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高职临床医学专业人才培养模式改革与实践

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目的 讨论高职临床医学专业人才培养模式的改革策略,汇总实践成果,推广"1+1+1"高职临床医学专业人才培养模式。方法 将 2022 年 8 月至 2023 年 8 月常德职业技术学院临床医学专业的两个随机自然班纳入研究,两个班学生人数均为 40 人,其中一个班接受传统的"2+1"人才培养模式,为对照组;另一个班接受经改革的"1+1+1"人才培养模式,为观察组。两种人才培养模式最大的区别在于大二时期(2022 年 8 月至 2023 年 8 月),对照组医学生该学年在校进行理论学习,观察组医学生该学年在教学医院进行临床课的学习。比较两组医学生之间的专业课理论考试成绩和实践考试成绩差异,以及专项能力水平差异,最后评价两组对各自教学模式的满意度。结果 (1)观察组专业课理论考试成绩、实践考试成绩均高于对照组,差异有统计学意义(P<0。05)。(2)教学前,两组的病历书写能力、临床思维能力、医患沟通能力、团队合作能力、自我正念能力评分比较,差异无统计学意义(P>0。05);教学后,观察组的病历书写能力、临床思维能力、医患沟通能力、团队合作能力、自我正念能力评分均高于对照组,差异有统计学意义(P<0。05)。(3)观察组对当下人才培养模式激发学习兴趣的满意度评分、对当下人才培养模式提高团队合作水平的满意度评分、对当下人才培养模式激发自身职业与就职信念的满意度评分均高于对照组,差异有统计学意义(P<0。05)。结论 "1+1+1"人才培养模式有助于更好地培养高职临床医学专业人才,提升整体教学品质。
Reform and Practice of Talent Training Model for clinical Medicine Majors in higher vocational Education
Objective To discuss the reform strategies of the talent training model for clinical medicine in higher vocational colleges,summarize practical achievements,and promote the"1+1+1"talent training model for clinical medicine in higher vocational colleges.Methods Two randomized natural classes in the clinical medicine major of Changde Vocational and Technical College from August 2022 to August 2023 were included in the study,with 40 students in both classes.One class received the traditional"2+1"talent training model as the control group;The other class adopts the reformed"1+1+1"talent training model,which is the observation group.The biggest difference between the two talent cultivation models is that during the sophomore year(August 2022 to August 2023),the control group of medical students underwent theoretical learning in school during that academic year,while the observation group of medical students underwent clinical courses at the teaching hospital during that academic year.The differences in theoretical and practical exam scores were compared between two groups of medical students,as well as the differences in specialized ability levels.The satisfaction of the two groups with their respective teaching models were evaluated finally.Results(1)The theoretical and practical exam scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).(2)Before teaching,there was no statistically significant difference in the scores of medical record writing ability,clinical thinking ability,doctor-patient communication ability,teamwork ability,and self-mindfulness ability between the two groups(P>0.05);After teaching,the observation group had higher scores in medical record writing ability,clinical thinking ability,doctor-patient communication ability,team cooperation ability,and self-mindfulness ability than those of the control group,with statistical significance(P<0.05).(3)The satisfaction ratings of the observation group towards the current talent cultivation model stimulating learning interest,the satisfaction ratings towards the current talent cultivation model improving team cooperation level,and the satisfaction ratings towards the current talent cultivation model stimulating one's own career and employment beliefs were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The"1+1+1"talent training model is helpful in better cultivating clinical medical professionals in higher vocational colleges and improving the overall teaching quality.

higher vocational educationclinical medicine majortalent training modereform1+1+12+1

杨丽洁、姜海斌、易法云、陈延

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常德职业技术学院 医学系内科教研室,湖南 常德 415000

高职 临床医学专业 人才培养模式 改革 1+1+1 2+1

湖南省教育科学"十四五"规划2022年度课题

ND226769

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(2)
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