医学生骨科临床实习阶段存在的问题及解决方法

针对临床骨科实习中学生理论基础知识薄弱、学生实践能力欠缺、师生对临床实习准备不足、重视不够等问题，尝试通过加强科室教学规范化管理，采用案例+以问题为基础的教学、科室讨论会、强化医学人文教育、改进考核方式等措施来激发学生的潜力，提高学生的综合能力，实现教学目标。结果表明，学生在知识点的掌握情况、基本操作的熟练程度、临床思维能力的加强、沟通协调能力的提升、主观能动性的提高、对教学效果满意度、提高解决问题的能力、提高学习兴趣、提高自信心等方面，对教学予以了肯定，取得较好的实习效果。

Problems and solutions in clinical practice of orthopedics for medical students

In view of problems such as students in clinical orthopedic practice lack of basic theoretical knowledge and practical ability, both teachers and students'' lack of preparations for clinical practice and their insufficient attention etc., this paper attempts to strengthen the standardized management of department teaching. Some measures were adopted to stimulate the potential of students, such as teaching based on case combination, department discussion, strengthening education of humanities, improving examination methods and so on, so as to improve students'' comprehensive ability and achieve teaching goals. The results showed that by changing the above teaching methods, students can improve their mastery of knowledge, proficiency in basic operation, clinical thinking ability, communication and coordination ability, subjective initiative and so on. At the same time, students'' problem-solving ability, learning interests, self-confidence and the satisfaction with teaching effect have also been improved, which promoted the performance of students in clinical practice.