医学教育管理

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以“胜任力为导向、学员为中心”构建全科医学临床师资培训新模式

王星月,李 兰,李双庆,景秀京,万学红   

  1. 四川大学华西医院
  • 收稿日期:2015-05-22 出版日期:2015-08-20
  • 通讯作者: 万学红

A new training model for clinical teachers of general practice with the strategy of "competencyoriented and students-centered"

Wang Xingyue, Li Lan, Li Shuangqing, Jing Xiujing, Wan Xuehong   

  1. West China Hospital, Sichuan University
  • Received:2015-05-22 Online:2015-08-20
  • Contact: Wan Xuehong

摘要: 通过对12 批966 名医生开展以提高临床带教岗位胜任力为目的的培训,探索全科临床师资培训新模式。本文初步构建了全科临床师资胜任特征模型,包括带教能力、构建全科临床思维、全科医学专业知识、医学基本知识4 个领域。以讲授、小组讨论、PBL、模拟病人教学、医患角色扮演、教学现场观摩、床旁教学、学员试讲、课堂互动等多种教学形式集中培训56 学时,并自学7 周后结业。收回培训学员的教学质量评估问卷6021 份,总体上76.0% 为满意,21.9% 为比较满意。本文认为,以“胜任力为导向、学员为中心”为策略,多种教学形式相结合,符合全科临床师资的培训需求,能达到培训目标,有一定的推广价值。

Abstract: After training 12 groups of 966 doctors for the purpose of improving the competency of clinical teachers, this article is to explore the new training model for clinical teachers of general practice. It preliminarily constructs the competency model of clinical teachers of general practice, including the teaching ability, the construction of general clinical thinking, the professional knowledge of general practice, and the basic knowledge of medicine. The training process contains two parts. The fi rst is a 56-hour intensive training in a week, including various teaching methods such as lectures, group discussion, PBL, simulated-patient teaching, role-playing, teaching-site observation, bedside teaching, dress-rehearsal of lecture with teaching's feedback, and classroom interaction. The second part is 7-week self-learning according to a guideline and portfolio. After training, a total of 6021 evaluation questionnaires were collected. 76% trainees felt strongly satisfi ed, and 21.9% satisfi ed. This article suggests that the strategy of "competency-oriented and student-centered" with a variety of teaching methods meet the training needs and goals of clinical teachers of general practice, which may have some potential value for others.