血液病学临床实习教学改革的初步探索

为了更好地培养医学生临床实践能力,新疆医科大学第一附属医院血液科在临床实习中进行了积极的探索,主要包括明确血液病学实习的重要性与目的 ;加强医学生基本技能的培训,提高医学生病历书写质量;注重临床思维模式的训练和培养医学生医患沟通的能力.实践证明,以上方法有利于培养医学生的临床实践能力,有利于医学生向临床医生的转变.

Abstract：

To cultivate the medical students' clinical competence better,active exploration in clinical practice was made in the hematology department of the first hospital affiliated to Xinjiang Medical University. It focused on defining the importance and purpose of clinical practice in hematology, enhancing clinical basic skills cultivation, improving the quality of medical records writing, strengthening the training of clinical thinking and cultivating medical students' communication skill with patients. The results showed that these methods are helpful to cultivate students'clinical skills and make the transition from students to clinicians easy.     

Doctor-patient communication starts from medical students

Currently,with the increasing tensionin doctor-patient relationship and medical disputes,it is of great practical importance to train medical students’communication skills in order to establisha harmonious doctor-patient relationship to improve the quality of clinical teaching.This paper emphasizes the importance of cultivation of communication skills in medical education and suggests ways to improve communication skills among medical students.     

医学生医患沟通能力培养探析

加强医学生医患沟通技能的培养,对于营造和谐的医患关系至关重要.本文阐述了医患沟通能力培养的必要性,分析了医学生医患沟通能力欠缺的原因,探讨了加强医患沟通能力培养的对策.

Abstract：

It is of great importance to construct harmonious doctor-patient relationship by strengthening the cultivation of communication skills of medical students. The authors expound the necessity of cultivating doctor-patient communication skills in medical universities. In the meantime,the authors analyze the cause of inability of doctor-patient communication . And some methods were explored to improve the doctor-patient communication skills of medical students with the analysis of educational situation of communication skills.     

七年制医学生急诊医学临床实习教学实践与思考

本文回顾了七年制医学生急诊医学临床实习教学的实践,初步探讨了本门课程的临床实习教学规律.针对教学活动中存在的问题,结合当前医疗环境,实施了转变急诊医学临床实习教学理念,优化教学方法,注重培养急诊医学临床思维能力,加强急救技能培训,提高医患沟通能力与技巧,强化医疗、科研综合素质,建立和谐平等师生关系等举措,取得了良好的教学效果.

Abstract：

In this paper the writer reviewed the experience gained from the clinical teaching of emergence medicine of seven-year program students and primarily explored the teaching principles of this clinical course. Targeted at solving the problems found in teaching activities and taking the current medical environment into account, the writer proposed the following clinical teaching methods to achieve a better effect With the transformation of clinical emergence medicine teaching philosophy, the clinical teaching should lay its focuses on the cultivation of capability of scientific thinking and the practical skill training of clinical emergence medicine. Besides, the enhanced communication skills between doctor and patient, the strengthened comprehensive quality of medical practice and scientific research of teachers and the establishment of equal and harmonious teacher-student relationship would contribute greatly to the improvement of clinical teaching as well.     

提高长学制医学生临床基本技能的探索

本文分析了影响医学生临床技能的主要因素,构建了临床基本技能整合课程,从增设医学生人文社会类课程、整合临床技能的教学内容、加强医患沟通技巧训练、采用多种教学方法等方面进行了探索,一定程度上提高了医学生的临床技能水平.

Abstract：

In order to improve the basic clinical skills of long-term medical students, the main teaching factors influencing the students' clinical skills were analyzed. Besides, the integrated course about basic clinical skills training was established and practiced. It is showed that this course enhanced the clinical skills of medical students by increasing the social humanism courses, integrating the teaching contents of clinical skills, strengthening the doctor-patient communication skills training and using various teaching methods.     

循证医学网络教学平台的构建与实践

临床医学教学中引进循证医学教育是医学发展的必然要求.本文从循证医学网络教学平台的构建特色、教学实践的优势等方面进行了探讨,并提出了尚待研究的问题.

Abstract：

To introduce the evidence-based medicine (EBM) into clinical medical education is inevitable demand for modern medical development. Base on website, EBM teaching network platform was set up in Guangxi Medical University in order to solve the problems such as no EBM idea in present teaching, lack of class periods and teachers. The features of construction, practice and some questions to resolve for this network platform were discussed.     

高等医学教育中营养学课程设置的探讨

高等医学教育中涉及营养学的教学内容在不同专业中差别较大,对于临床医学专业,教学内容少,深度亦不够,教学质量难以保证,主要原因在于营养学课程在高等医学教育中的重要性尚未得到充分的肯定.营养学课程的设置是必要的也是可行的,应当注重临床医学专业学生的营养学教育,充实教学内容,加强临床实践,不断提高教学质量.

Abstract：

The teaching contents about nutrition are different among majors in higher medical education.For clinical medicine,because of little content and inadequate profundity, teaching quality is hard to be ensured. The main reason is that the importance of nutriology in higher medical education hasn't been confirmed sufficiently.In fact course offering of nutriology is necessary and feasible. To improve teaching quality, nutrition education for clinical medicine should be emphasized by means of enriching teaching materials and enhancing clinical practice.     

坚持"早正严实"教学指导原则着力培养合格临床医生

本文概述了中山大学医学教育近10年来,传承"三基三严"优良教育传统,创新"三早教育模式",坚持"早正严实"教学指导原则,强化医学生职业素质、实践能力和创新能力,培养合格医学生的理念和实践,以期为学院教育医学生的培养提供借鉴.

Abstract：

This paper presents an overview on the school-running concept and practice of the Medical School of SUN Yat-sen University in recent decade. While inheriting the fine educational tradition of Three "Bs" and Three "Ss" ( emphasizing the mastery of basic theories, basic knowledge and basic skills, as well as the development of serious attitudes, strict operating and stringent requirements for a high standard level ) , we established the Three-early-involvement Educational Model (early involvement in clinic practice, early involvement in scientific research, and early involvement in social practice ). In light of the integrated principles simplified as "earliness, integrity, strictness and solidity" in medical education (including the three-early-involvements; professional morality and medical ethics; the "Three Ss" and "Three Bs" ; solid clinical basics and sound monitoring) , we consolidated the professional quality, practical and innovative abilities of medical students in the cultivation qualified medical graduates. The paper can provide favorable reference for other medical schools in the training of qualified medical students.     

发挥慎独精神在医学生职业道德教育中的作用

医学生职业道德教育是医疗实践的基础,是医学教育的重要组成部分.慎独精神是传统的道德修养方法,也是道德修养的最高境界.医学教育的特殊性需要发挥慎独精神在医德教育中的促进作用,从而提高医疗行业的整体医德水平.

Abstract：

As an important part of medical education, professional ethics of medical students is the basis of medical practice. The spirit of moral prudence is a traditional way and the highest ideal of self-cultivation. In order to improve medical ethic standard of healthcare performance, the spirit of moral prudence may play an important role in medical profession ethic education.     

医学生职业精神培养途径初探

医学生职业精神培养是医学教育面临的紧要任务.影响是内外因素相互作用的结果.北京大学人民医院紧紧围绕医师职业精神的三项基本原则和十条职业责任,通过临床教师职业精神培养、医学生职业精神课程体系实施、医学生职业精神实践环节培养、医学生课内外活动四条途径,加强医学生职业精神培养,取得了初步的成效.

Abstract：

Professionalism training for medical students is a critical task that we face. The spirit of professional training of medical students is internal and external factors interaction. Peking University People' s Hospital, professionalism and training of medical students physician professionalism closely around the three basic principles and ten professional responsibilities and professionalism of teachers in enhancing the clinical training of medical students professionalism curriculum implementation, professional spirit and practice of medical students training, organization of medical students to carry out a variety of curricular and extracurricular activities to be implemented four ways, and has achieved initial success.     

标准化病人教学模式在神经外科学教学中的应用

在现代医学教育中,标准化病人是培养医学生临床技能和医患沟通能力的一种重要载体。本研究结合神经外科学教学的特殊需要,将标准化病人教学应用于神经外科颅脑损伤单元的教学实践中。通过对照研究,结果显示与传统灌输式教学法相比,标准化病人教学在提高学生学习兴趣、加强学生对相关知识的理解以及医患沟通能力方面具有明显优势。标准化病人在神经外科学教学中具有重要意义和广阔的应用前景。     

提高血液科临床见习教学质量的探讨

临床见习是医学教育过程中的重要组成部分,是医学生从理论学习到临床实践的转折。在血液科的见习教学中,通过课前带教教师及学生的充分准备、营造良好的医疗环境、课中充分调动学生学习的积极性、加强对学生医患沟通能力的培养、加强对学生临床操作技能培养等措施,能使血液科的见习教学质量得到很大提高。     

教学医院急诊临床带教中学生能力的培养

临床实习是从医学生到医生的第一步,也是进入医疗活动的开始,是将课堂上所学的理论知识应用于实践,并从实践中发现问题、进一步从实践中升华和掌握相关的理论知识。只有通过临床实习,医学生才能将所学的理论知识转化为自己的知识,在日常的临床工作中指导自己的实践。尽管临床实习得到了教师和学生的广泛重视。但在实际的教学活动中,仍然存在诸多问题。笔者从理论学习和实习操作两方面入手,通过多种教学方法,着重分析了在急诊临床方面,如何培养学生的思维能力、实际操作能力、医患沟通能力、自我保护能力。     

实施以问题为基础学习教学提高医学生医患沟通能力

医务工作者人文精神的缺失是造成医患关系紧张的重要原因之一.重视医学生的人文素质培养,提高医学生医患沟通能力已经成为临床医学教育阶段的重要任务.本文介绍了在外科学见习教学阶段,将以问题为基础学习引入医患沟通能力培训之中,并结合平时讨论课的随堂评价、出科面试和病例分析考核对学生进行综合性评价.实践证明,这种教学方式提高了医学生的医患沟通能力,增强了医学生参与临床工作的兴趣和信心,取得了较好的效果.     

实施以问题为基础学习教学提高医学生医患沟通能力

医务工作者人文精神的缺失是造成医患关系紧张的重要原因之一.重视医学生的人文素质培养,提高医学生医患沟通能力已经成为临床医学教育阶段的重要任务.本文介绍了在外科学见习教学阶段,将以问题为基础学习引入医患沟通能力培训之中,并结合平时讨论课的随堂评价、出科面试和病例分析考核对学生进行综合性评价.实践证明,这种教学方式提高了医学生的医患沟通能力,增强了医学生参与临床工作的兴趣和信心,取得了较好的效果.     

基于叙事督导的人文课程在肿瘤专业研究生培养中的实施与探讨

近年来,人文课程在我国医学教育教学中逐渐得到重视。对于刚接触临床实际工作的肿瘤专业研究生来说,医患沟通、人文关怀和自我心理疏导等能力的培养极为重要。西安交通大学第一附属医院肿瘤外科从2012年开始,对接受临床实习的肿瘤专业研究生设置与实施了基于叙事督导的人文课程,实践效果良好。这种开放讨论式人文课程有助于肿瘤专业研究生提高医患沟通能力、减轻临床心理压力。     

医学生临床医患沟通与交流技能培养模式探索

目的探索医学生医患沟通与交流技能的培养模式和考评体系。方法采用标准化＂三阶段培养模式＂（TSTM）与传统教学法（LBL）分别对学生进行培训并在在临床实习中进行实践,应用SEGUE量表结合问卷调查对教学结果进行测评,比较教学效果。结果经SEGUE量表测评显示,TSTM组最高分为25分,最低分12分,中位数20分,LBL组最高分16分,最低分5分,中位数10.17分;达到＂优秀＂和＂良好＂的比例TSTM组为58%,而LBL组的为零,44%学生不及格;TSTM组较LBL组学生在五个维度和医患沟通总体评价的比较上均占优势,特别是＂维度4—理解病人＂有十分显著的差异。＂三阶段培养模式＂教学效果显著优于传统教学LBL组,能明显提高医学生临床医患沟通与交流技能。结论 ＂三阶段教学法＂标准化培养模式不仅有助于医学生培养良好的医患沟通与临床交流技能,构建和谐的医患关系,对改进医学生的学习方式,发挥医学生的创造力、培养医学生的团队合作意识、增强社会适应能力等方面都有重要的实践意义。     

关于某教学医院医学生医患沟通问题的调查与分析

调查了某医院临床医学生对于医患沟通问题的作用及其重要性的认识;目前医患沟通教学效果和自身能力的评定;对医患沟通教学安排的建议。分析调查结果,提出还可以从宣讲医患沟通重要性;带教教师引导发现医学生自身问题;改善教学方式与课程设置等方面进行改进。     

临床医学八年制专业行医学课程教学探索

浙江大学自2005年开始招收临床医学八年制学生,培养过程中借鉴国外医学教育发展的经验,改革创新,形成颇具特色的行医学课程体系。行医学是着重学生素质教育、能力教育的纵向课程。它以传授关于人类健康行为、疾病和医疗发展的基础知识为主要内容,通过先进、科学的教学理念和模式,让学生在医疗团队合作环境下学习所需的医患人际沟通技巧,运用临床工作所需的医学知识与操作技能,同时让学生有机会展示在终身学习的基础上解决问题的能力。     

重视跨文化交际能力培养 提高医学专业英语教学水平

语言是文化的载体,对语言的学习离不开对文化的了解。医学英语不但是医学科学知识交往的工具,还是医生和病人交流的途径,受文化的影响更加明显。通过我校近4年来儿科学英语教学的实践,本文阐述了跨文化交际能力培养在医学专业英语教学中的重要性,分析了医学专业英语教学的现状,建议从改进教学方法、加强学生跨文化交际能力训练及引进国外教科书等方面入手,提高医学专业英语教学水平。