临床教学查房的新认识与新实践

临床教学查房是一种具有古老传统和独特特点的医学教学形式。近年来随着社会节奏加快、健康体检普及、辅助检查第一时间进场、患者维权意识提高,以及教学理念、形式和技术的更新等,教学查房遇到了新挑战。为此,本文提出目前教学查房的3个原则:①应以提高岗位胜任力为根本目标;②可综合应用各种教学形式;③应尽可能涵盖患者诊疗的全过程。在此指导下,北京大学人民医院胸外科开展了旨在提升学员肺癌临床工作胜任能力的新形式教学查房,取得了满意的效果。

New understanding and practice of clinical medicine teaching by ward round

Clinical teaching through ward round is a traditional training of clinical medicine with long history and unique characteristics.In recent years,with the acceleration of social rhythm,the popularization of health examination,the arrival of auxiliary examination at the first time,the improved patients'awareness of rights protection,and the update of teaching concept,form and technology,word round teaching is facing challenges.Therefore,the authors put forward three principles of teaching ward round in the new era:(1)the basic goal is to improve the post-competency;(2)various teaching forms can be applied comprehensively;(3)the whole process of diagnosis and treatment of patients should be covered as much as possible.Under this guidance,they carried out a new form of teaching word rounds aimed at improving the trainees'post-competence.