医学教育管理 ›› 2022, Vol. 8 ›› Issue (1): 87-94.doi: 10.3969/j.issn.2096-045X.2022.01.017

• 调查研究 • 上一篇    下一篇

“临床早期接触”对医学生关怀能力养成的效果分析——以汕头大学医学院“医者之心(HEART)”课程为例

范冠华1,  欧少闽1, 郑少燕1, 张倍恩2,   黄锦裕1, 卜柳秀1, 杨棉华1, 陈海滨1   

  1. 1.汕头大学医学院,汕头 515041;2.汕头大学医学院附属肿瘤医院科教科,汕头 515041
  • 收稿日期:2021-08-12 出版日期:2022-02-20 发布日期:2022-03-15
  • 通讯作者: 陈海滨
  • 基金资助:
    1.2019年度广东省临床教学基地教学改革研究项目(2019JD112);2.广东省高等学校教学管理学会2021年度课程思政建设项目:医者之心(HEART)(序号:115);3.2021年汕头大学教学质量与教学改革(本科生)类项目:医者之心(HEART)教学团队(序号:2-23);4.广东省2021年高等教育教学改革建设项目:基于多学科融合的医学生创新的能力培养模式的探索与实践研究(粤高教函[2021]29号-226);5.广东省自然科学基金面上项目(2017A030313434,108010011078);6.广东省医学科研基金项目(A2121500,B2021130);7.汕头市科技计划医疗卫生类别项目(190716185262435,汕府科[2019]106号-10)

Effect of “clinical early contact” practice on the cultivation of medical students caring ability——Taking the “HEART” course of Shantou University Medical College as an example

Fan Guanhua1, Ou Shaomin1, Zheng Shaoyan1,  Zhang Beien2, Huang Jinyu1, Bu Liuxiu1, Yang Mianhua1, Chen Haibin1    

  1. 1.Shantou University Medical College, Shantou 515041, China; 2.Department of Science and Education, Cancer Hospital of Shantou University Medical College, Shantou 515041, China
  • Received:2021-08-12 Online:2022-02-20 Published:2022-03-15

摘要: 目的探讨医者之心(HEART)课程中“临床早期接触社会实践环节”对关怀能力养成的效果,对该课程纳入“临床早期接触”的教学设计做小结。方法编纂临床早期接触中的“隐性课程”体验问卷,对参加医者之心(HEART)课程的临床早期接触社会实践环节的学生进行事后访问及问卷调查,以此评估“隐形课程”对医学生关怀能力养成的初步情况。 结果医学实习生对各种具有隐性课程内涵举措的各个维度对其关怀能力培育的帮助,均呈偏正向的态度。“带教教师教学示范”“关怀展现”“专业胜任能力对学生关怀能力影响”这3个构面的强弱程度,会因“学生临床早期接触时长”“带教教师年资”“临床早期接触过程满意程度”的不同而呈现显著差异。结论“临床早期接触各类组织形式”对第一次进入临床体验的医学生关怀能力认知有重要影响,典范学习及同伴影响对医学生关怀能力认知有正向影响。

关键词: 临床早期接触, 关怀能力, 情境学习, 职业素养

Abstract: ObjectiveTo explore the effect of “clinical early contact” practice on the cultivation of medical students caring ability in the medical professionalism training course(HEART), and to summarize the teaching design of “clinical early contact” in the course. MethodsThe questionnaires of “hidden curriculum” were compiled, and the post interview and questionnaire survey were conducted on the students who participated in the clinical early contact with social practice of “HEART” curriculum, so as to evaluate the preliminary situation of “hidden curriculum” on the cultivation of medical students caring ability. ResultsMedical students had a positive attitude towards helping their caring ability cultivation from all dimensions of various measures with hidden curriculum. The strength of the three dimensions of “teaching demonstration of teachers with guidance”, “caring display” and “influence of professional competence on students caring ability” will be significantly different due to the differences of “students early clinical contact time span”, “teachers seniority” and “satisfaction degree of early clinical contact process”. Conclusion“various organizational forms of early clinical contact” has an important impact on the cognition of care ability of medical students who enter clinical experience for the first time. Model learning and peer influence have a positive impact on the cognition of care ability of medical students.

Key words: clinical early contact, caring ability, situational learning, professional quality

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