To analyze the learning outcome contents and characteristics at home and abroad in clinical medicine.Thematic framework analysis was conducted with the computer software MAXQDA 2007 via coding,grouping and analyzing the domestic and international education requirements for medicine student and competency for doctor,to build clinical medicine learning outcome framework.Based on competency analysis,the learning outcome framework for clinical medicine students covers skill,academic and career development areas,which containing ten dimensions including clinical skills,practice,communica tion and so on.Medical education should be consistent with the needs of health systems and taking the factor of development into account,making health personnel training and supporting balanced.

General education as a non professional education that all undergraduates should accept is an important part of medical higher education.And elective course is the main way of the implementation of general education.Critical issues are analyzed through the current situation of medical undergraduates' selections on general education curriculum.And specific suggestions are presented to strengthen general education curriculum system for medical students.

To study the effectiveness of the application of modified objective structured clinical examination (OSCE) in the graduation examination in clinical medicine, the reliability, validity, difficulty and discrimination of OSCE are analyzed by gathering scores of graduation examination for undergraduates majored in clinical medicine . Questionnaire is used to get the opinions on the OSCE from examinees. It is found that the internal consistency reliability coefficient is 0.671 and the Pearson correlation coefficient between the OSCE and the theory test is 0.561 (P=0.000). The overall difficulty and discrimination are 0.81 and 0.21 separately. 71.43 percent of students maintain that OSCE could reflect the level of their clinical skills objectively and comprehensively. Therefore, the modified OSCE results are reliable and effective, which can be used for the evaluation of students' clinical skills in college graduation examination.

This paper introduces and compares the general education for medical students in 6 higher education institutions in the Chinese mainland,Hong Kong and Taiwan from the points of idea,curriculum mode,and study requirements,and analyzes current situation of the general education in medicine field in China and the characteristic of different regions,in order to make a reference for the reform of general education in medical universities,and help us learn and use as reference from these experiences.

Objective structured clinical examination(OSCE) is regarded worldwide as an useful evaluation method of clinical capability.It exerts great effects on the remarks of clinical thinking, skills and communication while serving as a promotion to study as well.A cross-sectiohal study was conducted with statistical method in order to evaluate the OSCE and its role of guiding study and clinical teaching from the student perspective.It was contented by most students about the organization, the content and the exam results of OSCE.And it was widely accepted that OSCE could assess the clinical competence of students, and promote study and clinical teaching in a better way.

Attention to the training of research ability for undergraduate students is the development trend of medical education.Peking University Health Science Center (PUHSC),has made the top design of such research ability training system including courses,lectures,lab practice,publications and various research projects,as well as the atmosphere of scientific research.The training program achieved good results.In the future,PUHSC will further update new concept of teaching,and improve the teacher's training and incentive mechanism.

Objective To learn the overall results of professional theory test of graduate assessment of clinical medicine in a university of Beijing,and to help make out questions for the exam more reasonable and scientifical.Methods The examination papers quality and exam results were analyzed by applying education measurement.The database was established by Microsoft Office Excel and the data was analyzed by SPSS 17.0 software.Results The students' scores showed a normal distribution.The mean score of internal medicine,surgery,obstetrics and gynecology,pediatrics is 71.42,85.37,68.94 and 79.92,the item difficulty is 0.72,0.85,0.68 and 0.79,the discrimination is 0.18,0.11,0.18 and 0.18.The reliability is 0.86,respectively.Conclusions By demonstrating good reliability,acceptable distribution,reasonable difficulty and the results of the examination were shown to accurately reflect the knowledge and ability of the students who took the examination.The discrimination still needs to be improved.

Physicians’ humanistic skills play a critical role in improving doctor‐patient relationship and the quality of medical services .Assessment of physicians’ humanistic skills is one of the core components of medical licensing examinations in the United Kingdom and the United States .It mainly relates to three domains ,namely communication ,professionalism , and interpersonal relationship with patients .Evaluation methods used or proposed for this purpose include standardized patient ,video or web‐based assessment .Effective assessment of humanistic skills should be added to China ’s national medical licensing examination in order to facilitate selection of qualified physician ,improvement of medical service quality , and medical education reform .In pushing forward this work ,it was suggested to take the current status of medical education into account ,make use of international experiences ,and give priority to assessment of communication skills .

Selective course is not only an important part of the higher medical educational curriculum, but also a necessary complement for cultivating high-quality medical professionals. Critical issues are analyzed through the current situation of selective courses which are provided by medical school. With the concept of student-centered holistic education,specific suggestions are presented to strengthen con-struction of the medical college selective course system.

Objective To learn the students ' evaluation of objective structured clinical examination (OSCE), and to supply data for improving OSCE and monitoring the quality of teaching. Methods To conduct a questionnaire survey among 196 eight-year program medical students, who were enrolled into Peking University in 2008. Results The overall evaluation of OSCE, quality of station question, examination efficiency, and self-evaluation of students are all fine. Conclusions OSCE could examine students' clinical competence objectively and truly, and students show positive attitude towards OSCE. However, OSCE examiners should get more training, the difficulty of some questions need to adjust or extend the examination duration time, the proportion of scores about medical decision need to increase, and the clinical training ought to be strengthened.

National License Examination is kind of access to being doctors for medical graduates,also one important external way to evaluate medical colleges.Sample survey with 415 examinees from 8 medical colleges,found that examination feedback report was low awarded,and could not meet the actual needs.The feedback report is expected to be more individual,have more information,and to be more convenient to obtain.

Objective To understand the situation and characteristic of medical students' clinical competence,to monitor the quality of teaching and provide some guidance for the teaching reform.Methods The scores of objective structured clinical examination (OSCE) of the eight-year program 954 medical students were analyzed by SPSS 17.0.Results The mean score of the OSCE was 84.4,the score of history taking was the highest,and the auxiliary examination was low.The score was varying among the grades,the classes and the gender.Conclusions The students generally mastered the clinical competence,which is essential to the graduate students.Anyway,the ability of auxiliary examination still needs to be improved,and the construction and management of clinical teaching still need to be strengthened.

Objective To study the academic performance of students having changed major,thusly provide basis for the establishment and implementation of major-changing policies in colleges and universities.Methods The scores of major courses of clinical medical students having changed major and those haven't in grade 2007 ～ 2010 were collected and compared,to get mean comparison and t-test.Results The exam results of students having changed majors were generally better than those haven' t.Conclusions The academic performance of students having changed major is quite good.The policy of changing major is an effective support for the students and it has produced the desired results.

This paper devotes the importance of learning general practice knowledge in progress of medical student education from implement of medical education theory,holistic education and the change of medical model aspects.According to the immature domestic undergraduate medical general practice education,the author compared domestic current situation of general practice education with overseas,and then gave an introduction of exploring to establish general practice curriculum system' s experience.

Overseas exchange of medical students,also called overseas clinical electives,is an inevitable trend of the internationalization of medical education,one of the most important ways to develop capacity in problem-solving for global health as well as a necessary complement to medical education.This paper outlines the meaningful role played by the electives in becoming better clinicians based on the student feedbacks worldwide.It analyses the status quo and existing problems in the implementation of the electives in accordance with the experiences of Peking University Health Science Center.It presents some corresponding approaches to the problems.It aims to help the sustainable development of the electives.

在卫生部科技教育司、社区卫生与妇幼保健司和教育部高教司的支持下,由北京大学医学部主办的北京大学全科医学学科建设研讨会于2011年10月18日至19日在京召开.卫生部、教育部、北京市卫生局和中华医学会的相关领导嘉宾出席了会议,来自英国牛津、剑桥、伯明翰大学的4名特邀全科医学专家与全国各地70多家医学院和医院、社区卫生服务中心近300名代表就全科医学学科建设相关问题展开了研讨.同期,北京大学医学部举办了北京大学第三医院第二 门诊部、航天医院永定路社区卫生服务中心两个社区卫生教学基地的揭牌仪式。

Objective To understand the situation and characteristic of medical students'clinical competence,and provide some guidance for the teaching reform.Methods The scores of objective structured clinical examination(OSCE) of the eight-year program medical students were analyzed.Results The mean score of the OSCE was 86.45,ranging from 70.36 to 94.07.The score of history taking (including communication),physical examination,and clinical operation was the highest,following by auxiliary examination and clinical thinking.The score of history taking was higher than that of communication skill.The excellence rate was varying among the five classes.Conclusions The students generally mastered the clinical competence,which is essential to the graduate students.Anyway,there still are some areas in need of improvement.

Health development needs to strengthen undergraduate education of general practice.The curriculum construction of general practice is an important part of the teaching reform in Peking University Health Science Center.For medical students ( eight year program),general practice education is continuous,multi-level,multi-site,and multi-way,integrating professional learning and medical humanities,During such precession,the key points are establishing the education conception of general practice and training the teaching staff.

In 2001, approved by the Ministry of Education, eight-year medical education program started to set up by Peking University Health Science Center.To further deepen the understanding and awareness of eight-year medical education, and reflect the process of teaching reform, we looked into the cognitive environment and evaluation of teaching activities and curriculum and other related issues for 2001 grade students of medical program.The surveys showed that we get some achievements in the teaching activities and curriculum development under the guidance of all the way training of quality and research capacity.But there are still some shortcomings and needs for a further reflection and exploration.

目的:探索临床沟通技巧课开设的必要性和临床实施运用方法。方法:通过本课程的培训,教会医学生在临床实习中,掌握这门课程的基本理论知识和核心沟通技巧,与患者进行恰当有效的沟通和交流,从而取得良好的实习效果。结果:必要和及时的临床沟通技巧专业理论学习和模拟训练有助于提高和改善医学生初到临床实习期间的医患沟通能力。结论:临床沟通技巧是当代高等医学院校学生的必修课,是临床医学生应掌握的一项基本技能。