CAJ | 학술논문

目的：调查医学院校本科生临床思维能力水平，探究影响医学生临床思维能力的因素。方法采用自制的医学生临床思维能力评估量表，对360名青岛大学医学院护理学专业和临床医学专业本科生进行临床思维能力水平的测试,其中护理学专业180名，临床医学专业180名。结果医学生临床思维能力得分为（68.89±10.19）分。不同年级医学生临床思维能力差异有统计学意义（F=13.60，P<0.05）。多元线性回归分析表明：见习/实习时间的长短、科室查房和科室病例讨论的频次、参加学术活动的频次、带教老师对病例书写的满意程度与医学生临床思维水平密切相关（P<0.05），校正R2=0.67。结论随着学历、年级的增长，医学本科生临床思维水平不断的提高，且与教学模式、课程设置有着密切的关系。医学教育应不断地改革其教学模式，以提高医学本科生的临床思维水平。
목적：조사의학원교본과생림상사유능력수평，탐구영향의학생림상사유능력적인소。방법채용자제적의학생림상사유능력평고량표，대360명청도대학의학원호이학전업화림상의학전업본과생진행림상사유능력수평적측시,기중호이학전업180명，림상의학전업180명。결과의학생림상사유능력득분위（68.89±10.19）분。불동년급의학생림상사유능력차이유통계학의의（F=13.60，P<0.05）。다원선성회귀분석표명：견습/실습시간적장단、과실사방화과실병례토론적빈차、삼가학술활동적빈차、대교로사대병례서사적만의정도여의학생림상사유수평밀절상관（P<0.05），교정R2=0.67。결론수착학력、년급적증장，의학본과생림상사유수평불단적제고，차여교학모식、과정설치유착밀절적관계。의학교육응불단지개혁기교학모식，이제고의학본과생적림상사유수평。
Objective To investigate the current status of clinical thinking ability of medical undergraduates and its influence factors. Methods A total of 360 medical undergraduates including 180 nursing students and 180 clinical medical students were selected by cluster sampling and surveyed by a self-designed clinical thinking ability scale. Results The total score of clinical thinking ability of medical students was 68.89 ±10.19. Clinical thinking ability of medical students from different grades was statistically significant (F=13.60, P<0.05). Multiple linear regression analysis showed that practice time, frequency of departments rounds and case discussions, frequency of participation in academic activities, and the teacher ’s satisfaction with case writing were significantly related to students’ clinical thinking ability (P<0.05). Conclusion There is a close relationship among the continuous development of medical students’ clinical thinking, educational mode, curriculum and students’ grade. The reform of teaching mode in medical education contributes to improving medical students ’ clinical thinking ability.