医学生见习阶段临床思维能力培养的探讨

目的探讨医学生见习阶段临床思维能力培养的方法。方法反复运用临床典型病例，双向扩展实操训练；教授学生诊断过程中结合唯物辩证法，学会抓主要矛盾，处理好局部与整体、共性与个性、典型与不典型的关系；反复强调临床诊断思维的基本原则。结果见习生了解并掌握了临床常见疾病的诊断思维，并通过反复双向扩展实操训练逐渐过渡到独立思维。结论见习带教老师反复运用临床典型病例，双向扩展实操训练的练习方法提高了医学生的学习兴趣，是培养见习生临床思维能力的重要方法．

Discussion on the Cultivation of Clinical Thinking Ability for Medical Students in Clinic Internship

Objective To explore the methods of the clinical thinking ability cultivation for medical students in clinic internship. Methods The methods included as follows： with repeated using of clinical typical cases for bi-directional expansion practical training; combined with the materialist dialectics, the students were treated with following education： focused on principal contradiction and dealt with the relationships between part and whole, universality and individuality, typical and not typical in the diagnosis process; repeated emphasizing of the basic principles of clinical diagnosis thinking. Results Medical students in clinic internship had understood and mastered the diagnosis thinking of clinical common diseases, and had a gradually transitional independent thinking by repeated bi-directional expansion practical training. Conclusion Repeated using of clinical typical cases and bi-directional expansion practical training can improve learning interest of medical students, which is the important method for cultivating the clinical thinking ability, cultivation for medical students in clinic internship.