CAJ | 학술논문

目的：改进研究生的教学方法，为向各教学医院推广临床医学硕士专业学位研究生临床前强化培训方式提供理论依据。方法将2012级90名临床医学硕士专业学位研究生按专业分为四组，同期进行54学时的临床前强化培训。培训内容包括医患沟通及病史采集、体格检查、病历书写及理论知识4个模块，由具有主治医师以上职称的教师主讲。在实施强化培训前后，由固定的教学专职人员对研究生各项技能与知识进行考核；相关数据将分别行配对t检验、方差分析及非参数检验。结果各组学生医患沟通及病史采集、全身体格检查、完整病历书写及理论知识考核成绩在培训后均有所提高（P＜0.05），其中医患沟通及病史采集的培训效果最显著。不同组别研究生的医患沟通及病史采集成绩差异有统计学意义（P＝0.001）。结论集中进行临床前强化培训，能够使学生更好、更规范地掌握临床基本技能，相应培训方法在各附属医院可尝试推广。
목적：개진연구생적교학방법，위향각교학의원추엄림상의학석사전업학위연구생림상전강화배훈방식제공이론의거。방법장2012급90명림상의학석사전업학위연구생안전업분위사조，동기진행54학시적림상전강화배훈。배훈내용포괄의환구통급병사채집、체격검사、병역서사급이론지식4개모괴，유구유주치의사이상직칭적교사주강。재실시강화배훈전후，유고정적교학전직인원대연구생각항기능여지식진행고핵；상관수거장분별행배대t검험、방차분석급비삼수검험。결과각조학생의환구통급병사채집、전신체격검사、완정병역서사급이론지식고핵성적재배훈후균유소제고（P＜0.05），기중의환구통급병사채집적배훈효과최현저。불동조별연구생적의환구통급병사채집성적차이유통계학의의（P＝0.001）。결론집중진행림상전강화배훈，능구사학생경호、경규범지장악림상기본기능，상응배훈방법재각부속의원가상시추엄。
Objective To improve the teaching methods of graduate students, and provide the theoretical basis for other teaching hospitals to extend the preclinical training mode of clinical medicine professional degree students. Methods 90 clinical medical postgraduate students of Grade 2012 were divided into four groups according to their specialized field and 54 hours of pre-job clinical intensive training were conducted at the same time. The training included four modules lectured by teachers with physician-in-charge above title, such as communication between doctors and patients and medical history collection, physical examination, medical record writing as well as theory of knowl-edge. Before and after the implementation of intensive training, these four skills and knowledge of the students were tested and assessed by professional teachers. Relevant data were paired t test, ANOVA and non-parametric tests. Results The test results of patient-doctor communication and patient history collection, physical examination, complete medical records and theoretical examination results of each group after training were improved to be higher than before (P<0.05). And the effect of patient-doctor communication and patient history collection was the most significant. The doctor-patient communica-tion and history acquisition performance of different groups of graduate students had statistically sig-nificant difference (P=0.001). Conclusion Strengthening the preclinical comprehensive training for medical postgraduate can make the students master the basic clinical skills better and more effectively and the corresponding training methods are worthy of popularization to the other teaching hospitals.