医学教育管理 ›› 2026, Vol. 12 ›› Issue (1): 78-83.doi: 10.3969/j.issn.2096-045X.2026.01.013

• 住院医师培训 • 上一篇    下一篇

“健康中国”背景下儿科师生对早期临床实践的认知差异

  

  1. 1.南京医科大学儿科学院,南京 210008; 2.南京医科大学附属儿童医院重症医学科,南京 210008; 3.南京医科大学附属儿童医院新生儿外科,南京 21000
  • 收稿日期:2025-04-30 修回日期:2025-06-03 出版日期:2026-02-20 发布日期:2026-03-20

Cognitive differences between pediatric teachers and students regarding early clinical practice in the context of "Healthy China"

  1. 1. School of Pediatrics, Nanjing Medical University, Nanjing 210008, China; 2. Pediatric Intensive Care Unit, Children's Hospital of Nanjing Medical University, Nanjing 210008, China; 3. Department of Neonatal Surgery, Children's Hospital of Nanjing Medical University, Nanjing 210008, China
  • Received:2025-04-30 Revised:2025-06-03 Online:2026-02-20 Published:2026-03-20

摘要:

 目的 “健康中国”背景下,了解儿科师生对早期临床实践的认知,优化课程设置。方法 自编初级儿科临床实践课后问卷,选取202335月参与初级儿科临床实践课程的南京医科大学师生作为研究对象,了解师生对医学生应掌握的知识、具备的能力及早期临床实践课程应包含的内容等认知。结果 共计112名学生、16名教师参与问卷调查。对于医学生应掌握的知识,师生的选择顺序一致为临床操作知识、临床及预防医学知识、基础医学知识、医学伦理和人文社会科学。师生均认为人文关怀能力和临床实践能力是医学生应具备的能力,差异在于教师更关注团队协作、临床思维和终身学习能力,而学生更强调医患沟通、科学研究与批判性思维能力。仅25.0%教师和69.6%学生认为医学生应具备领导力。对于儿科早期临床实践课程应包含的内容,师生双方均将儿科医生工作内容、医患沟通要素、问诊基本内容、临床技能操作视为核心,差异在于学生更关注病历书写要求,而教师更关注国家卫生与健康发展战略。结论 师生对早期临床实践的认知存在一定差异,未来可构建“知识-能力-实践”一体化的儿科早期临床实践课程框架,并通过长期追踪评估改进效果。

Abstract:

 Objective In the context of Healthy China, this study aimed to understand the perception of pediatric students and teachers on early clinical practice to optimize curriculum design.Methods A self-designed questionnaire was administered to 128 students and teachers who participated in the early pediatric clinical practice course at Nanjing Medical University from March to May 2023, aiming to explore their perceptions regarding the knowledge medical students should acquire, the competencies they should possess, and the content that should be included in early clinical practice courses.Results A total of 112 students and 16 teachers participated in the survey. Both students and teachers ranked clinical procedural knowledge, clinical and preventive medical knowledge, basic medical knowledge, and medical ethics and humanities as essential knowledge for medical students. They agreed that medical students should possess humanistic care and clinical practice skills, but differed in emphasis, with teachers focusing more on teamwork, clinical reasoning, and lifelong learning, while students emphasized doctor-patient communication, scientific research, and critical thinking. Only 25.0% of teachers and 69.6% of students believed that medical students should have leadership skills. Regarding the content of early pediatric clinical practice courses, both teachers and students considered pediatric medical duties, doctor-patient communication elements, basic content of medical history taking, and clinical procedures as core components, with students placing more emphasis on medical record writing requirements and teachers focusing on national health and development strategies.Conclusion There are Cognitive differences between pediatric teachers and students regarding early clinical practice in the future, an integrated framework of "knowledge-ability-practice" for early pediatric clinical practice courses could be developed, and the effectiveness could be improved through long-term tracking and evaluation.

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