以应用型医学人才为目标实习医师临床能力培养模式探索与实践

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1、AbstractObjectiveMeetingtoday'ssevereemploymentsituation,thetrainingoftheappliedmedicalpersonnelistheimportantsubjectneedtosolveinthecurrentmedicaleducation，itplaysallimportantroleinimprovetheadaptabilityofclinicalworkandfuturedevelopmentofthemedicalstudents．Thisstudywasdesignedtodefinet

2、heconceptofappliedmedicalpersonnelintheory,andestablishclinicalcompetencetrainingmodelthataimatappliedmedicalpersonnelaccordingtothecurrentpracticeenvironment,andimprovetheclinicalcompetenceofmedicalstudentsandtheadaptabilityofthefuturejobs，providereferenceforthecurrenttrainingofappliedm

3、edicalpersonnel．MethodsThestudywasonthebasisoffullresearchandreadingalargenumberofdocumentsandexpertsinterviews，leamingfrompracticingphysiciansintheformofexaminationand”Chineseundergraduatemedicaleducationstandards”，totheeducationtargetclassificationandmeta—cognitivetheoryofmodempsycholo

4、gyasaguide．EstablishingthemodelcontentandstructureofclinicalcompetencetrainingmodelthataimatappliedmedicalpersonnelandMaddingallinvestigationofstudentsandclinicalteachersintheimplementationprocessbyaquestionnaireandadjustthecontentmodeltimelyaccordingtothefeedbackresults．111eeffectofthem

5、odeanalyzedfromthethreeoffinalexaminations，clinicalskills，andcommunicationabili姒Results7I'llemodelincludingthetwomodulesoftrainingandassessment．Thetrainingmoduleincludethreeaspectsofcognitivedomain，psychomotordomainandaffectivedomain，assessmentmoduleincludestandardizationtestpaperandOSCE

6、andSEGUEscaleassessment．Themodelhasbeenpracticedin2002，2003，2004gradesundergraduatestudentofthehospital，Thetest’scoresof2002，2003，2004gradesclinicalmedicalundergraduatestudents，whichorganizedbythemedicalcollegewasstatisticalanalysis，theresultshowedthestudents’scoreincreaseyearbyyear’sign

7、ificantlyhigherthaninotherhospitalspracticed，thedifferenceWasstatisticallysignificant．Bysurveyin9145studentsand62teacherswhichparticipatedinthemodel，wefoundthatthestudent’satisfactionWas95．86％，theteachers’satisfactionwas98．38％．Graduatesqualitytrackingsurveyforpartofunitof