Practice research on clinical internship teaching model for clinical medicine in Sino-foreign cooperative education

Chen Yan; Shao Li; Xia Qiang; Xue Wei; Zheng Qing; Li Yi; Yuan Huiyun

doi:10.3760/cma.j.cn116021-20240922-01934

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Practice research on clinical internship teaching model for clinical medicine in Sino-foreign cooperative education

Chinese-Foreign Cooperation in Running Schools | 更新时间：2026-03-24

- Practice research on clinical internship teaching model for clinical medicine in Sino-foreign cooperative education
- Chinese Journal of Medical Education Research Vol. 25, Issue 3, Pages: 360-365(2026)
- 作者机构：
  
  1.上海交通大学医学院附属仁济医院仁济临床医学院，上海 200127
  2.上海交通大学医学院附属仁济医院上海-渥太华联合医学院，上海 200127
  3.上海交通大学医学院教务处，上海 200025
  4.上海交通大学医学院附属仁济医院党委组织处，上海 200127
- 作者简介：
  
  Yuan Huiyun, Email: yuanhuiyun@hotmail.com
- 基金信息：
  
  Shanghai Higher Education Association 2024 Annual Planning Project(2QZD2419);2024 Undergraduate Teaching Management Research Project of Shanghai Jiao Tong University(JXGL24001);Medical Education Branch of Chinese Medical Association and National Medical Education Development Center 2023 Medical Education Research Project(2023B225)
- DOI：10.3760/cma.j.cn116021-20240922-01934
  CLC： R-05
- Received：22 September 2024，
  
  Published：20 March 2026
- 稿件说明：
移动端阅览
陈燕, 邵莉, 夏强, 等. 中外合作办学临床医学专业临床实习教学模式的实践研究[J]. 中华医学教育探索杂志, 2026, 25(3): 360-365.

Chen Yan, Shao Li, Xia Qiang, et al. Practice research on clinical internship teaching model for clinical medicine in Sino-foreign cooperative education[J]. Chinese Journal of Medical Education Research, 2026, 25(3): 360-365.
陈燕, 邵莉, 夏强, 等. 中外合作办学临床医学专业临床实习教学模式的实践研究[J]. 中华医学教育探索杂志, 2026, 25(3): 360-365. DOI： 10.3760/cma.j.cn116021-20240922-01934.

Chen Yan, Shao Li, Xia Qiang, et al. Practice research on clinical internship teaching model for clinical medicine in Sino-foreign cooperative education[J]. Chinese Journal of Medical Education Research, 2026, 25(3): 360-365. DOI： 10.3760/cma.j.cn116021-20240922-01934.

摘要

目的

探讨中外合作办学项目即临床医学专业五年制英文班临床实习教学模式改革的应用效果。

方法

选取2017至2019级临床医学专业五年制英文班122人作为试验组，临床医学专业八年制、五年制实习生121人作为对照组。试验组采用改革后的临床实习教学模式，对照组采用传统的临床实习教学模式，观察2组学生经过临床实习后的教学效果及教学满意度指标。使用SPSS 27.0对数据进行两独立样本

检验分析。

结果

临床实习后，试验组毕业客观结构化临床考试（objective structured clinical examination，OSCE）各站点考试成绩、全科和精神科出科考成绩均数均高于对照组，其中毕业OSCE考试中2017级学生病例分析、体格检查成绩，2018级学生病史采集、病例分析、病史书写成绩，2019级学生病例分析、病史书写成绩，2017至2019级学生全科出科考试成绩，2017级和2019级学生精神科出科考试成绩，2组差异具有统计学意义（

0.05）。教学满意度方面，试验组对临床实习课程评分高于对照组[（4.77±0.43） vs.（4.05±1.28）

]

，试验组对实习轮转计划评分高于对照组[（4.76±0.51）vs. （4.24±1.14）

]

，试验组对临床教学评分高于对照组[（4.81±0.40） vs. （4.52±0.51）

]

，试验组对自我能力提升评分高于对照组[（4.74±0.44） vs. （4.24±1.09）

]

，差异均具有统计学意义（

0.05）。

结论

早期长期反复临床实习教学有助于医学生临床综合能力提升，且医学生接受度更高，是实习教学的有益尝试。

Abstract

Objective

To explore the application effects of clinical internship teaching model reform in a Sino-foreign cooperative education program (clinical medicine five-year English class).

Methods

The 122 interns in the clinical medicine five-year English class enrolled from 2017 to 2019 were assigned to the experimental group. The 121 interns in the clinical medicine eight-year and five-year classes were assigned to the control group. The experimental group received the reformed clinical internship teaching model

and the control group received the traditional clinical internship teaching model. The teaching effects and teaching satisfaction indicators of the two groups were observed after the clinical internship. SPSS 27.0 was used for two-independent sample

-test.

Results

After clinical internship

the average scores of OSCE at graduation and general and psychiatric exams of the experimental group were higher than those of the control group. There were significant differences between the two groups in case analysis and physical examination scor

es of students enrolled in 2017 in graduation OSCE

medical history collection

case analysis

and medical history writing scores of students enrolled in 2018

case analysis and medical history writing scores of students enrolled in 2019

general exam results of students enrolled from 2017 to 2019

and psychiatric exam results of students enrolled in 2017 and 2019 (

0.05). In terms of teaching satisfaction

the score of the experimental group on the clinical internship course was higher than that of the control group [(4.77±0.43) vs. (4.05±1.28)

]

the score of the experimental group on the internship rotation plan was higher than that of the control group [(4.76±0.51) vs. (4.24±1.14)

]

the score of the experimental group on clinical teaching was higher than that of the control group [(4.81±0.40) vs. (4.52±0.51)

]

the score of the experimental group on self-ability improvement was higher than that of the control group [(4.74±0.44) vs. (4.24±1.09)

]

and the differences were statistically significant (

0.05).

Conclusions

The early long-term repeated clinical internship teaching model effectively enhances the comprehensive clinical ability of medical students

the acceptance of this teaching model is higher among medical students

and this is an innovative model of internship teaching.

关键词

Keywords

references

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