临床教学中总住院医师担任教学秘书的探索与实践

总住院医师制度是医院人才培养和医院管理的重要环节，而教学秘书又是教学人才培养的重要岗位。广州医学院附属广州市第一人民医院将总住院医师参与临床教学纳入总住院医师培训和考核体系之中，由总住院医师担任教学秘书，利用总住院医师身处临床医疗、教学第一线的岗位特点，加强了临床教学的管理，提高了临床教学的效果，同时也提高了总住院医师的综合素质。但是，如何解决总住院医师教学经验的不足，提高其教学积极性，减轻其过重的工作负担等问题还有待于进一步探讨。

The implementation of chief-residents to play the role of teaching secretary in clinical teaching

Chief-residency program is an important instrument for clinicians development and hospital management, and teaching secretary plays as a key role in clinical teaching. In our hospital, clinical teaching task are included in the system of chief-residency training and evaluation, and chief-residents participate in clinical teaching as teaching secretary. Making chief-residents to play the role of teaching secretary is good for both the chief-residents themselves and clinical teaching because of chief-residents working on the front line of clinical and teaching. But there are some problems for chief-residents to resolve such as lack of teaching experience and positivity, too much clinical burden, and so on.