摘要
目的 分析医教协同背景下高职专科临床医学专业实践教学基地建设现状,为提升医学人才培养质量提供参考和建议。方法 采用系统抽样法选取东中西部地区6个省份41所高职院校为研究对象,自编调研表,调查2020年9月-2022年9月院校临床医学专业招生情况、临床实践教学基地现状和实习生的分布情况。结果高职专科临床医学专业的招生人数整体呈逐年下降趋势,2022年比2020年下降了21.1%,其中山东省最为显著,下降了37.5%。各院校的临床实践教学基地建设水平不均衡,三级医院作为教学基地的数量相对较高,占比51.8%;实习医院作为主要的临床教学基地,承载了61.7%实习生的临床实习任务。29所院校拥有直属附属医院,但只有5所附属医院的人事、物资、财务完全由学校管理。结论 高职专科临床医学实践教学基地建设中存在的主要问题包括人才供需平衡机制不完善、附属医院配置缺失、临床实践教学不足等,未来临床实践教学改革应强调医教协同与行业需求相结合,并重视规范临床教学基地建设的重要性。
Objective To analyse the current situation of practice teaching base construction of clinical medicine specialty in higher vocational specialties under the background of medical education synergy,and provide reference suggestions for improving the quality of medical talent cultivation.Methods A total of 6 provinces from the eastern,central,and western regions were selected as the research objects using systematic sampling method,with 41 higher vocational colleges involved.A self-compiled questionnaire was used to investigate the enrollment situation of clinical medicine majors,the current status of clinical practice teaching bases,and the distribution o f i n t e r n s f r o m S e p t e m b e r 2020 t o S e p t e m b e r 2022.Results The overall enrollment of higher vocational clinical medicine programs showed a yearly decreasing trend,with a decrease of 21.1%in 2022 compared with 2020.Shandong Province was the most significant,with a decrease of 37.5%.There were imbalances in the construction of clinical practice teaching bases.Tertiary hospitals accounted for a relatively high proportion as teaching hospitals,accounting for 51.8%.Internship hospitals,as the primary clinical teaching bases,undertake 61.7%of the clinical internship tasks of interns.While 29 colleges had affiliated hospitals,only 5 of them had full control over the personnel,finances,and resources of their affiliated hospitals.Conclusion The main issues in the construction of clinical practice teaching bases for higher vocational clinical medicine programs include imperfect talent supply-demand balance mechanisms,inadequate allocation of affiliated hospitals and weak clinical practice teaching.This study provides constructive suggestions for future reforms in clinical practice teaching,emphasizing the importance of combining medical-education collaboration with industry needs and standardizing the construction of clinical teaching bases.
作者
白玲
BAI Ling(Research Center of Health Vocational Education,Tianjin Medical College,Tianjin 300222,China)
出处
《中国继续医学教育》
2024年第17期18-23,共6页
China Continuing Medical Education
关键词
医教协同
高职专科
临床医学
临床实践
教学基地
培养质量
medical-educational collaboration
higher vocational colleges,clinical medicine
clinical practice
teaching base
quality cultivation
