黄韵烨++李彦娇++徐萍萍+黄春

[摘要]目的 探討早期接触临床对医学生职业素养培养的价值及作用。方法 选取2015年9月～2016年6月的615名医学生，将我校进行早期接触临床活动的441名医学生作为实验组，将未实施早期接触临床，仅采用传统基础理论课程的174例外校医学生作为对照组。比较两组医学生的职业素养各点（对医院的基本医疗流程认识、医疗工作内容深入认识、自身职业素养、对临床知识和技能的掌握、病患沟通技巧）表现情况的评分及实验组医学生参加早期接触临床前后的相关认知情况，并观察两组医学生对早期接触临床活动的评价情况。结果 实验组的职业素养各点得分均高于对照组，差异有统计学意义（P<0.05）；实验组医学生参加早期接触临床活动后，其对医院进行志愿者服务的了解度、开展早期接触临床的必要性、综合素养的重要性的认知情况均较参与前提高，差异有统计学意义（P<0.05）；实验组对早期接触临床活动评价的各项评分均高于对照组，差异有统计学意义（P<0.05）。结论 实施早期接触临床活动可提升医学生对专业知识的认知度，提高其临床思维能力，并加强人际沟通能力，有利于对医学生职业素养的培养，值得推广应用。

[关键词]早期接触临床活动；临床医学；传统教学；应用效果

[中图分类号] R4-4 [文献标识码] A [文章编号] 1674-4721（2017）09（a）-0143-03

Value and function analysis of early exposure to clinical training for medical students' professional accomplishment

HUANG Yun-ye LI Yan-jiao XU Ping-ping HUANG Chun

School of Medicine，Shantou University Medical College，Guangdon Province，Shantou 515041，China

[Abstract]Objective To investigate the clinical value and effect of early contact occupation accomplishment of medical students training.Methods From September 2015 to June 2016，615 medical students in our College were selected，and 441 medical students who with early exposure of clinical activity as the experimental group，while 174 cases those without early contact with clinical and only was given the traditional basic theory course of medical students as the control group.The occupation literacy （the understanding of the basic medical procedure of hospital medical work understanding，occupation literacy，master of clinical knowledge and skills and patient communication skills） performance score of medical students in the two groups and the cognition of early clinical exposure of the experimental group before and after the observation were compared，and the clinical activities on the early stage of the contact evaluation of medical students in two groups was observed.Results The occupation literacy score of the experimental group was higher than that of the control group，the difference was statistically significant （P<0.05）；the awareness of early exposure to clinical activities，volunteer service of the hospital to understand，the necessity of early clinical contact，the cognition of importance of comprehensive qualities of medical students in experimental group was increased after early clinical contact，the difference was statistically significant （P<0.05）；the scores of early clinical activities evaluation of the experimental group was higher than that of the control group，the difference was statistically significant （P<0.05）.Conclusion The implementation of early exposure to clinical activities can enhance the awareness of professional knowledge of medical students and improve their clinical thinking ability，and strengthen the interpersonal communication ability，is conducive to the cultivation of medical students' occupation accomplishment，it is worthy of popularization and application.endprint

[Key words]Early exposure to clinical activities；Clinical medicine；Traditional teaching；Application effect

当前阶段，医患关系较为紧张，医疗纠纷事件频发，导致医生声誉遭到损坏，医护人员形象在人民群众的心中也不如从前[1]。因此，医护人员不仅需要具备专业的医学知识，同时还需要与患者建立良好的关系，提高与患者沟通、交流的能力[2]。在我国，对于医学生的培养，主要偏重于基础专业知识，而在临床医患沟通方面能力的培养恰恰属于医学教育中较为薄弱的环节[3]。尽管部分医学高校在理论课堂中添加了医患沟通相关教学，但大部分医学生进入临床后，其医患沟通、临床实践等能力仍就欠缺[4-5]。培养有业务能力、有创新精神等高素质人才，属于社会对医学教育的迫切要求[6]。……