CAJ | 학술논문

目的：了解安徽医科大学各教学医院教学管理情况和临床教师教学情况，为建立科学合理的临床教师教学能力考核评价体系和提高临床教学质量提供参考依据。方法采用抽样调查的方法，用自制的教学医院临床教师教学情况调查问卷对7所安徽医科大学附属医院与非直属附属医院的340名临床教师进行问卷调查。结果安徽医科大学附属医院与非直属附属医院的临床教师在对临床教师教学系列职称、医院的教学管理评价的差异具有统计学意义；医患关系紧张和法律制约是临床教师不愿意学生参与诊疗的主要原因；7所医院临床教师在对实习学生培养重视程度、出科考试严格程度、开展临床小讲座或病例讨论频率及实习生参与诊疗的机会4个方面差异有统计学意义；在对教学的自我评价，各医院带教教师在对实习生的管理、临床思维的培养、学生病历书写和操作指导等方面差异具有统计学意义。结论必须建立“临床教学基地培训、动态评估制度”，建立科学合理的临床教师教学能力考核评价体系，这样才能从根本上改进教学医院的管理水平、临床带教水平，从而提高临床教学质量。
목적：료해안휘의과대학각교학의원교학관리정황화림상교사교학정황，위건립과학합리적림상교사교학능력고핵평개체계화제고림상교학질량제공삼고의거。방법채용추양조사적방법，용자제적교학의원림상교사교학정황조사문권대7소안휘의과대학부속의원여비직속부속의원적340명림상교사진행문권조사。결과안휘의과대학부속의원여비직속부속의원적림상교사재대림상교사교학계렬직칭、의원적교학관리평개적차이구유통계학의의；의환관계긴장화법률제약시림상교사불원의학생삼여진료적주요원인；7소의원림상교사재대실습학생배양중시정도、출과고시엄격정도、개전림상소강좌혹병례토론빈솔급실습생삼여진료적궤회4개방면차이유통계학의의；재대교학적자아평개，각의원대교교사재대실습생적관리、림상사유적배양、학생병역서사화조작지도등방면차이구유통계학의의。결론필수건립“림상교학기지배훈、동태평고제도”，건립과학합리적림상교사교학능력고핵평개체계，저양재능종근본상개진교학의원적관리수평、림상대교수평，종이제고림상교학질량。
Objective To study the status of clinical practice teaching and management in the teaching hospitals of Anhui Medical University (AHMU), for providing the reference for establishing the e-valuation system of clinical teachers’ teaching ability. Methods Questionnaires were designed to survey 340 clinical teachers’ teaching of 7 teaching hospitals. Results There was statistical difference of the results between the clinical teachers with different titles in the teaching hospitals directly and indirectly affiliated to AHMU. There was also statistical difference in the evaluation of teaching management by clinical teachers in the two kinds of teaching hospitals. There was difference in the management of students among 7 teaching hospitals, such as emphasis of training of students, difficulty of departmental rotation exams, frequency of giving clinical lecture and students’ opportunity to participate in diagnosing and operative procedures. Conclusions An admittance-training-assessment system of clinical teaching bases must be established to improve clinical teaching quality of teaching hospitals.