨如何进一步提高消化内科实习医生的临床技能水平。针对消化内科专业特点,通过包括深入临床、参与诊疗工作,建立消化内科临床技能教学团队,加强消化专科技能的重点培训,加强消化专业理论教学,科室统一规范临床技能操作标准,充分利用临床技能室进行培训以及在教学中注意培养批判性思维等一系列措施来完善消化科临床技能教学方式和完善临床技能教学平台建设两大方面,可以提高实习生的临床技能水平。通过上述培训研究,学生们加深了对临床基本技能重要性的认识,较熟练地掌握了消化内科临床基本技能,为将来成为合格的医生奠定了坚实的基础。 

关 键 词:消化内科    临床技能    实习
收稿时间:2015-12-13

Study on improving the clinical skills of internships in department of gastroenterology
Affiliation:Department of Gastroenterology,the First Affiliated Hospital of Bengbu Medical College,Bengbu 233304,Anhui,China
Abstract:Medical education is a practical education,which is the subject of life.To cultivate qualified medical students,a solid theoretical knowledge is the foundation,but the level of clinical skills is an important link.Practice is the key period for medical students to learn the theoretical knowledge,cultivate the clinical thinking ability and improve the level of clinical skills.Through analyzing the current situation,we found that the clinical skills training can improve the relationship between doctors and patients and improve the quality of medical service.Secondly,in the department of internal medicine clinical work,the common clinical operation in the actual work of the hospital is not very satisfactory,the quality of clinical skills training of undergraduate interns is declining,and the ability of clinical thinking and solving problems are insufficient.Therefore,it is necessary to discuss how to further improve the clinical skills of interns in the department of internal medicine.For the specialty characteristics of digestion Department,a series of measures including two aspects of deep clinical,participate in diagnosis and treatment workclinical practice,establish the clinical skills teaching team,strengthen the key training,strengthen the theory teaching,uniform standard clinical skills operation standard,make full use of clinical skills training room and pay attention to the cultivation of critical thinking in teaching to improve the teaching methods and the teaching platform to improve the clinical skills of interns.Through the above training,the students have a deeper understanding of the importance of basic clinical skills,master the clinical skills in the department of internal medicine,and lay a solid foundation for a qualified doctor in the future. 
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