中法医学生临床技能友谊竞赛成绩分析

目的了解中国和法国医学生临床诊疗能力,以改进我国临床医学教育,提高医学生临床诊疗能力,为提高医学人才培养质量提供参考和借鉴。方法回顾分析中法医学生临床技能竞赛情况,比较三类学生(全科住院医师1个队伍、中国本科生3个队伍、法国本科生3个队伍)成绩百分比。结果在临床基本技能--心电图、影像学判读站点,全科住院医师得分比中法本科生高,中、法本科生差别并不大。临床虚拟病例站点,除外科站点个别项目外,全科住院医师、中国本科生在众多评价项目中均好于法国本科生。在内科站点,在8项评分标准中,有6项法国本科生高于中国本科生。在医疗团队综合急救站点,在10项评分标准中,有8项中国本科生高于法国本科生。结论武汉大学本科生临床思维与决策有待提高;本校全科住院医师在临床思维与决策、急救团队配合方面有待加强。

Performance analysis of clinical skills friendship competition between Chinese and French medical students

Objective To understand the clinical diagnosis and treatment ability of Chinese and French medical students,so as to improve the education of clinical medicine in China,improve the diagnosis and treatment ability of medical students,and provide reference for improving training quality of medical personnel.Methods Retrospective analysis was made on the clinical skills competition of Chinese and French medical students,and the percentages of three categories of students'scores were compared(1 team of general practice residents,3 teams of Chinese undergraduates,and 3 teams of French undergraduates).Results In clinical basic skills such as electrocardiogram and imaging interpretation site,the scores of general practice residents were higher than those of Chinese and French undergraduates,and there was no significant difference between Chinese and French undergraduates.In clinical virtual case sites,except for few items in surgery site,general practice residents and Chinese undergraduates were better than French undergraduates in many evaluation items.In the internal medicine site,6 out of 8 scoring items of French undergraduates were higher than those of Chinese undergraduates.In the medical team comprehensive first-aid site,8 out of 10 scoring items of Chinese undergraduates were higher than those of French undergraduates.Conclusion Clinical thinking and decision-making of undergraduates in our university need to be improved compared with that of French students.The general practice residents in our school need to be strengthened in the aspects of clinical thinking,decision-making and the cooperation with emergency team.