通过参加全国高等医学院校大学生临床技能大赛的组织管理与培训,从组织者与参与者的角度总结经验,为学校形成一套合理的临床教学体系积累宝贵的经验.

临床技能大赛不是目的,而是可以通过大赛检验教育教学质量,促进医学教育的提高和发展,最终达到培养合格临床医师、优秀医学人才的目的.

As one of the main contents of minimally invasive surgery,laparoscopic surgery is widely applied in gynecological surgery.To adapt to the current medical care environment,clinical teachers are focusing on how to strengthen students' awareness of minimal invasion and make them familiar with laparoscopic technique.The Gynecological Teaching and Research Section of the First Affiliated Hospital of Nanjing Medical University has applied laparoscopic surgery technical training in clinical practice teaching of gynecology,which has yielded good results.

腹腔镜技术具有微创、直观显示组织结构、清楚展示动态手术过程和保留影像资料等教学优势,在妇产科教学中的作用越来越受到重视.异位妊娠居妇科各种急腹症的首位,是妇产科教学大纲中的重点内容,要求学生必须熟练掌握.经腹腔镜异位妊娠手术在临床上已经普遍开展,对实习学生进行腹腔镜宫外孕手术教学,有助于其对该病的理解和掌握,提高教学效果.

加强医学生的医学人文教育是现代医学教育发展的必然要求,临床实践教学中融入人文精神具有十分重要的意义.树立管理者、教师、学生与患者的医学人文意识,具备一定的理论高度,培训中应用具体的人文教学措施,并纳入考核与评价体系,是将医学人文教育融入临床实践教学的有效途径.同时也应倡导和推进全面素质教育,全程性教育、多元化教育、个性化教育相结合,促进科学教育与人文教育的有机融合,才能培养出业务精良、品德高尚的人文精神与科学精神兼备的高层次医学人才.

南京医科大学为适应医学发展的需要,深化实践教学改革,整合校内临床技能训练中心与社会实践基地,建设成省级临床医学实践教学中心.实践中心通过优化整合教学内容、构建临床技能课程体系,提高临床教学水平,充分发挥培养实践型医学人才、服务社会的功能.

结合新医疗环境下高等医学教育现状，为解决医学生临床实践能力培养所面临的困难，从管理方面、教学方面及监督评价方面探讨临床实习管理与教学模式，以保证高等医学教育人才培养质量。

The whole idea is expounding“what is humanities” -“what is humanistic care” -“what is medical humanities” -“ the importance of humanistic care in the process of medical practice” -“ How to improve the humanistic quality of medical students” -“ How to integrate the medical humanities education with problem based learning ( PBL) teaching process”, and thereby, the purpose of enhancing the humanistic quality of medical students is finally reached.

目的:探讨一体化医患沟通教育模式应用于临床医学教学中的效果.方法:选取南京医科大学临床医学两个班级共60人,分为一体化教育模式组(30人)和传统教学模式组(30人).选取南京医科大学第一附属医院骨科单节段腰椎间盘突出症患者30例,使用统一的医患沟通内容和满意度量表.结果:两组年龄、性别及专业知识掌握程度无明显差异(P＞0.05);在完成沟通内容的时间上,一体化组为(20±9) min,而传统组为(36±12) min(P ＜0.05);在患者满意度量表中,一体化为(4.4士0.9)分,而传统为(2.9±0.6)分(P＜0.05).结论:一体化医患沟通教育模式可有效提高医患沟通教学效果.

临床实习是整个医学教育过程中的重要组成部分,是医学生将理论知识有效转化为临床实践的必经途径。现阶段,由于医患关系的改变、学生就业考研的压力等多方面因素给临床实习带来了冲击,南京医科大学第一临床医学院积极开展实习教学改革,通过对管理体制、岗前培训、科室轮转、临床技能培训与考核等临床实习过程中各个教学环节的管理进行优化,保障和提高了临床实习质量。

<正>临床实习是医学教育全过程中的一个重要阶段,是理论与实践相结合的重要环节,是培养学生独立思考、分析问题和解决问题能力和关键时期,也是考核医学教育质量,检测是否达到培养目标的重要方面。临床实习质量的高低直接影响着医学人才培养的质量。

With the promulgation of the management of clinical practice in medical education provisions by the Ministry of Health and Ministry of Education,the clinical practice of medical students has been more comprehensively protected; the environment and conditions of practice have also been more stringently standardized.In the face of the new medical education environment,this paper presents an initial thought on how to improve the clinician skill level,to ensure the quality of clinical training of doctors and to promote the overall quality of clinicians from the three aspects,i.e.the medical colleges' experimental teaching,the practice of teaching and specialist post-graduate training.

By elaborating the concept of innovation as well as the promotion of innovational talented personnel,this study was designed to put forward the main problems occurring during the innovational clinical personnel training and meanwhile it also advocates to train innovational clinical personnel by transforming the past educational notions,consolidating the consciously-applied innovational teaching methods,boosting up the discipline of innovational thoughts,and exerting great strength on the molding of innovational personality among medical students.