地方医学院校临床医学专业卓越医师培养计划的实施与探索

目的分析卓越医师培养计划在地方医学院校临床医学专业中的实施方法与效果。方法选取2012-2014级的559名在蚌埠医学院第一附属医院学习的教改班和普通班学生作为研究对象，教改班学生接受卓越医师培养计划，普通班接受常规教学培养计划，以国家医学考试中心组织的《医师资格考试临床类别分阶段考试实证研究第一阶段考试》成绩为依据，比较2个班的理论考试和技能考试成绩，并进行Pearson相关分析。结果2012级教改班与普通班的教学成绩相比差异无统计学意义（P>0.05）；2013级教改班的理论总分明显高于普通班（P < 0.01），但两个班级的技能总分相比差异无统计学意义（P>0.05）；2014级教改班与普通班的教学成绩相比差异无统计学意义（P>0.05）；Pearson相关分析结果显示，2012级与2013级教改班和普通班技能与笔试不同模块成绩呈正相关关系（P < 0.05）；2014级教改班和普通班技能与笔试理论总分、基础医学和临床医学各模块得分呈正相关关系（P < 0.05），但与医学人文和预防医学模块得分并无相关关系（P>0.05）。教改班的各理论知识评分和技能总分与普通班相比差异并无统计学意义（P>0.05），教改班的理论知识总分明显高于普通班（P < 0.05）。结论卓越医师培养计划可以提高学生的综合成绩，应当在各医学院校内广泛应用和推广。

Implementation and exploration of excellent physician training program of clinical medicine in local medical colleges

ObjectiveTo analyze the implementation method and effect of excellent physician training program in the clinical medicine specialty of local medical colleges.MethodsA total of 559 students from grade 2012 to 2014 studying in the First Affiliated Hospital of Bengbu Medical College were selected as the research objects.The students in the teaching reform class received excellent physician training program, and students in the ordinary class received conventional teaching and training program.Based on the results of "the first stage of empirical research on clinical classification examination of physician qualification examination" organized by the National Medical Examination Center, the scores of theoretical test and skill test between two classes were compared, and Pearson correlation analysis was conducted to analyze the correlation between skills and scores of different modules of written examination.ResultsThere was no significant difference in the teaching performance between the two classes in grade 2012 (P>0.05);the total theoretical scores in teaching reform class were significantly higher than that in ordinary class in grade 2013 (P < 0.01), but there was no significant difference in the total scores of skills between the two classes in grade 2013 (P>0.05);there was no significant difference in the teaching performance between the two classes in grade 2014 (P>0.05).Pearson analysis showed that the skills were positively correlated with scores of different modules of written examination in the two classes in grade 2012 and grade 2013 (P < 0.05);the skills were positively correlated with the total theoretical scores, the scores of different modules of basic medicine and clinical medicine of written examination in the two classes in grade 2014 (P < 0.05), but the skills were not significantly correlated with the scores of different modules of medical humanity and preventive medicine in grade 2014 (P>0.05).There was no significant difference in the scores of each theoretical score and total scores of skills between the two classes (P>0.05), and the total theoretical scores in teaching reform class were higher than that in ordinary class (P < 0.05).ConclusionsThe excellent physician training program can improve students' comprehensive performance, which should be widely applied and promoted in medical colleges.