CAJ | 학술논문

目的：加强临床实习教学查房的规范化管理，提升医学生实践能力，促进实习教学质量的提高．方法（1）制定实习教学查房的制度和流程；（2）2008级临床专业实习生143人为研究对象，分为2组，实验组71人，运用新制定的制度和流程进行教学查房，对照组72人，仍用原有的办法进行教学查房，每月进行2次教学查房；（3）发放调查表对学生理论知识掌握能力、临床思维能力、自学能力、临床操作能力和医患沟通能力进行责任导师评价和自我评价，并比较2组评价结果．结果责任导师评价结果显示实验组学生理论知识掌握能力、临床思维能力、自学能力、临床操作能力和医患沟通能力明显高于对照组，实习生自我评价结果与责任导师评价结果一致，差异有统计学意义（＜0.01）．结论教学查房的规范化、流程化管理，提高了实习生临床综合能力，为教学医院实习教学查房提供有益的借鉴．
목적：가강림상실습교학사방적규범화관리，제승의학생실천능력，촉진실습교학질량적제고．방법（1）제정실습교학사방적제도화류정；（2）2008급림상전업실습생143인위연구대상，분위2조，실험조71인，운용신제정적제도화류정진행교학사방，대조조72인，잉용원유적판법진행교학사방，매월진행2차교학사방；（3）발방조사표대학생이론지식장악능력、림상사유능력、자학능력、림상조작능력화의환구통능력진행책임도사평개화자아평개，병비교2조평개결과．결과책임도사평개결과현시실험조학생이론지식장악능력、림상사유능력、자학능력、림상조작능력화의환구통능력명현고우대조조，실습생자아평개결과여책임도사평개결과일치，차이유통계학의의（＜0.01）．결론교학사방적규범화、류정화관리，제고료실습생림상종합능력，위교학의원실습교학사방제공유익적차감．
Objective To establish a standardized management system and process for teaching ward rounds of clinical practice,so as to improve the quality of clinical practice. Methods (1) We established the system and process for teaching ward rounds. (2) The students of 2008 grade were divided into two groups. The new system and process for teaching ward rounds was used in 71 students in the experimental group,and the primary teaching ward rounds system was used in 72 students in control group. (3) A survey concerned about students' abilities of grasping theoretical knowledge, clinical thinking, self-study, clinical operation and doctor-patient communication were investigated in both students and their tutors. Result The result showed that the abilities of grasping theoretical knowledge,clinical thinking,self-study,clinical operation and doctor-patient communication in the experimental group were enhanced much more than the control group ( <0.01) . Conclusion The standardized management system and process for teaching ward rounds of clinical practice can improve the students, comprehensive abilities and the quality of clinical practice.